{"id":18655,"date":"2026-11-02T11:36:52","date_gmt":"2026-11-02T10:36:52","guid":{"rendered":"https:\/\/www.bluesquarehub.com\/?p=18655"},"modified":"2026-11-02T11:37:02","modified_gmt":"2026-11-02T10:37:02","slug":"givewell-finance-bluesquare-pour-accroitre-couverture-vaccinale-rdc","status":"publish","type":"post","link":"https:\/\/www.bluesquarehub.com\/fr\/givewell-finance-bluesquare-pour-accroitre-couverture-vaccinale-rdc\/","title":{"rendered":"GiveWell finance Bluesquare \u00e0 hauteur de 8,8\u00a0millions de dollars US pour un projet visant \u00e0 accro\u00eetre la couverture vaccinale en RDC"},"content":{"rendered":"\n<p class=\"eplus-wrapper wp-block-paragraph\">GiveWell a financ\u00e9 Bluesquare pour mettre en \u0153uvre un projet pluriannuel de 8,8&nbsp;millions de dollars US dans la province du Kasa\u00ef, en RDC, visant \u00e0 am\u00e9liorer les r\u00e9sultats de la vaccination de routine. Dirig\u00e9 par le Programme \u00e9largi de vaccination (PEV) national et par les autorit\u00e9s sanitaires provinciales du Kasa\u00ef, le projet vise un gain d\u2019au moins 10&nbsp;points de pourcentage de la couverture vaccinale, ainsi qu\u2019une r\u00e9duction de la pr\u00e9valence des enfants z\u00e9ro dose, dans plus de 100&nbsp;aires de sant\u00e9 sur 3,5&nbsp;ans. Ces aires de sant\u00e9 enregistrent, selon les estimations, 87&nbsp;000&nbsp;naissances vivantes chaque ann\u00e9e, soit la cohorte annuelle d\u2019enfants que la vaccination de routine doit atteindre.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Adapter les interventions de vaccination \u00e0 chaque aire de sant\u00e9<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Selon <a href=\"https:\/\/dhsprogram.com\/pubs\/pdf\/PR156\/PR156.pdf\">l\u2019enqu\u00eate d\u00e9mographique et de sant\u00e9 2023-24 de la RDC (EDS-RDC III)<\/a>, 39,1&nbsp;% des enfants de 12 \u00e0 23&nbsp;mois au Kasa\u00ef n\u2019avaient re\u00e7u aucun vaccin, soit pr\u00e8s du double du taux national de 22,7&nbsp;%. Ce chiffre illustre l\u2019ampleur de la sous-vaccination dans la province et la n\u00e9cessit\u00e9 de toucher les enfants que les services de vaccination de routine n\u2019atteignent pas. Le projet y r\u00e9pond par une approche de transformation de la prestation de services (SDT)&nbsp;: au lieu de financer la m\u00eame intervention partout, il adapte la r\u00e9ponse \u00e0 chacune des plus de 100&nbsp;aires de sant\u00e9 qu\u2019il couvre.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Le processus part de l\u2019existant. Une \u00e9valuation de r\u00e9f\u00e9rence num\u00e9rise le microplan existant, financ\u00e9 par le gouvernement, de chaque aire de sant\u00e9. Le projet combine ensuite ce microplan avec des donn\u00e9es g\u00e9ospatiales et des estimations de la couverture vaccinale au niveau infranational, en optimisant 6&nbsp;interventions&nbsp;: la recherche des contacts et le suivi des enfants qui ont manqu\u00e9 des doses, l\u2019extension des horaires d\u2019ouverture et l\u2019am\u00e9lioration de la qualit\u00e9 des services, de nouveaux sites de vaccination fixes dans les zones mal desservies, la strat\u00e9gie avanc\u00e9e, la strat\u00e9gie mobile et des incitations \u00e0 la demande. La combinaison varie d\u2019une aire de sant\u00e9 \u00e0 l\u2019autre.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Pour soutenir le cycle complet, Bluesquare d\u00e9veloppera une plateforme d\u2019optimisation des interventions de vaccination couvrant le ciblage, la contractualisation, le financement et le suivi. La plateforme est con\u00e7ue pour passer \u00e0 l\u2019\u00e9chelle et compl\u00e8te les syst\u00e8mes de donn\u00e9es que le PEV utilise et d\u00e9veloppe d\u00e9j\u00e0, afin que les m\u00eames donn\u00e9es ne soient jamais collect\u00e9es deux fois.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Une fois le plan d\u2019une aire de sant\u00e9 convenu, le financement est li\u00e9 \u00e0 la r\u00e9alisation.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Un financement li\u00e9 \u00e0 des r\u00e9sultats v\u00e9rifi\u00e9s<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Les \u00e9quipes des aires de sant\u00e9 adaptent ensuite les interventions propos\u00e9es aux contraintes auxquelles elles font face sur place. Une fois la combinaison d\u2019interventions convenue, un contrat formalise les activit\u00e9s \u00e0 r\u00e9aliser et le financement qui y est associ\u00e9.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Le projet s\u2019appuie sur une contractualisation bas\u00e9e sur la performance : une partie du financement est li\u00e9e \u00e0 des r\u00e9sultats v\u00e9rifi\u00e9s au lieu d\u2019\u00eatre vers\u00e9e d\u2019avance. Chaque activit\u00e9 valid\u00e9e d\u00e9clenche un paiement mobile aux \u00e9quipes des aires de sant\u00e9 qui l\u2019ont r\u00e9alis\u00e9e. La contractualisation bas\u00e9e sur la performance, qui lie le financement \u00e0 des interventions qui atteignent r\u00e9ellement les enfants, est d\u00e9j\u00e0 utilis\u00e9e dans l\u2019ensemble des programmes de sant\u00e9 mondiale au Kasa\u00ef.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">La gestion des contrats s\u2019appuie sur EUP FASS, qui poss\u00e8de une longue exp\u00e9rience de cet instrument au Kasa\u00ef. Le ciblage, le suivi continu des activit\u00e9s et la v\u00e9rification des paiements reposent tous sur des plateformes num\u00e9riques. La v\u00e9rification devient ainsi la colonne vert\u00e9brale du mod\u00e8le, y compris dans les aires de sant\u00e9 o\u00f9 la connectivit\u00e9 ne peut pas \u00eatre tenue pour acquise.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">V\u00e9rifier la prestation de la vaccination hors ligne<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Payer pour des r\u00e9sultats implique de confirmer, aire de sant\u00e9 par aire de sant\u00e9, que chaque activit\u00e9 contractualis\u00e9e atteint les enfants. Dans une grande partie de la zone du projet, les sites de vaccination et de recherche des contacts fonctionnent dans des environnements enti\u00e8rement hors ligne. Le d\u00e9fi consiste \u00e0 collecter les donn\u00e9es d\u2019activit\u00e9 de fa\u00e7on num\u00e9rique dans ces conditions, sans alourdir la charge de travail des agents de sant\u00e9.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Les agents de sant\u00e9 documentent les activit\u00e9s de vaccination sur des appareils mobiles qui fonctionnent enti\u00e8rement hors ligne. Les donn\u00e9es se synchronisent d\u00e8s qu\u2019un agent de sant\u00e9 atteint un point connect\u00e9, g\u00e9n\u00e9ralement lors d\u2019une visite de supervision, selon une approche que Bluesquare a d\u2019abord d\u00e9velopp\u00e9e pour un projet d\u2019\u00e9limination de la maladie du sommeil en RDC.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Les donn\u00e9es de v\u00e9rification sont ensuite consolid\u00e9es avec celles des syst\u00e8mes existants de la RDC pour former une vue unique de la prestation dans l\u2019ensemble des aires de sant\u00e9. Cette vue partag\u00e9e appuie la validation des activit\u00e9s en vue de leur paiement.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Le projet s\u2019inscrit dans un investissement plus large de GiveWell dans la vaccination.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Un investissement plus large de GiveWell dans la vaccination en RDC<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Le projet s\u2019ajoute \u00e0 plusieurs autres subventions que GiveWell a accord\u00e9es pour augmenter la couverture de la vaccination de routine. GiveWell soutient des programmes de vaccination depuis 2015, avec plus de 200&nbsp;millions de dollars de subventions li\u00e9es \u00e0 la vaccination \u00e0 ce jour. Elie Hassenfeld et Natalie Crispin d\u00e9crivent ce travail dans <a href=\"https:\/\/blog.givewell.org\/2026\/02\/19\/podcast-episode-24-testing-new-strategies-to-increase-vaccination-coverage\/\">l\u2019\u00e9pisode du podcast de GiveWell sur les nouvelles strat\u00e9gies pour augmenter la couverture vaccinale<\/a>.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">En RDC, le projet s\u2019ajoute \u00e0 plusieurs programmes de vaccination que Bluesquare appuie d\u00e9j\u00e0 aux c\u00f4t\u00e9s du PEV, allant du <a href=\"https:\/\/www.bluesquarehub.com\/fr\/cadre-de-reference-pour-le-georepertoire-national-sante-en-rdc\/\">g\u00e9oregistre<\/a> et de la <a href=\"https:\/\/www.openiaso.com\/fr\/iaso-digitalisation-campagnes-sante\/\">microplanification num\u00e9rique<\/a> au suivi continu de la performance du plan Mashako 3.0 et \u00e0 la mod\u00e9lisation de la couverture vaccinale avec l\u2019\u00c9cole de sant\u00e9 publique de Kinshasa (ESPK). Le Kasa\u00ef est le lieu o\u00f9 ces composantes se rejoignent pour mettre en \u0153uvre l\u2019approche de transformation de la prestation de services.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Bluesquare remercie GiveWell et le Programme \u00e9largi de vaccination de la RDC pour cette collaboration passionnante.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">En savoir plus sur <a href=\"https:\/\/www.bluesquarehub.com\/fr\/expertise\/disease-surveillance-and-control\/vaccination\/\">l\u2019expertise de Bluesquare en vaccination<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>GiveWell a financ\u00e9 Bluesquare pour mettre en \u0153uvre un projet pluriannuel de 8,8&nbsp;millions de dollars US dans la province du Kasa\u00ef, en RDC, visant \u00e0 am\u00e9liorer les r\u00e9sultats de la [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":18656,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","editor_plus_copied_stylings":"{}","footnotes":""},"categories":[232],"tags":[195],"class_list":["post-18655","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-immunization","tag-vaccination"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GiveWell finance Bluesquare pour accro\u00eetre la couverture vaccinale en RDC - Bluesquare<\/title>\n<meta name=\"description\" content=\"GiveWell finance un projet Bluesquare de 8,8 millions de dollars US pour accro\u00eetre la couverture vaccinale au Kasa\u00ef, en RDC.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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