Factsheet 2025 Engaging Citizens to Improve Service Delivery Through Social Accountability Project

In Kolwezi, Lualaba province, the cholera outbreak is not only claiming lives in the hospital. It is also claiming lives in people’s homes, but silently. Since December 2025, the Manika health zone has been facing a health crisis. But a genuine chain of solidarity has emerged. With support from World Vision DRC, through the NEPRF (National Emergency Preparedness and Response Fund), an internal emergency fund used to rapidly mobilise humanitarian aid during disasters, courageous community volunteers, such as Nicole, are going door-to-door to raise awareness, disinfect, distribute chlorine, and refer the sick to treatment centres. The result? Over 7,000 people have been reached. More than 100 kg of chlorine has been distributed. Community mobilisation is our best weapon against cholera. Because saving lives starts with a simple act: informing to protect.

On Nigerien National Women's Day, the women staff of World Vision Niger donated essential medical equipment to the Dosso Mother and Child Health Center, enabling the facility to fully operate a second operating theatre. Before the donation, the center had only one functional theatre, making it difficult to meet the growing demand for emergency obstetric and gynecological surgeries. According to Dr. Bacharou Adamou Mamane Sani, the lack of equipment and partners often delayed life-saving interventions. The donated equipment including an operating table, surgical lights, cesarean and gynecological surgical kits, warming lamps, and an oxygen concentrator has transformed surgical services. With two operational theatres, the center can now treat more than 15 patients daily, significantly reducing waiting times and improving emergency care. The new equipment has also enhanced working conditions for healthcare staff and contributed to reducing maternal and newborn mortality. Dr. Bacharou expressed his gratitude to World Vision Niger, emphasizing that this timely support has strengthened healthcare services and brought lasting benefits to women, newborns, and the wider Dosso community.

Every day, the Dosso Mother and Child Health Center receives dozens of women seeking timely and quality maternal healthcare. However, increasing demand for obstetric and gynecological services had long challenged the facility due to limited medical equipment. To address this need, the Women of World Vision Niger donated essential equipment, including surgical lights, a modern operating table, cesarean and gynecological surgical kits, infant warming lamps, and an oxygen concentrator. According to Kidarou Hima, General Supervisor of the health center, the donation has transformed the operating theatre by improving the efficiency of surgical procedures and reducing waiting times for emergency cases. Medical teams now have reliable equipment readily available, enabling them to provide faster, safer, and higher-quality care for women and newborns. The improved working conditions have also increased staff motivation and confidence. Grateful for this support, the health center acknowledges that the donation has significantly strengthened maternal healthcare services and directly benefits the communities it serves through better and more timely medical care.

This article highlights how communities in Karawa, North Ubangi, used World Vision DRC’s Citizen Voice and Action (CVA) approach to identify insecurity as a key concern and peacefully advocate for stronger protection measures. Through community mobilisation, dialogue with authorities and a formal advocacy memorandum, residents demonstrated how informed citizens can influence local governance and contribute to building safer, more resilient communities.

At 31, Busisiwe is building a brighter future through farming after experiencing pregnancy as a teenager. Supported by World Vision’s HIV prevention project and Youth Enterprise Revolving Fund, she is strengthening her livelihood and economic independence.

In Monapo, Mozambique, improved farming incomes through World Vision are helping children like 14-year-old Evanildo return to school and pursue their dreams.

Sahira turned her sewing skills into a growing livelihood, gaining confidence, income and new opportunities to support her family.

Durjoy, our sponsored child from Bagerhat, overcame hardship to achieve GPA 5 in his SSC examination and pursue his dream of becoming an engineer. His story reflects how World Vision’s Sponsorship programme is helping transform the lives of thousands of children and families.

After battling severe acute malnutrition and malaria, five-year-old Trangelito regained his strength with timely medical care and continued support from community volunteers in Monapo.