{"id":4221,"date":"2025-11-06T14:44:31","date_gmt":"2025-11-06T14:44:31","guid":{"rendered":"https:\/\/academy.msf.org\/?p=4221"},"modified":"2025-11-20T14:16:15","modified_gmt":"2025-11-20T14:16:15","slug":"democratic-republic-of-the-congo-strengthening-skills-to-meet-challenges-in-the-projects","status":"publish","type":"post","link":"https:\/\/academy.msf.org\/fr\/democratic-republic-of-the-congo-strengthening-skills-to-meet-challenges-in-the-projects\/","title":{"rendered":"R\u00e9publique D\u00e9mocratique du Congo : Renforcer ses comp\u00e9tences face aux d\u00e9fis du projet"},"content":{"rendered":"\n
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Comment les \u00e9quipes sur le projet d\u00e9veloppent-elles leurs comp\u00e9tences dans des contextes difficiles ?<\/strong> <\/strong><\/em><\/p>\n\n\n\n

Pour r\u00e9pondre \u00e0 cette question, nous avons eu l\u2019opportunit\u00e9 d\u2019\u00e9changer avec le Dr. Kimbere Kisuba, qui exerce dans une zone marqu\u00e9e par l\u2019ins\u00e9curit\u00e9 et une connexion internet instable, deux obstacles majeurs durant sa formation. <\/p>\n<\/div>\n<\/div>\n\n\n\n

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Kimbere\u00a0est m\u00e9decin\u00a0traitant au sein de l\u2019h\u00f4pital de r\u00e9f\u00e9rence de\u00a0Masisi,\u00a0en RDC,\u00a0au\u00a0c\u0153ur\u00a0d’un\u00a0projet MSF,\u00a0o\u00f9 il exerce\u00a0depuis maintenant quatre ans. Occupant dans un premier temps le poste de chirurgien, il\u00a0fait maintenant parti du service gyn\u00e9co-obst\u00e9trique\u00a0en parall\u00e8le de son nouveau r\u00f4le en tant que\u00a0point focal\u00a0Bon\u00a0Usage des Antimicrobiens (BUA). Il a achev\u00e9 le Programme d’Apprentissage de la R\u00e9sistance aux Antimicrobiens de l’Acad\u00e9mie MSF pour les Soins de Sant\u00e9 en f\u00e9vrier 2025.<\/p>\n<\/div>\n\n\n\n

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Dr. Kimbere Kisuba \u00e0 l’h\u00f4pital de Masisi, RDC<\/sub><\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n
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Malgr\u00e9 les difficult\u00e9s, je me suis dit que je devais aller jusqu\u2019au bout. <\/p>\n<\/blockquote>\n\n\n\n

Quelles ont \u00e9t\u00e9 les plus grandes \u00e9preuves que tu as travers\u00e9es, et qu\u2019est ce qui t\u2019a permis de rester motiv\u00e9 ?<\/strong> <\/p>\n\n\n\n

Le contexte s\u00e9curitaire \u00e9tait difficile et parfois d\u00e9courageant mais je n\u2019ai jamais abandonn\u00e9. Il arrivait que nous devions nous r\u00e9fugier \u00e0 l\u2019h\u00f4pital pour \u00e9chapper aux combats. Pendant la formation, je t\u00e9l\u00e9chargeais les cours que je ne pouvais pas suivre en direct, afin de les revoir plus tard \u00e0 la maison. Cela m\u2019a permis de rester \u00e0 jour, m\u00eame sans connexion stable. Ce qui m\u2019a surtout motiv\u00e9, c\u2019est le sens de la responsabilit\u00e9. On m\u2019avait confi\u00e9 un nouveau r\u00f4le, je ne voulais pas d\u00e9cevoir ceux qui m\u2019avaient fait confiance. Malgr\u00e9 les difficult\u00e9s, je me suis dit que je devais aller jusqu\u2019au bout. <\/p>\n\n\n\n

Pouvez-vous nous raconter un moment o\u00f9 vous avez d\u00fb faire preuve d\u2019ing\u00e9niosit\u00e9 pour continuer \u00e0 apprendre malgr\u00e9 les obstacles ?<\/strong> <\/p>\n\n\n\n

J\u2019ai eu la chance de pouvoir suivre mes cours dans un espace calme mis \u00e0 disposition par l\u2019Acad\u00e9mie MSF. Chaque fois que cela \u00e9tait possible, je quittais l\u2019h\u00f4pital \u00e0 l\u2019heure pr\u00e9vue pour me connecter \u00e0 la base, o\u00f9 la connexion \u00e9tait meilleure. M\u00eame lorsqu\u2019on entendait les cr\u00e9pitements des balles dehors, nous restions concentr\u00e9s, enferm\u00e9s, \u00e0 suivre nos cours en ligne. Nous \u00e9tions plusieurs dans la m\u00eame situation, ce qui cr\u00e9ait un sentiment de solidarit\u00e9. <\/p>\n\n\n\n

Pouvez-vous partager une anecdote li\u00e9e \u00e0 votre formation ?<\/strong> <\/p>\n\n\n\n

Un jour, alors que je travaillais \u00e0 la maternit\u00e9, j\u2019assistais une femme en travail lorsqu\u2019une fusillade a \u00e9clat\u00e9. Des balles ont p\u00e9n\u00e9tr\u00e9 dans la salle o\u00f9 nous nous trouvions. C\u2019\u00e9tait un moment terrifiant. Deux jours plus tard, une infirmi\u00e8re m\u2019a montr\u00e9 le mur o\u00f9 l\u2019une des balles avait termin\u00e9 sa course. Le trou se trouvait exactement \u00e0 la hauteur de ma t\u00eate. Par la suite, j\u2019ai partag\u00e9 la photo dans le groupe de formation, et mes coll\u00e8gues m\u2019ont envoy\u00e9 de nombreux messages de r\u00e9confort. Ce genre de situation n\u2019est malheureusement pas rare. C\u2019est notre r\u00e9alit\u00e9 quotidienne.  <\/p>\n\n\n\n

Quelle \u00e9tait votre relation avec tes mentors tout au long de la formation ?<\/strong> <\/p>\n\n\n\n

Les mentors \u00e9taient tr\u00e8s disponibles, ce qui nous a permis de bien progresser. Je pense qu\u2019ils peuvent t\u00e9moigner de mon engagement, j\u2019\u00e9tais un \u00e9l\u00e8ve assidu. Malgr\u00e9 les difficult\u00e9s rencontr\u00e9es sur le terrain, ils m\u2019ont toujours soutenu. Parfois, lorsque nous manquions un rendez-vous, alors ils prenaient le temps de le reprogrammer. <\/p>\n\n\n\n

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Kimbere et d’autres participants au programme d’apprentissage de la RAM participent \u00e0 une simulation d’\u00e9pid\u00e9mie d’infection nosocomiale lors d’un atelier organis\u00e9 \u00e0 Kinshasa, en RDC, en 2024.<\/sub><\/p>\n\n\n\n

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Comment votre vision de votre r\u00f4le a-t-elle \u00e9volu\u00e9 depuis la formation ?<\/strong> <\/p>\n\n\n\n

La formation m\u2019a permis de comprendre pleinement mon r\u00f4le et de r\u00e9organiser le travail au sein du comit\u00e9 BUA. 
Nous avons men\u00e9 une analyse situationnelle de l\u2019h\u00f4pital sur le bon usage des antimicrobiens, identifi\u00e9 les priorit\u00e9s et \u00e9tabli des objectifs pour l\u2019ann\u00e9e, valid\u00e9s par la direction et nos partenaires. Nous n\u2019avons pas encore de laboratoire de microbiologie, mais gr\u00e2ce \u00e0 deux piliers : la Pr\u00e9vention et Contr\u00f4le des Infections (PCI) et le Bon Usage des Antimicrobiens (BUA), nous pouvons d\u00e9j\u00e0 agir efficacement contre la r\u00e9sistance.  <\/p>\n\n\n\n

Qu\u2019est-ce qui a chang\u00e9 dans votre pratique professionnelle depuis la formation ?<\/strong> <\/p>\n\n\n\n

La formation m\u2019a aid\u00e9 \u00e0 sensibiliser toute l\u2019\u00e9quipe m\u00e9dicale \u00e0 la lutte contre la r\u00e9sistance aux antimicrobiens. D\u00e9sormais, nous travaillons de mani\u00e8re plus coordonn\u00e9e et consciente de cet enjeu mondial.  <\/p>\n\n\n\n

Quel impact cette formation a-t-elle eu sur votre vie professionnelle ?<\/strong> <\/p>\n\n\n\n

Cette formation m\u2019a permis d\u2019acqu\u00e9rir de nouvelles connaissances essentielles. \u00c0 la facult\u00e9, nous apprenons les bases de la m\u00e9decine, mais rarement ces notions de bon usage des antimicrobiens. Aujourd\u2019hui, je comprends mieux les dangers li\u00e9s \u00e0 la r\u00e9sistance et la responsabilit\u00e9 que nous avons pour y faire face. Ces enseignements ont transform\u00e9 ma pratique quotidienne. <\/p>\n\n\n\n

Quel conseil donneriez-vous \u00e0 quelqu\u2019un qui s\u2019appr\u00eate \u00e0 suivre cette formation ?<\/strong> <\/p>\n\n\n\n

Mon conseil, c\u2019est la pers\u00e9v\u00e9rance. Il faut toujours avoir des objectifs clairs et ne pas se laisser d\u00e9courager par les difficult\u00e9s. Il est aussi important de s\u2019entourer de bonnes personnes et de demander conseil \u00e0 ceux qui ont r\u00e9ussi. \u00catre bien accompagn\u00e9 fait toute la diff\u00e9rence. C\u2019est gr\u00e2ce \u00e0 un bon entourage, \u00e0 des mentors bienveillants et \u00e0 des encouragements constants que j\u2019ai pu terminer cette formation avec succ\u00e8s. <\/p>\n\n\n\n

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Dr. Kimbere Kisuba lors de sa remise de certificat AMR, RDC, f\u00e9vrier 2025<\/sub><\/p>\n\n\n\n

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L\u2019exemple de Kimbere Kisuba refl\u00e8te parfaitement la d\u00e9termination. Malgr\u00e9 un contexte d\u2019ins\u00e9curit\u00e9 totale il a su d\u00e9monter qu\u2019avec les bons moyens, et un cadre de soutien il est possible de venir \u00e0 bout de ses objectifs. Son cas n\u2019est pas isol\u00e9, mais son t\u00e9moignage laisse une trace d\u2019espoir et de pers\u00e9v\u00e9rance. <\/p>\n","protected":false},"excerpt":{"rendered":"

Comment les \u00e9quipes sur le projet d\u00e9veloppent-elles leurs comp\u00e9tences dans des contextes difficiles ?  Pour r\u00e9pondre \u00e0 cette question, nous avons eu l\u2019opportunit\u00e9 d\u2019\u00e9changer avec le Dr. Kimbere Kisuba, qui exerce dans une zone marqu\u00e9e par l\u2019ins\u00e9curit\u00e9 et une connexion internet instable, deux obstacles majeurs durant sa formation.  Kimbere\u00a0est m\u00e9decin\u00a0traitant au sein de l\u2019h\u00f4pital de r\u00e9f\u00e9rence de\u00a0Masisi,\u00a0en RDC,\u00a0au\u00a0c\u0153ur\u00a0d’un\u00a0projet MSF,\u00a0o\u00f9 il […]<\/p>\n","protected":false},"author":2,"featured_media":4244,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"tags":[],"class_list":["post-4221","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"\nR\u00e9publique D\u00e9mocratique du Congo : Renforcer ses comp\u00e9tences face aux d\u00e9fis du projet - 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