DR Congo — Cholera Active
Anticipatory action framework cod-infectious-disease
| Country | DR Congo | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Hazard | Cholera | |||||||||
| Monitoring period | year-round (Year-round weekly PNECHOL-MD (+ IDSR/SIMR) surveillance, no seasonal restriction. Change from 2025: the alert threshold is now recomputed ANNUALLY in January from the last five years of data (was quarterly), per §Déclencheur et seuils.) | |||||||||
| Area of interest | Nord-Kivu; Sud-Kivu; Tanganyika; Haut-Lomami; Haut-Katanga; Non-endemic provinces (all other) | |||||||||
| Current version | 2026-06-10 · valid until 2028-06 | |||||||||
| Trigger windows | Scenario 1 — endemic provinces Suspected cases: ≥174 suspected cases/week OR ≥4× week-over-week increase (or a combination), sustained 3 consecutive weeks + lab confirmation in prior 30 days Scenario 2 — non-endemic provinces Suspected cases: ≥63 suspected cases/week OR ≥4× week-over-week increase (or a combination); same 3-week + lab-confirmation rule | |||||||||
| Pre-arranged financing | $4.0M (CERF $4.0M) | |||||||||
| Budget by agency | UNICEF $2.0M · WHO $2.0M by-agency covers the CERF $4M only (each allocation capped at $1M, max 4 activations). Same table adds co-financing: UNICEF $200,000 (preparedness); WHO $160,000 (preparedness) + $120,000 (implementation); grand total $4,480,000. No per-sector amounts. Full breakdown as stated in the framework document (2 budget lines, $4,000,000)Ventilation complète telle qu’indiquée dans le document du cadre (2 lignes budgétaires, $4,000,000)
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| Framework document | 2026-06-10 ↗ | |||||||||
| Code repository | 🔒 private |
Activation history
Real activations of this framework: the public trigger announcement and the CERF allocation that funded the response, with the people targeted and reached that CERF reports for the allocation (reported ~9 months after disbursement).Activations réelles de ce cadre : l’annonce publique de déclenchement et l’allocation du CERF qui a financé la réponse, avec les personnes ciblées et atteintes rapportées par le CERF pour l’allocation (rapporté ~9 mois après le décaissement).
| Date | Window | Announcement | CERF allocation | CERF approved | People targeted | People reached |
|---|---|---|---|---|---|---|
| 2026-02-09 | Scenario 1 (endemic) | announcement ↗ | CERF-COD-25-RR-1512 ↗ | $0.8M | 67,000 | 0 |
| Sixth activation; Butuma health zone, Haut-Lomami province (an endemic province → Scenario 1), 9 February 2026. Triggered by a steady rise in cases amid DRC's worst cholera crisis in 25 years. CERF released $750,000 to WHO and UNICEF (with OCHA and PNECHOL-MD). Described by OCHA as 'the fourth since the beginning of 2025'. | ||||||
| 2025-07-01 | Scenario 2 (non-endemic) | announcement ↗ | CERF-COD-25-RR-1474 ↗ | $0.8M | 141,999 | 234,330 |
| Fifth activation; Kinshasa province (non-endemic → Scenario 2), July 2025. Previously an unidentified placeholder ('date unknown'); now enumerated from OCHA/Anticipation Hub reporting (the 9 Feb 2026 activation article lists the prior 2025 activations as North Kivu/March, Maniema & Tshopo/May, Kinshasa/July). Exact day within July approximate. | ||||||
| 2025-05-01 | Scenario 2 (non-endemic) | announcement ↗ | CERF-COD-25-RR-1469 ↗ | $0.7M | 139,262 | 170,786 |
| Fourth activation; Maniema and Tshopo provinces (neither is in the endemic list → Scenario 2). CERF released $750,000. Exact day within May approximate. | ||||||
| 2025-03-13 | Scenario 1 (endemic) | announcement ↗ | CERF-COD-25-RR-1445 ↗ | $0.8M | 122,250 | 131,714 |
| Third activation, first under the revised 2025 framework; triggered by rising cases around Goma, Nord-Kivu. CERF automatically released $750,000. | ||||||
| 2023-06-01 | Scenario 1 (endemic) | announcement ↗ | 23-RR-COD-59790 ↗ | $0.8M | 227,454 | 225,777 |
| Second activation; June 2023 (2025 PDF: 'activations de janvier et juin 2023'). Tanganyika province (live monitor pins prev-activation pcode CD74 = Tanganyika). CERF released $750,000; partners reported reaching ~455,000 people. Month corrected from an earlier 'July 2023' draft. | ||||||
| 2023-01-01 | Scenario 1 (endemic) | announcement ↗ | 23-RR-COD-57035 ↗ | $0.8M | 235,952 | 230,187 |
| First activation; trigger fired in Nyiragongo Health Zone, Nord-Kivu. CERF released $750,000 to UNICEF and WHO. (Month per 2025 PDF: January 2023.) | ||||||
Trigger statistics (current version)
Analysis period 2020–2025. Split funding: each window has its own budget and fires independently. Backtested years are when each trigger would have fired in the historical record — not real activations.Les années backtest sont celles où chaque déclencheur se serait déclenché dans l’historique — pas des activations réelles.
| Window | Allocation | Return period | Probability | Backtested activation years |
|---|---|---|---|---|
| Trigger | $0.8M | 1.2 years | 100% | 2020, 2021, 2022, 2023, 2024, 2025 |
| Overall (any window) | 1.2 years | 100% | ||
Previous versions
Earlier versions of this framework. Real activations listed here fired under that version's trigger design (details in the activation history above).Versions antérieures de ce cadre. Les activations réelles listées ici se sont déclenchées sous la conception de déclencheur de cette version (détails dans l’historique des activations ci-dessus).