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DR Congo: The metric of life and death: How local and technical experts are strengthening mortality measurement in Eastern DRC

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Country: Democratic Republic of the Congo Source: ELRHA Author Jennifer O’Keeffe, Augustin Gang Karume and Paul Spiegel This blog series accompanies the Mortality Estimation Systems Innovation Partnership (SIP) , supported by UKHIH-Elrha, which brings together diverse partners to strengthen how mortality data is collected, interpreted, and used across humanitarian crises. Earlier blogs in this series highlighted why excess mortality measurement is critical for understanding crisis severity, as well as exploring how to maximise local and national actors' leadership in the mortality estimation ecosystem. In this third blog, we turn to Eastern Democratic Republic of the Congo, where Rebuild Hope for Africa and the Johns Hopkins Center for Humanitarian Health share how their work is making mortality estimation more accurate, accessible, and feasible for national actors best placed to do this work, even in the most challenging settings. “As an indicator, a mortality rate tries to evaluate the size and scale of a crisis in a single metric.” The Public Health Aspects of Complex Emergencies and Refugee Situations, 1997, Michael Toole, Ronald Waldman In 2023, the Humanitarian Congress in Vienna released a statement saying, "The humanitarian imperative is an absolute moral obligation to save lives and alleviate human suffering on the basis of need, without discrimination”. Yet**,** when resources are constrained, allocation is often based on geopolitical interests, media coverage, or how relatable a population may be to high-income donor countries. In short, human lives are valued differentially. The disconnect is not theoretical. In 2022, Rebuild Hope for Africa (RHA) led a nationwide mortality survey in the Central African Republic which estimated up to 5% of the population had died during the p...