This report highlights the severe impacts of attacks on health care facilities documented globally in 2022, with a focus on the Democratic Republic of the Congo (DRC), where significant violence has disrupted access to medical services. In particular, the provinces of North and South Kivu were highlighted as being amongst the most affected areas. The study aimed to measure how these attacks affected health care accessibility for pregnant women and children under five, employing a mixed-methods approach that included case studies from Kyondo, Fizi, and Walungu. These locations were chosen based on the severity of the health care center attacks during 2023, with data gathered through interviews, focus groups, and health system analyses in early 2023.

The findings revealed that these violent events led to decreased operation or complete shutdowns of health facilities for up to four weeks due to resource depletion and heightened safety fears, causing a significant drop in health care access. The attacks specifically resulted in a drastic reduction in women attending maternal health services, with childbirth services suffering greatly because they often occur at night. Many women opted to either travel long distances for safer facilities or undertake risky home births to avoid the danger at local centers. This situation highlights a critical need for increased protection and support for health care services in conflict-affected regions to ensure vulnerable populations, particularly women and children, can access the essential medical care they need.