Three cases of congenital malformation were observed, including cases of anal imperforation at the Lubumbashi Surgery and Traumatology Center in the Democratic Republic of Congo. These cases concerned the anal imperforation observed in three new male babies from the ex-triangle of death in the province of Upper Katanga (The Democratic Republic of The Congo). One case presented dehydration in stage B. Colostomy was the first act to save the three newborns. The colostomies were repaired after reopening the anal orifice. No deaths were recorded.

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Introduction: The hospital is a key part of the health system. The referral general hospital is the local health system's appeal structure and therefore its organization determines the quality of the supply that a community needs to meet its health needs. Méthodology: We carried out a transversal descriptive study on the level of application of the organizational framework in the general hospitals of reference of the city of Lubumbashi. Our goal was generally to determine the organizational frameworks of Lubumbashi hospitals. We used a questionnaire administered to one of the members of the hospital's management committee, whether it was the Medical Director, the managing director, the Chief Medical Officer or even the Director of Nursing. A structured interview was used to collect data. Our sampling is comprehensive and its size is six general referral hospitals. Results: Our results show that the majority (75%) of interviewees are male with a sex ratio of two men for one woman. The median age of those surveyed is 42 years old. Regarding the strategic project, one hospital out of three declared to us to have an annual plan, this only hospital having the annual plan showed it to us. Regarding the organizational structure, five (83%) out of six hospitals showed their organizational charts while all reported having an organizational chart. Two out of six hospitals (33%) reported having job descriptions and showed them to us. No hospital has established an education. In all hospitals, the Medical Director was cited as the only person authorized to make a decision while the other members of the Steering Committee were cited in five (83%) while the other officials were not mentioned in any hospital. Conclusion: It is important that the political actors as well as the providers get involved in the proper organization of health services in general and the general referral hospital in particular in order to promote access to quality care in the perceptive of the universal health carecoverage.

Introduction: The objectives of our study were to determine providers by structure, to determine the providers by age, to make recommendations improve the motivation of the human resources and finally to determine the factors that influence the motivation of the personnel in the HGR of the city of Lubumbashi. Methodology: This is a cross-sectional analytical descriptive study of 152 care providers from four reference hospitals in Lubumbashi, surveyed prospectively, and based on a pre-established questionnaire. Data were analysed using SPSS 23. The statistical associations were evaluated by determining the p-value whose threshold was fixed at 0.05, using the chi-square test. Results: In the majority, 27.63% of respondents were between 39 and 45 years old. The average age was 37.58 ± 10.64 years, the extremes with 21 and 69 years. There is no statistical relationship between on-the-job training and provider motivation (p-value greater than 0.05). Chi2 = 3.9; p = 0.06. We noticed that 71.05% of respondents were in medical services with the majority being 15.79% in the Internal Medicine department. Conclusion: Improving working conditions is of paramount importance to improve the performance of healthcare providers and, consequently, the quality of care in our environment; thus, we believe that this should be done through the mechanization of health care providers, their provision of the risk premium and the encouragement of those who work overtime.