Republic Of Congo Research Articles

Survey of Wild Fruits Consumed by Animals in the Forest Block of Ubangi Eco-region, Democratic Republic of the Congo

An ethnobotanical survey was carried out in Gbado-Lite city (Province of North Ubangi) in the Democratic Republic of Congo, among 74 hunters and bushmeat sellers in order to inventory the wild fruits consumed by animals in the forest block of the Ubangi eco-region. Data were collected using a semi-structured questionnaire containing questions that could provide information on each plant species and its main consumers. The results reveal that the majority (41.8%) of respondents live in the Kaya neighborhood. 27% of female informants live in the Mbanza neighborhood, 10.8% in the Pangoma neighborhood, and 9.7% in the Lite neighborhood. The majority of respondents were men (89.1%), while women accounted for only 10.9%. As for marital status, married people (70.2%) and widowers (14.8%) are the most represented. Hunting and the sale of bushmeat (44.5%) and agriculture (41.8%) are the main activities carried out by the respondents. The diversity of the wild flora is composed of 19 species of fruit plants, distributed in 19 genera and 16 botanical families. The main families of wild fruit plants consumed by wildlife are Malvaceae, Meliaceae, and Urticaceae. As for the wildlife, the animals inventoried belong to five classes, mammals (76.9%), Reptilia (7.8%), Aves (7.8%,) and Polyplacophara (7.8%). The fauna studied is composed of 12 families of wild animals, the most abundant of which are Bovidae (27.5%), and Nesonyidae (10.0%). It is necessary that chemical and pharmacological studies be carried out on these plant taxa in order to evaluate their medicinal and food values. The domestication of these plant species should be part of the subsequent studies to ensure the sustainability of the wild fauna. Thus, the integration of local wild edible fruit plants into agroforestry systems is the best solution to combat their disappearance in the Ubangi ecoregion, which is faced with traditional slash-and-burn agriculture.

Evaluation of centralised and decentralised models of care during the 2020 Ebola Virus Disease outbreak in Equateur Province, Democratic Republic of the Congo: A brief report

Background Traditionally in the Democratic Republic of the Congo (DRC), centralised Ebola treatment centres (ETCs) have been set exclusively for Ebola virus disease (EVD) case management during outbreaks. During the 2020 EVD outbreak in DRC’s Equateur Province, existing health centres were equipped as decentralised treatment centres (DTC) to improve access for patients with suspected EVD. Between ETCs and DTCs, we compared the time from symptom onset to admission and diagnosis among patients with suspected EVD. Methods This was a cohort study based on analysis of a line-list containing demographic and clinical information of patients with suspected EVD admitted to any EVD health facility during the outbreak. Results Of 2359 patients with suspected EVD, 363 (15%) were first admitted to a DTC. Of 1996 EVD-suspected patients initially admitted to an ETC, 72 (4%) were confirmed as EVD-positive. Of 363 EVD-suspected patients initially admitted to a DTC, 6 (2%) were confirmed and managed as EVD-positive in the DTC. Among all EVD-suspected patients, the median (interquartile range) duration between symptom onset and admission was 2 (1-4) days in a DTC compared to 4 (2-7) days in an ETC (p<0.001). Similarly, time from symptom onset to admission was significantly shorter among EVD-suspected patients ultimately diagnosed as EVD-negative. Conclusions Since <5% of the EVD-suspected patients admitted were eventually diagnosed with EVD, there is a need for better screening to optimise resource utilization and outbreak control. Only one in seven EVD-suspected patients were admitted to a DTC first, as the DTCs were piloted in a limited and phased manner. However, there is a case to be made for considering decentralized care especially in remote and hard-to-reach areas in places like the DRC to facilitate early access to care, contain viral shedding by patients with EVD and ensure no disrupted provision of non-EVD services.

Sourcing cobalt in the Democratic Republic of the Congo for a responsible net-zero transition: Incentives, risks and stakeholders

Net-zero technologies and the electrification of transport rely heavily on cobalt-containing equipment. Growing demand for cobalt entails environmental, social and economic sustainability risks of cobalt mining, particularly artisanal and small-scale mining (ASM) in the Democratic Republic of the Congo (DRC). Many studies have raised the importance of motivating stakeholders to source cobalt responsibly. Through a systematic literature review, we identify nine sustainability risks that need to be addressed in the cobalt supply chain, analyse measures for incentivising responsible cobalt sourcing, and map links between the sustainability risks and the measures, to elaborate on the engagement of downstream stakeholders and identify methodological gaps. We group such measures into four incentive mechanisms, where integrating ASM into the cobalt supply chain while further formalising the ASM sector (Incentive Mechanism III) is the key to addressing most sustainability risks. Further deconstructing Incentive Mechanism III demonstrates that upstream stakeholders and governments shoulder most responsibility for its implementation. Engagement of downstream companies (such as electric vehicle manufacturers) is inadequate, given their significant influence both on consumers and on the cobalt supply chain. To engage downstream stakeholders more actively, we recommend establishing dedicated ASM funding pools and providing training for ASM communities.

Varied Prevalence of Antimalarial Drug Resistance Markers in Different Populations of Newly Arrived Refugees in Uganda.

Newly arrived refugees offer insights into malaria epidemiology in their countries of origin. We evaluated asymptomatic refugee children within 7 days of arrival in Uganda from South Sudan and the Democratic Republic of Congo (DRC) in 2022 for parasitemia, parasite species, and Plasmodium falciparum drug resistance markers. Asymptomatic P. falciparum infections were common in both populations. Coinfection with P. malariae was more common in DRC refugees. Prevalences of markers of aminoquinoline resistance (PfCRT K76T, PfMDR1 N86Y) were much higher in South Sudan refugees, of antifolate resistance (PfDHFR C59R and I164L, PfDHPS A437G, K540E, and A581G) much higher in DRC refugees, and of artemisinin partial resistance (ART-R; PfK13 C469Y and A675V) moderate in both populations. Prevalences of most mutations differed from those seen in Ugandans attending health centers near the refugee centers. Refugee evaluations yielded insights into varied malaria epidemiology and identified markers of ART-R in 2 previously little-studied countries.

The Epidemiological profile of childhood cancer at the Lubumbashi university clinic in the Democratic republic of Congo

The Epidemiological profile of childhood cancer at the Lubumbashi university clinic in the Democratic republic of Congo

Sustained human outbreak of a new MPXV clade I lineage in eastern Democratic Republic of the Congo

Outbreaks of monkeypox (mpox) have historically resulted from zoonotic spillover of clade I monkeypox virus (MPXV) in Central Africa and clade II MPXV in West Africa. In 2022, subclade IIb caused a global epidemic linked to transmission through sexual contact. Here we describe the epidemiological and genomic features of an mpox outbreak in a mining region in eastern Democratic Republic of the Congo, caused by clade I MPXV. Surveillance data collected between September 2023 and January 2024 identified 241 suspected cases. Genomic analysis demonstrates a distinct clade I lineage divergent from previously circulating strains in the Democratic Republic of the Congo. Of the 108 polymerase chain reaction-confirmed mpox cases, the median age of individuals was 22 years, 51.9% were female and 29% were sex workers, suggesting a potential role for sexual transmission. The predominance of APOBEC3-type mutations and the estimated emergence time around mid-September 2023 imply recent sustained human-to-human transmission.

Health system facilitators and barriers to the integration of mental health services into primary care in the Democratic Republic of the Congo: a multimethod study

BackgroundThe integration of mental health into primary care—i.e., the process by which a range of essential mental health care and services are made available in existing multipurpose health care settings that did not previously provide them—can be facilitated or hindered by several health system factors that are still poorly understood. This study aimed to identify health system facilitators and barriers to the integration of mental health services into primary care in the Democratic Republic of the Congo (DRC) to improve the success rate of integration programs.MethodsWe conducted a multimethod, cross-sectional exploratory study. Stakeholders (managers, health service providers, service users, etc.) from sixteen of the twenty-six provinces of the DRC participated. We collected qualitative data through 31 individual, semistructured, face-to-face key informant interviews. We then collected quantitative data through a population-based survey of 413 respondents. We analyzed the interviews via thematic analysis, assigning verbatims to predefined themes and subthemes. For the survey responses, we performed descriptive analysis followed by binomial logistic regression to explore the associations between the variables of interest.ResultsStrong leadership commitment, positive attitudes toward mental health care, the availability of care protocols, mental health task sharing (p < 0.001), and sufficient numbers of primary care providers (PCPs) (p < 0.001) were identified as key health system facilitators of successful integration. However, barriers to integration are mainly related to a poor understanding of what integration is and what it is not, as well as to the poor functionality and performance of health facilities. In addition, stigma, low prioritization of mental health, lack of mental health referents, low retention rate of trained health professionals, lack of reporting tools, lack of standardized national guidelines for integration (p < 0.001), lack of funding (p < 0.001), shortage of mental health specialists to coach PCPs (p < 0.001), and lack of psychotropic medications (p < 0.001) were identified as health system barriers to integration.ConclusionImproving the functionality of primary care settings before integrating mental health care would be beneficial for greater success. In addition, addressing identified barriers, such as lack of funding and mental health-related stigma, requires multistakeholder action across all building blocks of the health system.

Flexible local ecological knowledge surveillance indicators reveal long-term change in the Yangambi wildmeat system

ABSTRACT Conservation and management in Indigenous hunting systems requires an understanding of social-ecological change. We present the Flexible Local Ecological Knowledge Surveillance Indicators (FLEKSI) framework, which uses standardized questionnaires to derive time series of semi-quantitative LEK state indicators that can support ecosystem-based management. We applied FLEKSI in the Weko hunting territory of the Yangambi landscape, Democratic Republic of Congo. The aim was to capture Indigenous and local knowledge of how the wildmeat system has changed during the living memory of participating hunters. Most respondents believed that larger target species have become less abundant and more wary over the last 30 years, while the local wildmeat market has grown. Perceived declines in animal populations contrasted with the view that the broader forest ecosystem remains relatively unchanged. The FLEKSI descriptors and indicator questions can be readily tailored for a given social-ecological system, with potential for general application in data-limited hunting and fishing systems.

Characterizing hepatitis B virus infection in children in the Democratic Republic of Congo to inform elimination efforts.

Despite global reductions in hepatitis B virus (HBV) prevalence, an estimated 6.2 million children are infected, two-thirds of whom live in the WHO Africa region. We sought to characterize childhood HBV to inform elimination efforts in the Democratic Republic of Congo (DRC), one of the largest and most populous African countries. Using the most recent (2013-14) nationally representative Demographic and Health Survey in the DRC, we analyzed HBV surface antigen (HBsAg) on dried blood spots and associated survey data from children aged 6-59 months. We estimated HBsAg-positivity prevalence nationally, regionally, and by potential correlates of infection. We evaluated spatial variation in HBsAg-positivity prevalence, overall and by age, sex, and vaccination status. Using data from 5,679 children, we found national HBsAg-positivity prevalence was 1.3% (95% CI: 0.9%-1.7%), but ranged from 0.0% in DRC's capital city province, Kinshasa, to 5.6% in northwestern Sud-Ubangi Province. Prevalence among boys (1.8%, 95% CI: 1.2%-2.7%) was double that among girls (0.7%, 95%CI: 0.4%-1.3%). Tetanus antibody-negativity, rurality, and lower household wealth were also significantly associated with higher HBsAg-positivity prevalence. We observed no difference in prevalence by age. Children had higher HBsAg-positivity odds if living with ≥1 HBsAg-positive adult household member (OR: 2.3, 95%CI: 0.7-7.8), particularly an HBsAg-positive mother (OR: 7.2, 95%CI:1.6-32.2). In the largest national survey of HBV among children and household contacts in the DRC, we found that childhood HBV prevalence was 10-60 times the global target of 0.1%. We highlight specific regions and populations for further investigation and focused prevention efforts.

Sex and COVID-19 vaccination uptake and intention in the Democratic Republic of Congo, Nigeria, Senegal, and Uganda

The introduction of vaccines marked a game changer in the fight against COVID-19. In sub-Saharan Africa, studies have documented the intention to vaccinate and the uptake of COVID-19 vaccines. However, little is documented about how sex differences could have impacted COVID-19 vaccination. We conducted a multi-country cross-sectional study to assess the sex differences in COVID-19 vaccine uptake and intention to vaccinate in the Democratic Republic of Congo (DRC), Nigeria, Senegal, and Uganda. This study involved analysis of data from mobile surveys conducted between March and June 2022 among nationally constituted samples of adults in each country. Bivariate and multivariable logistic regression models were run. The self-reported uptake of COVID-19 vaccines was not significantly different between males and females (p = 0.47), while the intention to vaccinate was significantly higher among males (p = 0.008). Among males, obtaining COVID-19 information from health workers, testing for COVID-19, and having high trust in the Ministry of Health were associated with higher vaccination uptake. Among females, having high trust in the government was associated with higher vaccination uptake. For intention to vaccinate, males who resided in semi-urban areas and females who resided in rural areas had significantly higher vaccination intention compared to their counterparts in urban areas. Other factors positively associated with vaccination intention among males were trust in the World Health Organization and perceived truthfulness of institutions, while males from households with a higher socio-economic index and those who had declined a vaccine before had a lower vaccine intention. Overall, the factors differentiating vaccine uptake and intention to vaccinate among males and females were mostly related to trust in government institutions, perceived truthfulness of institutions, and respondent's residence. These factors are key in guiding the tailoring of interventions to increase COVID-19 vaccine uptake in sub-Saharan Africa and similar contexts.

The time is now (again) for mpox containment and elimination in Democratic Republic of the Congo

The time is now (again) for mpox containment and elimination in Democratic Republic of the Congo

Integrating Ethnobotany and Artificial intelligence to validate the potential bioactivity of Two Medicinal Plants Traditionally used in the treatment of influenza in IBI-Village and surrounding areas, Democratic Republic of the Congo

Integrating Ethnobotany and Artificial intelligence to validate the potential bioactivity of Two Medicinal Plants Traditionally used in the treatment of influenza in IBI-Village and surrounding areas, Democratic Republic of the Congo

Persistent organic pollutants in sediment of a tropical river: the case of N’djili River in Kinshasa (Democratic Republic of the Congo)

Surface sediments collected in several areas along the N’djili River, in the Kinshasa Province, Democratic Republic of the Congo, were analyzed for persistent organic pollutants (POPs), including polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs), organochlorine, polycyclic aromatic hydrocarbons (PAHs), and also organophosphorus and pyrethroid (PYR) pesticides. High values of POPs were determined in the DIGUE area of the river reaching 710 µg kg−1 for ∑12 PCBs, 397 µg kg−1 for ∑6 DDTs, 1138 µg kg−1 for ∑16 PAHs, and 23 µg kg−1 for ∑6 PBDEs. Regarding toxic effects on aquatic biota, the Total PCBs (∑7 × 4.3) were above the Threshold Effect Level (TEL) value of 34.1 μg kg−1 and above the Probable Effect Level (PEL) value of 277 μg kg−1 in most sampling sites. ∑16 PAHs values were, in general, below the TEL value of 610 μg kg−1, but with exceptions for several sampling sites where values exceeded the TEL value. The ∑6 DDTs in all sampling sites were higher than both TEL and PEL values of 6.15 and 20.03 μg kg−1, respectively. These values above TEL and PEL indicate potential adverse effects on benthic organisms. In general, the ratio values of (DDD + DDE)/DDT were higher than 0.5 reflecting past DDT use mostly, and Fluo/(Fluo + Pyr), IDP/(IDP + BghiP) and BaA/(BaA + Chry) ratios indicated several PAHs origins including petrogenic and pyrolytic sources, petroleum, grass, wood and coal combustion. Globally, the results of this research showed high contamination of N´djili River sediments by a plethora of organic pollutants and at toxic levels to the aquatic biota. Furthermore, the river water quality might be not suitable for human consumption.

Association of comprehensiveness of antiretroviral care and detectable HIV viral load suppression among pregnant and postpartum women in the Democratic Republic of the Congo: a cross-sectional study.

Worldwide, over two-thirds of people living with HIV are on antiretroviral therapy (ART). Despite increased ART access, high virological suppression prevalence remains out of reach. Few studies consider the quality of ART services and their impact on recipients' viral suppression. We assessed the association between ART service readiness and HIV viral load suppression among pregnant and breastfeeding women living with HIV (WLH) receiving ART in maternal and child health (MCH) clinics in Kinshasa, Democratic Republic of Congo. We performed a cross-sectional analysis leveraging data from a continuous quality improvement intervention on WLH's long-term ART outcomes. From November 2016 to May 2020, we enrolled WLH from the three largest clinics in each of Kinshasa'Łs 35 health zones. We measured clinic's readiness using three WHO-identified ART care quality indicators: relevant guidelines in ART service area, stocks of essential ART medicines, and relevant staff training in ≥24 months, scoring clinics 0-3 based on observed indicators. We defined viral load suppression as ≤1,000 cp/ml. Multilevel mixed-effect logistic models were used to estimate prevalence odds ratios (ORs) measuring the strength of the association between ART service readiness and viral suppression. Of 2,295 WLH, only 1.9% received care from a clinic with a score of 3, 24.1% received care from a 0-scoring clinic, and overall, 66.5% achieved virologically suppression. Suppression increased from 65% among WLH receiving care in 0-scoring clinics to 66.9% in 1-scoring clinics, 65.8% in 2-scoring clinics, and 76.1% in 3-scoring clinics. We did not observe a statistically significant association between ART service readiness score and increased viral suppression prevalence, however we did find associations between other factors, such as the location of the health center and pharmacist availability with suppressed viral load. A lack of comprehensive ART care underscores the need for enhanced structural and organizational support to improve virological suppression and overall health outcomes for women living with HIV..

Clinical competency of nurses trained in competency-based versus objective-based education in the Democratic Republic of the Congo: a qualitative study

BackgroundDesigning competency-based education (CBE) programmes is a priority in global nursing education for better nursing care for the population. In the Democratic Republic of the Congo (DRC), object-based education (OBE) remains mainstream in pre-service nursing education programmes. Recently, the Ministry of Health developed a self-assessment tool and quantitatively compared the clinical competency of CBE- and OBE-trained nurses. This study aimed to qualitatively triangulate the results of self-evaluation by exploring perception of supervisors, incumbent CBE-, and OBE-trained nurses in comparison with the competence of the two types of nurses, and to identify influential factors or barriers to their competence in clinical settings.MethodsA qualitative descriptive approach with conventional content analysis was applied. Twenty interviews with clinical supervisors who oversaw both CBE- and OBE-trained nurses, 22 focus group discussions (FGDs) with CBE-trained nurses, and 21 FGDs with OBA-trained nurses currently working in health facilities were conducted. Participants of the FGDs were selected from the participants of the DRC self-assessment competency comparison study where there was no statistically significance between CBE- and OBE-trained nurses in the demographic characteristics. Data were analysed in terms of the competencies identified by the Ministry of Health.ResultsThe supervisors recognised that the CBE-trained nurses had stronger competencies in professional communication, making decisions about health problems, and engaging in professional development, but were weak in clinical skills. This study identified challenges for supervisors in assuring standardised care in health facilities with OBE- and CBE-trained nurses, as well as barriers for CBE-trained nurses as a minority in the workplace in demonstrating their competencies.ConclusionsThe study results support the Ministry of Health’s policy to expand CBE in pre-service education programmes but reveal that its slow implementation impedes full utilisation of the acquired competencies at health facilities. Implementation could be accelerated by strengthening cooperation among the Ministry of Health’s three human resource departments, and developing and implementing a well-planned, legally binding, long-term CBE reform strategy, including an approach to the Continuing Professional Development system.

Zero-Dose Childhood Vaccination Status in Rural Democratic Republic of Congo: Quantifying the Relative Impact of Geographic Accessibility and Attitudes toward Vaccination.

Despite efforts to increase childhood vaccination coverage in the Democratic Republic of the Congo (DRC), approximately 20% of infants have not started their routine immunization schedule (zero-dose). The present study aims to evaluate the relative influence of geospatial access to health facilities and caregiver perceptions of vaccines on the vaccination status of children in rural DRC. Pooled data from two consecutive nationwide immunization surveys conducted in 2022 and 2023 were used. Geographic accessibility was assessed based on travel time from households to their nearest health facility using the AccessMod 5 model. Caregiver attitudes to vaccination were assessed using the survey question "How good do you think vaccines are for your child?" We used logistic regression to assess the relationship between geographic accessibility, caregiver attitudes toward vaccination, and their child's vaccination status. Geographic accessibility to health facilities was high in rural DRC, with 88% of the population living within an hour's walk to a health facility. Responding that vaccines are "Bad, Very Bad, or Don't Know" relative to "Very Good" for children was associated with a many-fold increased odds of a zero-dose status (ORs 69.3 [95%CI: 63.4-75.8]) compared to the odds for those living 60+ min from a health facility, relative to <5 min (1.3 [95%CI: 1.1-1.4]). Similar proportions of the population fell into these two at-risk categories. We did not find evidence of an interaction between caregiver attitude toward vaccination and travel time to care. While geographic access to health facilities is crucial, caregiver demand appears to be a more important driver in improving vaccination rates in rural DRC.

Brief overview of mpox: To worry or to ignore?

Mpox was first discovered in the Democratic Republic of Congo as a zoonotic infectious disease with various possible transmission routes. Currently, it is a reemerging disease being monitored by the World Health Organization (WHO) after a surge of reported cases in several non-endemic countries in May 2022 and August 2023. This study probes into the issue of whether mpox should or should not be concerned as a potential threat during and after the current COVID-19 pandemic. Literature reviews were conducted using PubMed, DOAJ, and Cochrane to understand and synthesize more information on the virulence and lethality of mpox. The keywords used included “monkeypox”, “outbreak”, “reemerging infectious disease”, “southeast asia”, “smallpox”, “sars cov”, and “transmission”, which were all associated with the Boolean operators “AND” and “OR”. A total of 30 articles acquired from various journals and international official websites were included in this study. The sudden outbreaks across the Asia-Pacific region may be attributed to countries lifting their travel restrictions. Studies have shown that mpox has similar transmission routes to COVID-19 and manifests similar symptoms to smallpox. However, mpox needs prolonged contact for its transmission and has a lower case fatality rate (CFR). Several studies highlighted that current outbreaks have different epidemiological and clinical characteristics from classic cases. Mpox is not as highly transmissible as COVID-19 and not as severe as smallpox, but it still poses a potential threat to human health and needs further observation and immediate containment to prevent further transmission worldwide. The preparation of smallpox vaccination in case of emergency and further clinical trials of smallpox drugs are recommended.

A new species and new records of the leafhopper genera Dryadomorpha Kirkaldy, 1906 and Stenogiffardia Evans, 1977 (Hemiptera: Cicadellidae: Deltocephalinae) from Equatorial Africa

A new species of the leafhopper genus Dryadomorpha Kirkaldy, 1906 (tribe Drabescini), D. tricornis sp. n., is described from the Democratic Republic of Congo. New records from Cote d’Ivoire, Cameroon, and the Democratic Republic of Congo are given for Dryadomorpha pallida Kirkaldy, 1906 and Stenogiffardia graminea (Theron, 1982) (tribe Chiasmini).

Determinants of the haemoglobin level in patients with sickle cell disease living in sub-Saharan Africa: Major impact of the country of residence and independent effects of leucocyte and platelet counts and haemolysis.

The degree of anaemia in sickle cell disease (SCD) is a well-known contributor to morbidity and mortality. We aimed to explore the factors affecting haemoglobin (Hb) level in African SCD patients, considering haemolysis biomarkers (LDH and bilirubin level, and reticulocyte count), leucocyte and platelet counts and socio-demographic characteristics (gender, age group, country of residence and BMI). The research was part of the CADRE multinational cohort and involved 3699 SCD patients living in Mali, Senegal, Ivory Coast, Democratic Republic of Congo, Gabon and Cameroon: 2936 SS/Sβ0, 587 SC and 176 Sβ + patients with median Hb level of 8, 11.3 and 11.2 g/dL respectively (p < 0.001). In multivariate analysis conducted in 1394 SS/Sβ0 patients, living in Cameroon, female gender, lower BMI, higher haemolysis markers (especially LDH) and higher leucocyte and platelet counts were independently associated with lower Hb level (all p < 0.05). In 497 SC and 156 Sβ + patients, female gender (p < 0.001), lower BMI (p < 0.05) and higher platelet counts (p < 0.001) were independently associated with lower Hb level. Anaemia in African SCD patients is not only associated with haemolysis but also with the country of residence, lower BMI and leucocyte or platelet counts which might reflect inflammation related to infectious burden in the region.

The Identity Crisis among Peoples from Mixed Parents from Countries under in Inter-States Conflicts: Case of Rwanda, D.R. Congo and Burundi

The study was carried out by 5 mixed- people living in Burundi, Rwanda and the Democratic Republic of Congo, within the framework of guided interview seminars, in order to analyze the construction of mixed-ethics people in the context of identity conflicts due to ethnic or cultural conflicts, otherwise known as “ethnocultural conflicts”. Mestizos are a minority in the states where we live, and are considered problematic in the various societies of Africa’s Great Lakes region country. My fieldwork revealed that mixed-ethnic people in these three countries are victims of several atrocities, including ethnic marginalization, nepotism, socio-political demonization and economic discrimination. In this context, I have attempted to identify the main actors involved in identity conflicts among mixed-ethic people, and to propose a perspective of dialogue as a solution to the situations of the mixed-ethnic people mentioned above. On this basis, a number of recommendations have been put forward to reinforce the hope of positive action at regional level for the promotion of peace and lasting stability, particularly for mixed people who are increasingly victims of appearance status at UN level.