The supply of health centres with drinking water is included in this commitment. The following achievements can be cited: • The formation in 2007 of the 12 departmental health directors (DDS) and two of their employees from the management teams as part of the health support programme in Congo Brazzaville (PASCOB) since then the DDS meet in annual conference to take stock of the progress of their respective CSS; • Training for all managers of projects and health facilities; • The establishment of an initial and ongoing training programme for health workers; • The completion of a feasibility study on the transformation of the Oyo hospital (department of Cuvette) into a centre for further education of health personnel; • The next reopening in Brazzaville, Interstate Centre of public health of Central Africa (CIESPAC) • The organisation of a round table on hospitals; • The development and updating of the institutional framework of the department with the support of an expert commission; • The equipment of the PDSS Coordinating Committee; • Needs assessment of the central and departmental offices in terms of furniture and other equipment; • Identification of staff; • Updating the norms and standards of infrastructure and equipment; • Updating of the running of the Directorate of the family health. As part of the Memorandum of Understanding signed with the World Bank, a pool of departmental trainers was formed and provides training in order to remedy the low quality of care especially in CSI and referral hospitals (RH). These courses focus on the immunisation schedule (vaccinations and nutritional care), emergency management, curative care for children aged 0 to 5 years and the development of flow charts and standardised treatment regimens. For midwives, the focus is on the prevention of early and frequent pregnancies, and follow up during pregnancy (refocused antenatal consultation) during birth (partogram) and after birth (postnatal consultation). 5.3.2 Provision of Health Services The network of health facilities in the public sub-sector consists of: • 486 first-contact structures, consisting of health centres, health posts and clinics. These structures provide screening and referral of obstetric and neonatal emergency care (SONU) during ANC (antennal care); • 171 integrated health centres with the minimum package of standard activities (CSI / SIPI) that provide screening and SONU referral according to the ANC standards and childbirth; 63