21 days in Kinshasa after the Ministerial Decree (DRC)

What changed?

Following the DRC Ministerial Decree (24 June 2026), all International Mobile Staff (IMS) who have been in an active Ebola transmission zone ("red zone") must complete a 21‑day observation period in a non‑transmission area ("green zone") before leaving DRC. This applies to IMS leaving DRC for any reason.

Page last updated: 16th June 2026

Do I have to do the 21 days in Kinshasa coming from Ituri?

Yes, for now. MSF is still negotiating for staff to complete the 21 days in their home location, only if that location meets MSF medical criteria (access to an MSF‑validated hospital that can test and treat Ebola.)  

What happens when I depart from Bunia?

What happens when I arrive in Kinshasa?

You will receive a logistics & security briefing explaining:

  • MSF security protocols for Kinshasa

  • MSF movement protocols

You will receive a medical briefing explaining:

  • MSF monitoring requirements, and

  • DRC Government requirements.

  • MSF's "no touch" policy which also applies in Kinshasa.

You will receive an HR briefing explaining:

  • Housing & Living allowance

  • Specificities of your contract (dependent on your contracting section)

  • If eligible, you will receive additional information about the exception (derogation) process

You will have time to ask questions.

What about "exceptions" (dérogations) to exit approved by the DRC Government? Frequently asked question

On 3 July 2026, DRC authorities introduced a system allowing case‑by‑case authorisation to leave DRC and complete the remaining 21 days outside the country, based on the authorities' risk assessment. See "What should I expect if MSF requests an exception for me?" section

If your home location does not meet MSF criteria, and you do not have a visa to travel to a country that does, you are not eligible for this exception and will need to complete the 21 days in Kinshasa until another solution is identified. 

What should I expect if MSF requests an exception for me?

  • MSF (all sections) submits a list of eligible IMS once per week.

  • The process typically takes one week or more and is coordinated with authorities by MSF representation.

  • You will be contacted directly by DRC authorities to verify your details and confirm the request.

  • If approved, you must wait for an official validation certificate required to exit DRC.

  • The steps/timeline can differ per person. The decision and process are managed by DRC authorities, not MSF. 

What documents do I need to leave after my 21-days in Kinshasa ?

  • OCG will provide a letter confirming the monitoring days completed in Kinshasa

  • Your printed flight confirmation provided by the Travel Administrator in Kinshasa

  • A printed copy of your flight to Kinshasa

  • Your MSF mission order with stamp confirmed by DGM (Direction Générale de Migration)

  • Traveler Health Declaration (DRC Government Issued QR Code & INS number): This process must be completed at least 24 hours before travel.

  • Risk Assessment Form: Completed by the COUSP

  • MSF Temperature Monitoring Form

  • The "Go-Pass" (officially called the Redevance de Développement des Infrastructures Aéroportuaires - IDEF) is an obligatory airport tax 

Does doing 21 days in Kinshasa meet MSF's 21‑day requirement?

Yes. MSF's 21‑day monitoring "clock" starts the day after you arrive in a green zone.

  • If you complete all 21 days in Kinshasa, MSF follow‑up ends once you travel home.

  • If you leave Kinshasa before day 21 (with an approved exception), MSF will continue monitoring you only for the remaining days until day 21 is completed. Days already completed in Kinshasa are counted for MSF's 21-day requirement. 

Does doing 21 days in Kinshasa meet my home country's requirements?

It depends on your destination country's government regulations and is handled on a case-by-case basis.

  • OCG will provide a letter confirming the monitoring days completed in Kinshasa.

  • Your contracting MSF section may contact you with additional steps/forms required before arrival.

  • Some countries may:

  • require you to restart 21 days on entry, or

  • accept the days already completed, or

  • decide on a case by case basis at the airport or shortly before arrival.

In practice, most IMS fall into 4 scenarios (subject to change).

Note selected countries are mentioned as most relevant locations for OCG IMS 

Scenario 1: Government restricts it citizens or residents from returning home from DRC (Not allowed to enter)

  • This is currently the case for US and Haiti (TBC)

  • IMS from these countries, who are eligible to travel to Switzerland, are supported by OCG to come to Switzerland for the 21-day surveillance period; this is discussed on a case-by-case basis.

Scenario 2: National authorities require you to observe an additional 21 days of medical monitoring (The 21-day surveillance restarts on entry).

  • This is currently the case for Canada (quarantine), Uganda (quarantine), and Italy (self-monitoring)

Scenario 3: No additional monitoring if you completed 21 days in Kinshasa.

  • This is currently the case for Switzerland, Netherland, Belgium, Australia, Prague, Austria

Scenario 4 (Through exception (derogation) process): Exit Kinshasa before completing 21 days and complete remaining days at home (Kinshasa days + home days = 21 total).

  • This is currently the case for Switzerland, Netherland, Belgium, Australia

  • UK and France decide on a case-by-case basis

  • MSF is not involved in this assessment

Important note: This information can change with short notice as government policies and implementation evolve.  

EXIT RISK ASSESSMENT  

  • At the end of your assignment, you will attend a specific medical debriefing. During this debriefing, the staff health focal point in Tf21 will assess your level of risk related to any unknown potential exposure.
  • As part of the risk assessment, you and the staff health focal point will jointly identify the last day of unknown potential exposure. This date marks the start of the MSF-determined 21-day observation period. 
  • During the 21 days following this date, specific monitoring will be required so that MSF can respond appropriately in the event of fever.
  • Even when all precautions and protocols are respected, it is important to manage a fever that might occur during this period which may create concerns for you, the people around you and for healthcare providers.
  • During your monitoring period, you will also be offered a talk with a psychologist from the SHU.


Where does the 21-day monitoring take place?

  • A number of conditions must be met to validate the place of stay during the postassignment monitoring period for an Ebola project. 
  • The country will be identified and discussed before your departure. The TF21 staff health validates the monitoring location based on medical criteria
  • The medical criteria is an MSF validated hospital which can test and treat Ebola. 
  • In general, the period of observation is done in your country of MSF contract if that country meets the medical criteria. 
  • For staff whose country of contract does not meet medical criteria, it is likely you will not be able to return home. TF21 will discuss what other arrangements can be made for you at your pre-departure briefing. 
  • Countries may impose additional return restrictions (e.g. airport checks) which must be respected. See the travel guidelines here
  • Some national regulations are very strict and demand a period of 21 days quarantine (strict isolation) instead of monitoring (free to move). MSF will also investigate more comfortable options for staff whose national regulations are extremely restrictive. 
  • You should expect to also be contacted by local authorities and asked to complete self-monitoring. 
  • In all cases, because national regulations can evolve very quickly during an Ebola outbreak, confirmation of the post‑assignment follow‑up location will be definitively validated at the time of your exit from the project.

What should I do and not do during the 21-day monitoring period? 

  • The monitoring period is not a confinement or quarantine. If you are in good health, you can have a normal life and work (in case you are on a detachment) - taking care not to have contact with another illness that could cause a fever. Depending on your symptoms we may need to arrange with the national authorities for you to be tested for Ebola. This is a stressful process for you and for MSF that we wish to avoid.
  • This is why we recommend that you avoid crowds, young children, and confined spaces and continue with malaria prophylaxis. You should take your temperature twice a day.
  • During the post‑assignment follow‑up period, use your common sense to avoid getting sick. We trust staff to respect the recommendations put in place to keep you as safe as possible.
  • During this period, MSF will extend your contract (see Mobility and admin FAQs page). This will help you avoid returning to work back at home too early and reduce the stress linked to a possible progression of the fever.
  • It will not be possible to go on holiday wherever you wish before the end of this follow‑up period, and more generally, travel is prohibited during this period by national authorities

What if I develop fever or feel unwell during the 21-day monitoring period?

  • You must self-isolate immediately
  • You must then contact the OCG TF21 on +4179 886 73 63 for Staff Health advice. They will guide you through the monitoring and management of your fever, in line with the guidelines in the country where you are located.

How can I take care of my mental health after returning from an Ebola mission?

Returning from an Ebola deployment can be a unique experience and often requires a period of adjustment. During the mission, you may have faced intense emotions, challenging situations, and high levels of stress that can be difficult for others to fully understand. You may also have chosen not to share some of your fears or concerns during the mission in order to protect your family and friends from worry.

After returning, it can be helpful to:

  • Identify a few trusted people with whom you feel comfortable speaking openly about your experience.
  • Give yourself time to readjust. Returning from an Ebola mission can require an adaptation period, so allow yourself time to rest, recover, and focus on self-care.
  • Take advantage of the psychosocial support available. A TF21 psychologist will contact you at the beginning of your 21-day observation period and again halfway through to provide a confidential space for discussion and support.
  • Remember that seeking support is a normal and healthy part of the adjustment process.

How to prepare my family for my return from the Ebola mission?

  • Inform your loved ones before you leave and when you return. 
  • See Guidance for family members document.