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In 1982 an ADRA office was created in Kinshasa, Democratic Republic of Congo (DRC), with four branches in the cities of Mbandaka, Lubumbashi, Goma, and Kindu. Each branch office managed several field offices, known as project execution offices.

The Adventist Clinic of Kinshasa was created in the city of Kinshasa in 1993. It was a health project designed for quality oral care and evangelism.