Financial Incentives, Efforts, and Performances in the Health Sector: Experimental Evidence from the Democratic Republic of Congo

Basket fund, an innovative approach for intermediate health system level financing in the Democratic Republic of Congo: Implementation process and challenges.Background: Universal health coverage should allow countries to establish a financing strategy in order to guarantee the health of the population.Aim: Our objective was to describe the process and preliminary results of the implementation of the basket fund approach as a mode of financing the intermediate level (provincial health divisions) of the Congolese health system.Setting: The study was conducted in the provincial health divisions (PHDs), representing the intermediate level of the health system in the Democratic Republic of Congo, where the basket fund approach has been implementedMethods: We conducted a mixed-methods convergent study as part of the evaluation of the basket fund approach in the Democratic Republic of Congo, five years after its introduction (2014–2019). Data was collected through a document review and individual interviews by telephone. A descriptive analysis of the quantitative data was conducted using Statistical Package for Social Sciences (SPSS) version 24 software. The qualitative data were analysed by thematic analysis using a pre-established thematic framework.Results: The implementation of the basket fund approach was effective in some (PHDs) (53.8% in 2016). The operating costs of the PHDs varied according to the size, density and number of health zones covered. In the PHDs where the basket fund was operational, this approach appeared to contribute to improved planning and management in the use of resources, the partnership between technical and financial partners (TFPs and PHDs) and incentives for the performance of PHD agents.Conclusion: In the DRC, the basket fund approach has contributed to improved collaboration between donors in the health sector and facilitated the decentralisation of funding planning to the provincial level.

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Community Health Delivery System in Ituri Province the Democratic Republic of Congo

TEXILA INTERNATIONAL JOURNAL OF NURSING ◽

10.21522/tijnr.2015.se.21.01.art006 ◽

2021 ◽

pp. 63-70

Author(s):

Alfred Mawa Debaba

Keyword(s):

Democratic Republic ◽

Democratic Republic Of Congo ◽

Health Sector ◽

Common Interest ◽

Care Provision ◽

Multiple Stakeholders ◽

Republic Of Congo ◽

Health Delivery ◽

The Common ◽

Health Delivery System

WHO reports in 2010 that the Democratic Republic of Congo (DRC) private health sectors stepped to filling up health system delivery by lack of state health care provision? In DRC's state-building many NGOs and government partners interacted in multiple arenas with multiple stakeholders' health policies are presented is a need to conclude that a lot of improvement more efforts and resources are required (WHO, 2010). NGOs and governmental states share the common interest of providing health services, but their institutional interests vary. Though independent, health actors interact in a variety of ways to solve public health problems in the DRC. Through longstanding patterns of interactions regarding processes, state and non-state partners have developed a de facto networked health sector governance that accounts for the survival of the fragile health DRC context.

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