1 Researcher affiliated to the Higher Institute of Medical Techniques of Isiro, Upper Uele Province. RD Congo.
2 University of Kisangani, Faculty of Law. RD Congo.
3 Department of Geology, Faculty of Sciences, University of Moyen Lualaba, Maniema Province, RD Congo.
4 Higher Institute of Medical Techniques of Kisangani, DR Congo.
Research Article
World Journal of Advanced Research and Reviews, 2024, 23(02), 1719–1728
Article DOI: 10.30574/wjarr.2024.23.2.1634
Received on 18 April 2024; revised on 05 August 2024; accepted on 08 August 2024
Introduction: The right to health is guaranteed by the Constitution of the Democratic Republic of Congo. The Health Promotion Fund created in DR C is financed by public authorities, community contributions, national and international solidarity, approved partners and innovative financing.
Methodology: This is an analytical, retrospective, cross-sectional study. An inductive approach was used, with recourse to the survey method. This facilitated the collection of information on the knowledge, attitudes and practices of strategies (effects/impacts) on health system reform, the single contract and the provincial approach. The qualitative survey used an active participatory method. Thus, the use of an attitude questionnaire or opinionnaire as an investigative tool seemed the logical way to gather information on the opinions, interests, values and attitudes of the interviewees. Documentary analysis enabled us to collect other information to complement that gathered by the survey.
Results: After analyzing the data, we arrived at the following results: 1. the main reasons for implementing the reform are: pooling of resources to support activities (54.8%); decentralization of funding negotiation points and health functions from central to provincial level (47.6%); strengthening the capacities and skills of the Division's agents (41.7%) and avoiding the retention of funding at national coordination level (28.6% of cases). 2. compliance with and monitoring of the reform are not fully respected in the Haut-Uélé health province (78.6%).
Conclusion: Not all Technical and Financial Partners have yet aligned themselves with the single contract approach, and continue to fund activities (Provincial Health Division Offices and Programs) in isolation.
Evaluation; Impact; Single contract; Provincial approach; Reform; Health system; Intermediate level; Upper Uele
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Angoyo manvota Jacques, Akondji Bainakofota Dieudonné, Mukobya Wakyata Morgan, Ngamaneni Massi raphael, Tokolombi Mokili Joseph, Menga Nongo José and Baimbili otono Sophie. Evaluation of the impact of the single contract and the provincial approach in the implementation of the health system reform at intermediate level in upper Uele. World Journal of Advanced Research and Reviews, 2024, 23(2), 1719-1728. Article DOI: https://doi.org/10.30574/wjarr.2024.23.2.1634