Réforme et performance de l’Inspection de la santé et de la Division de la santé au Sud-Kivu en République Démocratique du Congo
Reform and Performance of the Provincial Health Inspectorate and the Provincial Division of Health of South Kivu in the Democratic Republic of Congo. Background: The intermediate level incorporated both the Provincial Health Inspectorate (IPS) and the Provincial Health Division (DPS) of Health. The...
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doaj-e5ab6c3b00f0478aa6b5798fdc81e8fa2020-12-23T08:26:25ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362020-12-01121e1e910.4102/phcfm.v12i1.2534795Réforme et performance de l’Inspection de la santé et de la Division de la santé au Sud-Kivu en République Démocratique du CongoJean Louis Mopene0Christian Molima1Jean Bosco M. Kahindo2Samuel Makali3Hermès Karemere4Ecole Régionale de Santé Publique (ERSP), Faculté de Médecine, Université Catholique de Bukavu (UCB), BukavuEcole Régionale de Santé Publique (ERSP), Faculté de Médecine, Université Catholique de Bukavu (UCB), BukavuFaculté de Médecine, Université Officielle du Ruwenzori, Butembo; ULB Coopération, GomaÉcole Régionale de Santé Publique (ERSP), Faculté de Médecine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of Congo, Congo; and, Médecine Interne, Faculté de Médecine, Université Catholique de Bukavu (UCB), BukavuÉcole Régionale de Santé Publique (ERSP), Faculté de Médecine, Université Catholique de Bukavu (UCB), BukavuReform and Performance of the Provincial Health Inspectorate and the Provincial Division of Health of South Kivu in the Democratic Republic of Congo. Background: The intermediate level incorporated both the Provincial Health Inspectorate (IPS) and the Provincial Health Division (DPS) of Health. The new constitution of 2006 gave impetus to decentralisation, which became effective in 2015. The reform introduced at the intermediate level clearly separated the IPS and the DPS. This article assesses the effect of this reform on the performance of IPS and DPS in South Kivu, Democratic Republic of Congo. Methodology: The study is evaluative before and after and covers the period from 2012 to 2017. It uses mixed methods: three techniques were used to collect data including observation, document review and individual interviews. The analysis of the quantitative data concerned the evolution of the indicators; that of qualitative data was carried out by themes from two theoretical models: the ministerial functional framework and the ‘Strengths, Weaknesses, Opportunities and Threats’ analysis framework (SWOT analysis). Scores were assigned to each managerial function according to their level of performance for better comparison. Results: After the reform, a decline in the performance score of activities devolved to IPS is noted, mainly due to the low funding of activities. On the other hand, in the DPS, the evolution of the score is favorable, because of the strong support given to the reform at this level by the partners and the government. The alignment of partners to a single contract for funding DPS activities is observed. The weak financing of the health sector by the government remains a weak point, however, and the brain drain a threat to institutional sustainability. The introduction of the single financing contract constitutes an opportunity to improve the performance of the provincial management team. Discussion and Conclusion: The study shows the improvement in the performance of managerial functions of the DPS and the regression to the IPS. The low funding of IPS by the Congolese government could jeopardise the reform.https://phcfm.org/index.php/phcfm/article/view/2534reformdecentralizationhealth systemperformancesouth kivudemocratic republic of congo |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jean Louis Mopene Christian Molima Jean Bosco M. Kahindo Samuel Makali Hermès Karemere |
spellingShingle |
Jean Louis Mopene Christian Molima Jean Bosco M. Kahindo Samuel Makali Hermès Karemere Réforme et performance de l’Inspection de la santé et de la Division de la santé au Sud-Kivu en République Démocratique du Congo African Journal of Primary Health Care & Family Medicine reform decentralization health system performance south kivu democratic republic of congo |
author_facet |
Jean Louis Mopene Christian Molima Jean Bosco M. Kahindo Samuel Makali Hermès Karemere |
author_sort |
Jean Louis Mopene |
title |
Réforme et performance de l’Inspection de la santé et de la Division de la santé au Sud-Kivu en République Démocratique du Congo |
title_short |
Réforme et performance de l’Inspection de la santé et de la Division de la santé au Sud-Kivu en République Démocratique du Congo |
title_full |
Réforme et performance de l’Inspection de la santé et de la Division de la santé au Sud-Kivu en République Démocratique du Congo |
title_fullStr |
Réforme et performance de l’Inspection de la santé et de la Division de la santé au Sud-Kivu en République Démocratique du Congo |
title_full_unstemmed |
Réforme et performance de l’Inspection de la santé et de la Division de la santé au Sud-Kivu en République Démocratique du Congo |
title_sort |
réforme et performance de l’inspection de la santé et de la division de la santé au sud-kivu en république démocratique du congo |
publisher |
AOSIS |
series |
African Journal of Primary Health Care & Family Medicine |
issn |
2071-2928 2071-2936 |
publishDate |
2020-12-01 |
description |
Reform and Performance of the Provincial Health Inspectorate and the Provincial Division of Health of South Kivu in the Democratic Republic of Congo.
Background: The intermediate level incorporated both the Provincial Health Inspectorate (IPS) and the Provincial Health Division (DPS) of Health. The new constitution of 2006 gave impetus to decentralisation, which became effective in 2015. The reform introduced at the intermediate level clearly separated the IPS and the DPS. This article assesses the effect of this reform on the performance of IPS and DPS in South Kivu, Democratic Republic of Congo.
Methodology: The study is evaluative before and after and covers the period from 2012 to 2017. It uses mixed methods: three techniques were used to collect data including observation, document review and individual interviews. The analysis of the quantitative data concerned the evolution of the indicators; that of qualitative data was carried out by themes from two theoretical models: the ministerial functional framework and the ‘Strengths, Weaknesses, Opportunities and Threats’ analysis framework (SWOT analysis). Scores were assigned to each managerial function according to their level of performance for better comparison.
Results: After the reform, a decline in the performance score of activities devolved to IPS is noted, mainly due to the low funding of activities. On the other hand, in the DPS, the evolution of the score is favorable, because of the strong support given to the reform at this level by the partners and the government. The alignment of partners to a single contract for funding DPS activities is observed. The weak financing of the health sector by the government remains a weak point, however, and the brain drain a threat to institutional sustainability. The introduction of the single financing contract constitutes an opportunity to improve the performance of the provincial management team.
Discussion and Conclusion: The study shows the improvement in the performance of managerial functions of the DPS and the regression to the IPS. The low funding of IPS by the Congolese government could jeopardise the reform. |
topic |
reform decentralization health system performance south kivu democratic republic of congo |
url |
https://phcfm.org/index.php/phcfm/article/view/2534 |
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