Introduction: Faced with the growing phenomenon of urbanization and the need to adapt health services to the urban context, this article describes the catchment area and the profile of the patient who attended the two urban medical health centers (CSMU) set up, as part of an action research, in the city of Goma, Eastern Democratic Republic of (DRC). Methods: This is a retrospective observational study based on registry and patient record data from April 2019 to December 2021. Data collected on tablets were analyzed using statistical software STATA 14.1. Results: 14.433 patients attended both CSMUs during the period. Both CSMUs experienced attraction beyond the health areas of implantation (26.7%). The profile of the patient is predominantly female (62.3%), educated (70.5% graduated at least in the humanities), adult (44.9% aged 18 to 49), registered with the CSMU in 19.6% of cases. The reason for consultations is dominated by infectious (55.2%) and parasitic (10.6%) diseases, followed by chronic diseases (26.9%) and trauma (2.6%) (p <0.001). In more than 90% of cases, the care involves 3 different skills (medical, nurses and social worker) of the multidisciplinary team. Discussion and Conclusion: The catchment area and patient profile found show the interest of rethinking the way urban health services are organized in order to better meet the expectations of urban populations.

Introduction: This study aims to describe the perceptions of stakeholders involved in the management of the twelfth Ebola virus disease outbreak in North Kivu; in order to identify the contributing factors of its containment and management in less than 3 months. Methods: This descriptive and cross-sectional study used interviews guided by comprehensive questionnaire among all the stakeholders involved in the management of the twelfth Ebola virus disease, including health managers, healthcare providers, community leaders, heath partners and any other actors involved in the emergency response to outbreaks. Data analysis was performed using IBM SPSS version 23.0 for both coding and statistical analyses of collected data. Results: Based on the perceptions of different stakeholders who compared the tenth and twelfth outbreaks, the management of the latter was characterized by fewer funding and training of staff; a better understanding of local socio-cultural variations and needs (97.2%, versus 9.1%; p<0,001), a clear tracking and follow-up of contacted and/or suspected cases (91.5% versus 66.7%; p<0,001), a greater community involvement and application of standard operating measures implemented by the emergency team (80.3% versus 66.7%; p<0,001); and a proper management of cases of Ebola virus disease (both confirmed, suspected or contacted) (94.1% versus 66.7%; p<0,001). Conclusions: Our findings reveal that the integrative approach response into the local health system, which strengthened community engagement and trust in the emergency response ‘teams, enabled the rapid containment of the twelfth Ebola virus disease outbreak in North Kivu, in Democratic Republic of Congo. This approach is part of a new paradigm compatible with the health system resilience.