[ Soutien du niveau intermédiaire du système au district de santé : Perceptions des équipes de district de santé du Nord Kivu à l’est de la RDC ]
Volume 33, Issue 2, July 2021, Pages 258–271
Jean-Bosco Kahindo Mbeva1, Mitangala Ndeba Prudence2, Edgar Tsongo Musubao3, Mahamba Nzanzu4, Lévis Kahandukya Nyavanda5, Janvier Kubuya Bonane6, and Denis Porignon7
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, PADISS, Bureau de Goma, RD Congo
3 ULB Coopération, PADISS, Bureau de Goma, RD Congo
4 ULB Coopération, PADISS, Bureau de Goma, RD Congo
5 Université Libre des Pays des Grands Lacs (ULPGL), Goma, Nord-Kivu, RD Congo
6 Division Provinciale de la Santé du Nord Kivu, Goma, RD Congo
7 Université de Liège (ULG), Liège, Belgium
Original language: French
Copyright © 2021 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Introduction: In connection with the reform of the intermediate level of the health system in the DRC, this article describes the perceptions of health district teams, regarding to intermediate health level support, in North Kivu province. Methodology: This descriptive cross-sectional study conducted a self-administered questionnaire survey of senior staff in 34 health districts in North Kivu. The collected data was encoded and analyzed using SPSS version 26 software. Results: More than 85% of health district managers (29/34 districts) view positively the support and coaching at the intermediate level, in terms of the adequacy of the accompanying object, the gradient of the competences of the supervisors, the capacity building, the support for problem-solving and the progress on the path of revitalization of health districts. On the other hand, these perceptions are nuanced about the availability of framers, the frequency of accompanying visits, the juxtaposition of these visits on other activities and the effects on the use of services and the protection of users from financial risks. These perceptions do not vary by gender, age, occupational categories, and seniority in function and within the health district (p>0.05). Discussion and conclusion: These results show the value of more coherence, proactivity and responsiveness in support and reform of the intermediate level, to strengthen its impact on the performance of health district teams.
Author Keywords: Heath system, health district, supervision, intermediate level, Universal health coverage, Democratic Republic of Congo.
Volume 33, Issue 2, July 2021, Pages 258–271
Jean-Bosco Kahindo Mbeva1, Mitangala Ndeba Prudence2, Edgar Tsongo Musubao3, Mahamba Nzanzu4, Lévis Kahandukya Nyavanda5, Janvier Kubuya Bonane6, and Denis Porignon7
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, PADISS, Bureau de Goma, RD Congo
3 ULB Coopération, PADISS, Bureau de Goma, RD Congo
4 ULB Coopération, PADISS, Bureau de Goma, RD Congo
5 Université Libre des Pays des Grands Lacs (ULPGL), Goma, Nord-Kivu, RD Congo
6 Division Provinciale de la Santé du Nord Kivu, Goma, RD Congo
7 Université de Liège (ULG), Liège, Belgium
Original language: French
Copyright © 2021 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction: In connection with the reform of the intermediate level of the health system in the DRC, this article describes the perceptions of health district teams, regarding to intermediate health level support, in North Kivu province. Methodology: This descriptive cross-sectional study conducted a self-administered questionnaire survey of senior staff in 34 health districts in North Kivu. The collected data was encoded and analyzed using SPSS version 26 software. Results: More than 85% of health district managers (29/34 districts) view positively the support and coaching at the intermediate level, in terms of the adequacy of the accompanying object, the gradient of the competences of the supervisors, the capacity building, the support for problem-solving and the progress on the path of revitalization of health districts. On the other hand, these perceptions are nuanced about the availability of framers, the frequency of accompanying visits, the juxtaposition of these visits on other activities and the effects on the use of services and the protection of users from financial risks. These perceptions do not vary by gender, age, occupational categories, and seniority in function and within the health district (p>0.05). Discussion and conclusion: These results show the value of more coherence, proactivity and responsiveness in support and reform of the intermediate level, to strengthen its impact on the performance of health district teams.
Author Keywords: Heath system, health district, supervision, intermediate level, Universal health coverage, Democratic Republic of Congo.
Abstract: (french)
Introduction: En lien avec la réforme du niveau intermédiaire du système de santé en RDC, cet article décrit les perceptions des équipes des districts de santé, vis-à-vis du soutien du niveau intermédiaire, dans la province du Nord Kivu. Méthodologie: Cette étude transversale descriptive a procédé par une enquête par questionnaire auto-administré auprès des personnels cadres de 34 districts sanitaires du Nord Kivu. Les données collectées ont été encodées et analysées grâce au logiciel SPSS version 26. Résultats: Plus de 85% des cadres de district de santé (29/34 districts) perçoivent positivement le support et l’accompagnement par le niveau intermédiaire, au point de vue de l’adéquation de l’objet d’accompagnement, du gradient des compétences des encadreurs, du renforcement des capacités, du support à la résolution des problèmes et de la progression sur la voie de revitalisation des districts de santé. En revanche, ces perceptions sont nuancées au sujet de la disponibilité des encadreurs, de la fréquence des visites d’accompagnement, de la juxtaposition de ces dernières sur d’autres activités et des effets sur l’utilisation des services et la protection des usagers contre les risques financiers. Ces perceptions ne sont pas variables selon le sexe, l’âge, la catégorie professionnelle et l’ancienneté dans la fonction et au sein du district de santé (p>0,05). Discussion et Conclusion: Ces résultats, montrent l’intérêt de de plus de cohérence, de proactivité et de réactivité dans le support et la réforme du niveau intermédiaire, pour renforcer son impact sur les performances des équipes des districts de santé.
Author Keywords: Système sanitaire, district de santé, supervision, niveau intermédiaire, Couverture santé universelle, République Démocratique du Congo.
How to Cite this Article
Jean-Bosco Kahindo Mbeva, Mitangala Ndeba Prudence, Edgar Tsongo Musubao, Mahamba Nzanzu, Lévis Kahandukya Nyavanda, Janvier Kubuya Bonane, and Denis Porignon, “Intermediate health system level support to health district: Perceptions of health district teams in North Kivu, eastern DRC,” International Journal of Innovation and Applied Studies, vol. 33, no. 2, pp. 258–271, July 2021.
