Background: The emergence of several healthcare structures that comply with the health policy has been observed in many health zones in DR Congo, particularly urban ones. The aim of this study is to describe the proliferation of hospital structures in the Ibanda health zone (HZ) and to analyze the determinants of their creation, as well as stakeholders’ perceptions of the care offered by these structures. Methodology: A convergent mixed-methods study was conducted in the Ibanda Health Zone from June 2021 to February 2022. Data were collected through documentary review and interviews. A descriptive analysis of the characteristics of health facilities was carried out; but also an inductive thematic analysis was performed after the qualitative data had been transcribed and then coded through a tree of sub-themes grouped into themes. Results: The study revealed that the Ibanda HZ, has a total of 40 hospital facilities. Not only are these inequitably distributed within the health areas, but 45% of them are outside the administrative and technical control of the provincial authority. Many specialized services are absent from most facilities. The study suggests that the quality of care in the Ibanda HZ has improved over time, but that this quality is not the same in all facilities. Study participants report that the cost of care is high in relation compared to the financial capacity of households. For them, this explains this population’s recourse to alternative solutions such as self-medication or traditional medicine. Conclusion: The study recommends tighter control of the conditions under wich care structures are set up and run, and improved quality of service for the benefit of the community.