ArticleBMC health services research2014
Health service planning contributes to policy dialogue around strengthening district health systems: an example from DR Congo 2008-2013.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Ensuring leadership at the operational level of a health system in protracted crisis context: a cross-sectional qualitative study covering 8 health districts in Eastern Democratic Republic of Congo.BMC health services research · 2023Article
- Designing, implementing, and evaluating the process of action plan management at Isfahan Medical School.Journal of education and health promotion · 2023Article
- The State of Pharmaceutical Manufacturing in the Democratic Republic of Congo: The Journey so Far.Innovations in pharmacy · 2022Article
- Improving quality and use of routine health information system data in low- and middle-income countries: A scoping review.PloS one · 2020Article
- A resource planning analysis of district hospital surgical services in the Democratic Republic of the Congo.Global health, science and practice · 2015Article
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8 authors.
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Abstract
backgroundThis case study from DR Congo demonstrates how rational operational planning based on a health systems strengthening strategy (HSSS) can contribute to policy dialogue over several years. It explores the operationalization of a national strategy at district level by elucidating a normative model district resource plan which details the resources and costs of providing an essential health services package at district level. This paper then points to concrete examples of how the results of this exercise were used for Ministry of Health (MoH) decision-making over a time period of 5 years.
methodsDR Congo's HSSS and its accompanying essential health services package were taken as a base to construct a normative model health district comprising of 10 Health Centres (HC) and 1 District Hospital (DH). The normative model health district represents a standard set by the Ministry of Health for providing essential primary health care services.
resultsThe minimum operating budget necessary to run a normative model health district is $17.91 per inhabitant per year, of which $11.86 is for the district hospital and $6.05 for the health centre. The Ministry of Health has employed the results of this exercise in 4 principal ways: 1.Advocacy and negotiation instrument; 2. Instrument to align donors; 3. Field planning; 4. Costing database to extract data from when necessary.
conclusionsThe above results have been key in the policy dialogue on affordability of the essential health services package in DR Congo. It has allowed the MoH to provide transparent information on financing needs around the HSSS; it continues to help the MoH negotiate with the Ministry of Finance and bring partner support behind the HSSS.
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