Articlenpj health systems2025
The impact of the single contract on health service delivery in the Democratic Republic of the Congo (DRC): findings from a quasi-experimental study.
Article in npj health systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Democratic Republic of the Congo (DRC) initiated a contract (single contract) among the Provincial Ministry of Public Health, Provincial Health Divisions (PHDs), and development partners to strengthen the function of PHDs. Using a quasi-experimental research design, we assessed the impact of the single contract on primary health care (PHC) delivery in the country. We found that the single contract had a no direct impact on PHC services. When combined with the performance-based financing (PBF) program, the single contract demonstrated a more favorable impact on delivering PHC services. The single contract, though promising from a resource coordination and governance perspective, necessitates supplemental policies/interventions, such as PBF, to build an amiable health ecosystem to facilitate its effect on service delivery.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.