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Mbeva J.B.K.,Free University of Colombia | Karemere H.,Consultant Independent | Schirvel C.,Federation Wallonie Bruxelles | Porignon D.,University of Liège
Sante Publique | Year: 2014

Results: The intermediate level of the health system, lacking sufficient expertise and funding during the 1980s, was confined to inspection and control functions, answering to the central level of the Ministry of health and provincial authorities. Since the 1990s, faced with the pressing demand for support from health district teams, whose self-management had to deal with humanitarian emergencies, the need to integrate vertical programmes, and cope with the logistics of many different actors, the intermediate heath system developed methods and tools to support heath districts. This resulted in a subsidiary model of the intermediate level, the perceived efficacy of which varies according to the province over recent years.Conclusion: The "subsidiary" model of the intermediary health system level seems a good alternative to the "control" model in DRC.Introduction: Intermediate health care structures in the DRC were designed during the setting-up of primary health care in a perspective of health district support. This study was designed to describe stakeholder representations of the intermediate level of the DRC health system during the first 30 years of the primary health care system.Methods: This case study was based on inductive analysis of data from 27 key informant interviews.

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