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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 scientifique 2025 Anglais

Résumé

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.

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Zeng, W., Cros, M., Muvudi, M., Mobula, L., Baabo, D., Samaha, H., Yamani, F. (2025). The impact of the single contract on health service delivery in the Democratic Republic of the Congo (DRC): findings from a quasi-experimental study. https://doi.org/10.1038/s44401-025-00053-0

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Auteur(s)

Wu Zeng Marion Jane Cros Michel Muvudi Linda Meta Mobula Dominique Baabo Hadia Nazem Samaha Fatima El Kadiri El Yamani

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