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Mentorship to strengthen health system leadership: A case study of the Walungu rural health zone in the eastern Democratic Republic of Congo

Author

Listed:
  • Rosine Bigirinama
  • Ghislain Bisimwa
  • Samuel Makali
  • Aimé Cikomola
  • Janvier Barhobagayana
  • Jean-Corneille Lembebu
  • Christian Chiribagula
  • Pacifique Mwene-Batu
  • Abdon Mukalay
  • Denis Porignon
  • Albert Tambwe

Abstract

From 2015 to 2019, the "RIPSEC" program launched a mentorship program, transforming the Walungu health zone, in eastern crisis-affected Democratic Republic of Congo, into a “Learning and Research Zone” (LRZ). As part of the program, a local university was tasked with strengthening the LRZ manager’s leadership capacities, including efforts to troubleshoot challenges related to the proliferation of informal healthcare facilities (IHFs). IHFs are unregulated healthcare structures operating on the fringes of the law, and claiming to offer cheaper, higher-quality care to the local population. This study evaluates the impact of RIPSEC mentorship on leadership development and the performance in the Walungu LRZ, particularly concerning the utilization of integrated curative health services in competition with IHFs. We used a mixed method approach, combining retrospective analysis of some key health indicators before (2014) and during RIPSEC program (2014 vs. 2015–2019), and in-depth qualitative interviews with members of the LRZ management team. Quantitative data were presented as frequencies and proportions. Simple linear regression (p

Suggested Citation

  • Rosine Bigirinama & Ghislain Bisimwa & Samuel Makali & Aimé Cikomola & Janvier Barhobagayana & Jean-Corneille Lembebu & Christian Chiribagula & Pacifique Mwene-Batu & Abdon Mukalay & Denis Porignon & , 2024. "Mentorship to strengthen health system leadership: A case study of the Walungu rural health zone in the eastern Democratic Republic of Congo," PLOS Global Public Health, Public Library of Science, vol. 4(12), pages 1-19, December.
    • Handle: RePEc:plo:pgph00:0003354
    DOI: 10.1371/journal.pgph.0003354
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    References listed on IDEAS

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    1. Todd Moss & Gunilla Pettersson & Nicolas van de Walle, 2006. "An Aid-Institutions Paradox? A Review Essay on Aid Dependency and State Building in Sub-Saharan Africa," Working Papers 74, Center for Global Development.
    2. repec:plo:pone00:0233757 is not listed on IDEAS
    3. Rao, Krishna D. & Mehta, Akriti & Noonan, Caitlin & Peters, Michael A. & Perry, Henry, 2024. "Voting with their feet: Primary care provider choice and its implications for public sector primary care services in India," Social Science & Medicine, Elsevier, vol. 340(C).
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