IDEAS home Printed from https://ideas.repec.org/a/plo/pgph00/0003354.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0003354
    Download Restriction: no
    File URL: https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0003354&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pgph.0003354?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    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).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Degol Hailu & Admasu Shiferaw, 2012. "Macroeconomic Determinants of Exit from Aid-Dependence," Working Papers 90, International Policy Centre for Inclusive Growth.
    2. Shunji Oniki & Melaku Berhe & Teklay Negash, 2020. "Role of Social Norms in Natural Resource Management: The Case of the Communal Land Distribution Program in Northern Ethiopia," Land, MDPI, vol. 9(2), pages 1-17, January.
    3. Channing Arndt & Sam Jones & Finn Tarp, 2016. "What Is the Aggregate Economic Rate of Return to Foreign Aid?," World Bank Economic Review, World Bank Group, vol. 30(3), pages 446-474.
    4. repec:idq:ictduk:13751 is not listed on IDEAS
    5. Alice Nicole Sindzingre, 2015. "‘Policy Externalisation’ Inherent Failure: International Financial Institutions’ Conditionality in Developing Countries," Post-Print hal-01668367, HAL.
    6. Jean-Louis Combes & Rasmane Ouedraogo & Sampawende J.-A. Tapsoba, 2016. "Structural shifts in aid dependency and fiscal policy in developing countries," Applied Economics, Taylor & Francis Journals, vol. 48(46), pages 4426-4446, October.
    7. Simone Dietrich & Joseph Wright, 2012. "Foreign Aid and Democratic Development in Africa," WIDER Working Paper Series wp-2012-020, World Institute for Development Economic Research (UNU-WIDER).
    8. Thorsten Beck & Samuel Munzele Maimbo, 2013. "Financial Sector Development in Africa : Opportunities and Challenges," World Bank Publications - Books, The World Bank Group, number 11881, April.
    9. Saungweme, Talknice & Odhiambo, Nicholas M, 2019. "Relative impact of domestic and foreign public debt on economic growth in South Africa," Working Papers 25664, University of South Africa, Department of Economics.
    10. Mina Baliamoune-Lutz, 2007. "Institutions, Trade, and Social Cohesion in Fragile States," ICER Working Papers 24-2007, ICER - International Centre for Economic Research.
    11. James Boyce, 2007. "Public Finance, Aid and Post-Conflict Recovery," Working Papers wp140, Political Economy Research Institute, University of Massachusetts at Amherst.
    12. Bandeira, Pablo, 2009. "El desarrollo institucional en el contexto de la ineficacia de la ayuda: ¿qué podemos hacer? [Promoting institutional development in the context of actual aid ineffectiveness: what can we do?]," MPRA Paper 13372, University Library of Munich, Germany.
    13. Abegaz, Berhanu, 2013. "Aid, Accountability, and Institution-Building in Ethiopia: a Comparative Analysis of Donor Practice," WIDER Working Paper Series 083, World Institute for Development Economic Research (UNU-WIDER).
    14. Coro CHASCO & Maricruz LACALLE-CALDERON & Javier ALFONSO-GIL, 2017. "Key determinants of civil liberty: a spatial analysis of 175 countries for the year 2010," Applied Econometrics and International Development, Euro-American Association of Economic Development, vol. 17(2), pages 19-32.
    15. Dora Benedek & Ernesto Crivelli & Sanjeev Gupta & Priscilla Muthoora, 2014. "Foreign Aid and Revenue: Still a Crowding-Out Effect?," FinanzArchiv: Public Finance Analysis, Mohr Siebeck, Tübingen, vol. 70(1), pages 67-96, March.
    16. Daniel S.Hain & Roman Jurowetzki, 2015. "Silicon Savanna? Local Competence Building and International Venture Capital in Low Income Countries. The Emergence of Foreign High-Tech Investments in Kenya," Globelics Working Paper Series 2015-09, Globelics - Global Network for Economics of Learning, Innovation, and Competence Building Systems, Aalborg University, Department of Business and Management.
    17. Ziaja, Sebastian, 2017. "More donors, more democracy," Working Papers 0640, University of Heidelberg, Department of Economics.
    18. repec:unu:wpaper:wp2012-20 is not listed on IDEAS
    19. Cameron Camille & Low Sally, 2012. "Aid-effectiveness and Donor Coordination from Paris to Busan: A Cambodian Case Study," The Law and Development Review, De Gruyter, vol. 5(2), pages 167-193, December.
    20. Wako, Hassen, 2016. "Aid, institutions and economic growth: Heterogeneous parameters and heterogeneous donors," MERIT Working Papers 2016-009, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
    21. James Boyce, 2008. "Post-Conflict Recovery: Resource Mobilization and Peacebuilding," Working Papers wp159, Political Economy Research Institute, University of Massachusetts at Amherst.
    22. Patrick Guillaumont & Sylviane Guillaumont Jeanneney, 2011. "Absorptive Capacity: More Than the Volume of Aid, its Modalities Matter," CERDI Working papers halshs-00557130, HAL.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pgph00:0003354. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: globalpubhealth (email available below). General contact details of provider: https://journals.plos.org/globalpublichealth .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.