Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 6 Issue 4

Availability of Health Services in the Health Facilities of the Congolese National Police in North Kivu Province

Woolf Kapiteni1,2*, Éric Mafuta3, Bienfait Mwarabu1, Philippe Mulenga1, Oscar Luboya1 and Albert Mwembo Tambwe1

1University of Lubumbashi, DR Congo
2Kirotshe Higher Institute of Medical Technique, DR Congo
3University of Kinshasa, DR Congo

*Corresponding Author: Woolf Kapiteni, University of Lubumbashi and Kirotshe Higher Institute of Medical Technique, DR Congo.

Received: February 28, 2022; Published: March 21, 2022


Introduction: The Democratic Republic of Congo (DRC) is facing challenges in implementing Universal Health Coverage due to gaps in its health system, particularly in terms of service delivery. The objective of this study was to identify the services available in the health facilities of the Congolese National Police in North Kivu Province (NKP).

Methods: This is a descriptive cross-sectional study carried out in the North Kivu Province of the DRC over a period of 3 months from 01 December 2019 to 29 February 2020. The study involved ten health facilities (HF) of the Congolese National Police (CNP) in North Kivu Province. No sample size was determined a priori in this study. Data on the availability of care services, basic equipment in the general outpatient department, basic infrastructure to meet the needs of patients in health facilities and the availability of tracer drugs were collected by observation and interviews with health facility managers, seizures and analyzed with Microsoft Excel 2016 software. An average availability score of HF with the item was calculated and expressed as a percentage.

Results: All HF of Congolese National Police in NKP organize curative care for children under 5 years of age and pregnant women, STI diagnosis or treatment services, noncommunicable disease diagnosis and management services, and minor surgery. About a third offer caesarean section, organizes the blood group analysis service and major surgery. One tenth organizes preventive care for children under 5 years of age and pregnant women, provides antiretroviral treatment and has communication equipment. No HF of CNP in NKP organizes an emergency and intensive care department, nutritional management, diagnostic confirmation services or the prescription of treatment, nor the provision of services or follow-up of tuberculosis treatment. None has a computer with internet connection, nor an ambulance on duty.

Conclusion: HF of Congolese National Police in North Kivu province have shortcomings in the provision of care, the availability of services, medical equipment and essential medicines. The results of this study suggest that efforts must be made to improve the provision of care for police populations as well as their dependencies in terms of service provision and equipment.

Keywords: Availability; Health Service; Health Facilities; National Police; Province; North Kivu


  1. Paul E., et al. “Universal Health Coverage in Francophone Sub-Saharan Africa: Assessment of Global Health Experts’ Confidence in Policy Options”. Global Health: Science and Practice 2 (2018): 260‑271.
  2. Soucat A and Vallet B. “A more inclusive health system with universal health coverage”. Tribe Health1 (2020): 65.
  3. World Health Organization. “Quality of care: a process for making strategic choices in health systems”. 2006;38.
  4. World Health Organization. “World Health Report 2008: Primary Health Care - now more than ever”. (2008): 125.
  5. World Health Organization. “World Health Report: Financing Health Systems: The Path to Universal Coverage” (2010).
  6. Busse Reinhard., et al. “Analysis of Changes in Health Financing Frameworks in High-Income Countries: A Comprehensive Framework Approach”. HNP Discussion Paper. Washington, DC: World Bank (2007).
  7. Reich MR., et al. “Moving towards universal health coverage: lessons from 11 country studies”. The Lancet 10020 (2016): 811‑816.
  8. World Health Organization. Measuring the Availability and Capacity of Services (SARA): A Tool for Evaluating the Statutes of the Saint: Reference Manual, Version 2.2, Revision July 2015 (2014).
  9. Institute of Medicine (U.S.). “Crossing the quality chasm: a new health system for the 21st century”. Washington, D.C: National Academy Press (2001): 337.
  10. Organisation for Economic Co-operation and Development. “Improve healthcare performance. How to measure their quality?” Paris (2010).
  11. Youness J., et al. “Health Care Expenditure and Utilization: A Review of Theoretical and Empirical Literature”. European Science Journal ESJ33 (2018): 156.
  12. Sambo LG and Kirigia JM. “Investing in health systems for universal health coverage in Africa”. BMC International Health and Human Rights 1 (2014): 28.
  13. Regional Committee for Africa. “Framework for the delivery of essential health services through strengthened district or local health systems to support universal health coverage in the context of the Sustainable Development Goals: Secretariat report”. World Health Organization. Regional Office for Africa. Report No.: AFR/RC69/8 (2019).
  14. MNSP/DR Congo. “Study on the affordability of communities to health care”. Kinshasa (2014).
  15. “Determining the organisation and functioning of the provincial police stations of the Congolese national police”. Organic Law No. 15/027 of 09/12/2015 (2015).
  16. “On the organization and functioning of the Congolese National Police”. Organic Law No. 11/013 of 11/08/2011 (2011).
  17. Robert E., et al. “What is behind the consensus of global health actors on universal health coverage? An analysis based on the rights-based approach”. Canadian Journal of Development Studies/Revue 2 (2017): 199-215.
  18. Provincial Health Division North Kivu/DRC. “Bulletin of the Health Information and Epidemiological Surveillance System”. first half of the year (2019).
  19. School of Public Health of the University of Kinshasa (ESPK) [Democratic Republic of Congo], ICF. Evaluation of Health Care Services Delivery 2017-2018. Kinshasa, DRC: Rockville, Maryland, USA: ESPK and ICF; 2019. Report No.: COD_2017_SPA_v01_M (2019).
  20. Regnault N and Gillman MW. “Importance of Characterizing Growth Trajectories”. Annals of Nutrition and Metabolism 2‑3 (2014): 110‑113.
  21. Scherdel P., et al. “Growth monitoring as an early detection tool: a systematic review”. Lancet Diabetes Endocrinology5 (2016): 447‑456.
  22. Zhang X., et al. “Growth During Infancy and Early Childhood and Its Association With Metabolic Risk Biomarkers at 11.5 Years of Age”. American Journal of Epidemiology4 (2020): 286‑293.
  23. Zhang C., et al. “Inequality in early childhood neurodevelopment in six poor rural counties of China: a decomposition analysis”. International Journal for Equity in Health 1 (2017): 212.
  24. Ruiz JDC., et al. “Contributions of a Child’s Built, Natural, and Social Environments to Their General Cognitive Ability: A Systematic Scoping Review”. Plos One2 (2016): e0147741.
  25. Ngomba AV., et al. “The provision of immunization services in urban areas in Cameroon: a case study from the Djoungolo Health District”. The Pan African Medical Journal (2016): 25.
  26. World Health Organization. “IMMUNIZATION AGENDA TO 2030 A global strategy to leave no one behind; Vaccines and diseases”. Geneva (2019).
  27. Akilimali P., et al. “Differences in family planning outcomes between military and general populations in Kinshasa, Democratic Republic of the Congo: a cross-sectional analysis”. BMJ Open12 (2018): e022295.
  28. Hatem M., et al. “Evaluation of the quality of maternal and newborn health services in Guinea-Conakry and Togo”. Public Health S1 (2018): 101.
  29. Abalos E., et al. “Antenatal care for healthy pregnant women: a mapping of interventions from existing guidelines to inform the development of new WHO guidance on antenatal care”. BJOG: An International Journal of Obstetrics and Gynaecology 4 (2016): 519‑528.
  30. Tunçalp Ӧ., et al. “Quality of care for pregnant women and newborns—the WHO vision”. BJOG: An International Journal of Obstetrics and Gynaecology 8 (2015): 1045‑1049.
  31. Bhutta ZA., et al. “Interventions to address maternal, newborn, and child survival: what difference can integrated primary health care strategies make?” The Lancet9642 (2008): 972‑989.
  32. Ho LS and Wheeler E. “Using Program Data to Improve Access to Family Planning and Enhance the Method Mix in Conflict-Affected Areas of the Democratic Republic of the Congo”. Global Health: Science and Practice 1 (2018): 161‑177.
  33. Ngwej DT., et al. “Study of risk factors for mother-to-child transmission of HIV in the "option A" strategy in Lubumbashi, Democratic Republic of the Congo”. The Pan African Medical Journal 22 (2015): 18.
  34. Ghoma Linguissi LS., et al. “Prevention of mother-to-child transmission (PMTCT) of HIV: a review of the achievements and challenges in Burkina-Faso”. HIVAIDS 11 (2019): 165‑1
  35. Moore DL., et al. “HIV during pregnancy: screening for HIV exposure during intrapartum and perinatal periods”. Paediatric Child Health1 (2019): 46-49.
  36. Ficko C., et al. “Prevention of sexually transmitted infections and human immunodeficiency virus in the military: condition of the premises and determinants of the absence of screening”. Médecine et Maladies Infectieuses 4 (2018): S97.
  37. World TB Report 2020 (2020).
  38. Herricks JR., et al. “The global burden of disease study 2013: What does it mean for the NTDs?” Zhou X-N, éditeur. PLOS Neglected Tropical Diseases 8 (2017): e0005424.
  39. Sow A., et al. “Experience integrating mental health into the front line of care in Guinea”. The Pan African Medical Journal (2020): 37.
  40. World Health Organization, World Bank. “Tracking universal health coverage: 2017 global monitoring report”. Geneva: World Health Organization (2017).
  41. Edwards MJ., et al. “Frequent callers to the ambulance service: patient profiling and impact of case management on patient utilisation of the ambulance service”. Emergency Medicine Journal5 (2014): 392‑396.
  42. van den Berg PL., et al. “Improving ambulance coverage in a mixed urban-rural region in Norway using mathematical modelling”. Tang J, éditeur. Plos One4 (2019): e0215385.
  43. Snooks HA., et al. “What are emergency ambulance services doing to meet the needs of people who call frequently? A national survey of current practice in the United Kingdom”. BMC Emergency Medicine1 (2019): 82.
  44. Essack SY., et al. “Antimicrobial resistance in the WHO African region: current status and roadmap for action”. Journal of Public Health1 (2016): 8-13.
  45. Rahmani H., et al. “Structure, process and performance of the emergency unit of teaching hospitals of Tehran University of Medical Sciences”. Journal of School of Public Health and Institute of Public Health Research 4 (2006): 13‑22.
  46. Choudhry NK., et al. “Full Coverage for Preventive Medications after Myocardial Infarction”. The New England Journal of Medicine22 (2011): 2088‑2097.
  47. Perehudoff K., et al. “Essential Medicines in Universal Health Coverage: A Scoping Review of Public Health Law Interventions and How They Are Measured in Five Middle-Income Countries”. International Journal of Environmental Research and Public Health 24 (2020): 9524.
  48. Laib EL Mahdi., et al. “The problem of medical equipment in public health institutions: Spatial distribution and maintenance policy”. Abderrahmane (2019).


Citation: Woolf Kapiteni., et al. “The Neonates' Body Length and Body Weight in Two Different Periods of Time”.Acta Scientific Medical Sciences 6.4 (2022): 130-140.


Copyright: © 2022 Agron Woolf Kapiteni., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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