INTÉGRATION INTERNE DU SERVICE DE SANTÉ DE LA POLICE NATIONALE CONGOLAISE : ENJEUX POUR LA PERFORMANCE DE SON SYSTÈME DE SANTÉ DANS LA PROVINCE DU NORD-KIVU
Mots-clés:
Internal integration, health service, Congolese national police, at stake, performance, health system, North KivuRésumé
Several African countries are confronted with the challenge of health system fragmentation creating gaps with uncoordinated activities destabilizing its functioning, performance or sustainability. This study aims to analyze the internal integration of the PNC health service system in the province of North Kivu and to propose solutions for its strengthening.
Methodology: This is a qualitative study with an exploratory aim, which surveyed the health managers of the national police and the district commanders in the province of North Kivu by reasoned choice over a period from 1 to 30 September 2022. Data were collected through document review and semi-structured interview.
Results: Our results show that the health service of the Congolese national police is fragmented in its health system, with part of its sector managed by the district commander and the other part by the provincial health service department, resulting in a very heavy administration, disarticulation and overlapping in the organization and functioning of the health service, sometimes creating a feeling of frustration and making its health system fragile.
Conclusion: The cohesion of the national police health services with a unit of orientation under a mode of aggregation, interconnection and management is a factor that can improve and strengthen the health system of the Congolese national police.
Références
BIBLIOGRAPHIE
Wang L, Wang Z, Ma Q, Fang G, Yang J. The development and reform of public health in China from 1949 to 2019. Glob Health. déc 2019;15(1):45.
Van Olmen J, Criel B, Van Damme W, Marchal B, Van Belle S, Van Dormael M, et al. Analyser les systèmes de santé pour les renforcer. Politique sur les organes du Stud Health Serv. 2010;27:2‑98.
WHO. Everybody’s Business: Strengthening health Systems to Improve Health Outcomes: WHO’s Framework for Action. 2007.
Frenk J. Dimensions de la réforme du système de santé. Politique de santé. 1944;27(1):19‑34.
Don de Savigny and Taghreed Adam (Eds). Systems thinking for health systems strengthening. Alliance for Health Policy and Systems Research,WHO. 2009.
Roncarolo F, Boivin A, Denis JL, Hébert R, Lehoux P. What do we know about the needs and challenges of health systems? A scoping review of the international literature. BMC Health Serv Res. déc 2017;17(1):636.
Al-Awlaqi S. La fragmentation du système de santé du Yémen pendant le conflit : l’impact sur l’état sanitaire et nutritionnel d’une population vulnérable. Politiques sanitaires internationales. 2019 ; Disponible en ligne sur : https://www.internationalhealthpolicies.org/blogs/yemens-health-system-fragmentation-during-the-conflict-the-impact-on-the-health-and-nutrition-status-of-a- population-vulnérable/ (consulté le 27/10/2022).
Morhason-Bello IO, Odedina F, Rebbeck TR, Harford J, Dangou JM, Denny L, et al. Challenges and opportunities in cancer control in Africa: a perspective from the African Organisation for Research and Training in Cancer. Lancet Oncol. avr 2013;14(4):e142‑51.
Dureab F, Hussain T, Sheikh R, Al-Dheeb N, Al-Awlaqi S, Jahn A. Forms of Health System Fragmentation During Conflict: The Case of Yemen. Front Public Health. 12 juill 2021;9:659980.
Bukowski, A. How Fragmented Health Systems Hurt Patients—Global Cancer Institute.2016 ;Disponible en ligne sur : https://globalcancerinstitute.org/health-trends/fragmented-health-systems-hurt-patients/ (consulté le 27/10/2022).
Mladovsky P. Fragmentation by design: Universal health coverage policies as governmentality in Senegal. Soc Sci Med. sept 2020;260:113153.
Divay G, Slimani Y. Hybridation et intégration dans l’action collective locale : un cadre d’analyse: Rev Int Sci Adm. 14 sept 2018;Vol. 84(3):449‑65.
Schang L, Thomson S, Czypionka T. Explaining differences in stakeholder take up of disease management programmes: A comparative analysis of policy implementation in Austria and Germany. Health Policy. 2016;120(3):281‑92.
MEASURE Evaluation, USAID, GRAG. Intégration des services de santé au Sénégal Etude de Cas [Internet]. 2015. Disponible sur: https://www.measureevaluation.org/resources/publications/sr-15-122-fr/at_download/document
Lê G, Morgan R, Bestall J, Featherstone I, Veale T, Ensor T. Can service integration work for universal health coverage? Evidence from around the globe. Health Policy. avr 2016;120(4):406‑19.
Malakoane B, Heunis JC, Chikobvu P, Kigozi NG, Kruger WH. Public health system challenges in the Free State, South Africa: a situation appraisal to inform health system strengthening. BMC Health Serv Res. déc 2020;20(1):58.
Ministère de la santé RDC. Plan national de développement sanitaire 2011-2015. 2010.
Organisation et fonctionnement de la police nationale congolaise. loi organique N° 11/013 aout, 2011.
Décret N°13/037 du 16 septembre 2013 déterminant l’organisation et le fonctionnement de la direction générale des éccoles et formation de la police nationale congolaise.
Division provincial de la santé nord Kivu/RDC. Bulletin du système d’information sanitaire et de surveillance épidémiologique. 2019;premier semestre.
Kapiteni W, Mafuta É, Mwarabu B, Mulenga P, Luboya O, Tambwe AM. Availability of Health Services in the Health Facilities of the Congolese National Police in North Kivu Province. Acta Sci Med Sci. 1 avr 2022;130‑40.
Commissariat Provincial de la PNC NK. Etude et planification :Rapport premier semestre. Nord-Kivu/ RDC; 2022.
Contandriopoulos AP, Denis JL, Touati N., Rodriguez R. Intégration des soins: dimensions et mise en œuvre. Ruptures. 2001;8(2):38‑52.
OMS. Cadre opérationnel pour les soins de santé primaires : De l’ambition à l’action. 2020.
Tricco AC, Antony J, Ivers NM, Ashoor HM, Khan PA, Blondal E, et al. Effectiveness of quality improvement strategies for coordination of care to reduce use of health care services: a systematic review and meta-analysis. Can Med Assoc J. 21 oct 2014;186(15):E568‑78.
Peterson K, Anderson J, Bourne D, Charns MP, Gorin SS, Hynes DM, et al. Health Care Coordination Theoretical Frameworks: a Systematic Scoping Review to Increase Their Understanding and Use in Practice. J Gen Intern Med. mai 2019;34(S1):90‑8.
Alain rey. https://www.lerobert.com/dictionnaires/francais/histoire-de-la-langue/le-dictionnaire-historique-de-la-langue-francaise-coffret-compact-3-volumes-nouvelle-edition-augmentee-9782321014096.html; consulté 1/11/2022.
Heyeres M, McCalman J, Tsey K, Kinchin I. The Complexity of Health Service Integration: A Review of Reviews. Front Public Health [Internet]. 17 oct 2016 [cité 21 nov 2022];4. Disponible sur: http://journal.frontiersin.org/article/10.3389/fpubh.2016.00223/full
YL, Rodríguez Rojas, Camargo Rojas DA. Apport des systèmes de gestion de la qualité à la sécurité du patient: revue internationale." soins 12 (2012): 14. Pratiques et Organisation des Soins. 43(3):205‑14.
Bloom G, Wolcott S. Building institutions for health and health systems in contexts of rapid change. Soc Sci Med. nov 2013;96:216‑22.
MINISTÈRE DE LA SANTÉ PUBLIQUE- RDC. PLAN NATIONAL DE DÉVELOPPEMENT SANITAIRE 2016-2020 : vers la couverture sanitaire universelle. 2016.
MINISTÈRE DE LA SANTÉ PUBLIQUE- RDC. Plan National de Développement Sanitaire recadré pour la période 2019-2022 : Vers la couverture sanitaire universelle. 2018.
Chenge Mukalenge F. De la nécessité d’adapter le modèle de district sanitaire au contexte urbain: exemple de la ville de Lubumbashi en RD Congo.
##submission.downloads##
Publiée
Comment citer
Numéro
Rubrique
Licence
Open access and copyright policy
The journal offers access to the contents in the open access system on the principles of non-exclusive license Creative Commons (CC BY 4.0). Thus, the authors are required to agree with that policy. In this regard, authors will be asked to complete a submission card with a copyright transfer agreement that specifies detailed descriptions of the copyright transfer. The submission card is provided via email before the publication.
Publication fee
IJSSASS is a self-funded journal. For this reason, the journal handles a publication fee. The current publication fee is provided on the journal’s Web site in the section Instruction for authors. Thus, the publication fee that is required for manuscript processing is clearly stated on our website
