Implementation of Universal Health Coverage Reforms in the Democratic Republic of Congo (2009 – 2023)

Governments globally are prioritizing Universal Health Coverage (UHC), and the Democratic Republic of Congo (DRC) has taken notable steps toward this goal. The DRC has implemented key reforms, including the revival of Mutual Health Organizations (2017), the establishment of regulatory agencies (2021), and the pilot of free maternity care (2023). Despite these efforts, progress is hindered by low domestic health financing, weak governance, weak governance, health system fragility, ineffective data management and the conflict crisis. This policy brief examines the DRC’s journey toward UHC through literature review and expert consultations, and offers recommendations focused on four critical areas: mobilizing domestic resources, strengthening the health system, and improving policy coordination.

Publication Year:

2025

Publisher

SPARC

Author:

Dosithée Ngo-Bebe, Théophane Kekemb Bukele, Fulbert Nappa Kwilu, Genèse Lolimo Lobukulu, Marcelo Ilunga Kalonji, Leonora Mbithi, Moreen Mwenda, Boniface Mbuthia, Lizah Nyawira
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A message from the partners of the Strategic Purchasing Africa Resource Center (SPARC)

Since 2018, The Strategic Purchasing Africa Resource Center (SPARC) has been a unique and significant force in supporting countries within Sub-Sahara Africa (SSA) in crucial areas of strategic health purchasing (SHP), Healthcare Financing as they make progress towards the realization of Universal Health Coverage (UHC) goals. This initiative, a collaboration between Amref Health Africa and Results for Development (R4D), has made expertise in these areas more accessible and has been instrumental in the progress of the target countries. The initiative was designed to advance policy discussions and actions that strengthen the application of strategic health purchasing to strengthen African health systems and support countries as they address foundational reforms…