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Samuel Bosongo1,2, Faustin Chenge1,3, Albert Mwembo1,3

  • 1Centre de Connaissances en Santé au Congo, République Démocratique du Congo.

The Pan African Medical Journal
|October 11, 2021
PubMed
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Primary care physicians in the Democratic Republic of Congo (DRC) offer vital services but face challenges. Redefining their roles and improving dialogue are crucial for strengthening primary care and ensuring system integration.

Area of Science:

  • Public Health
  • Health Systems Research
  • Primary Care

Background:

  • Doctors are increasingly serving as primary care physicians in the Democratic Republic of Congo (DRC), particularly in urban settings.
  • This shift presents both opportunities and challenges for the existing integrated district health system.

Purpose of the Study:

  • To describe and analyze the impact of primary care physician services on the integrated district health system in Kisangani, DRC.
  • To understand the motivations, activities, and stakeholder perceptions of these front-line physicians.

Main Methods:

  • Conducted 40 semi-structured interviews with diverse health district stakeholders in Q3 2018.
  • Utilized thematic content analysis to examine data on physician motivation, activities, and service perceptions.
Keywords:
Democratic Republic of CongoKisanganiPhysiciansdistrict health systemprimary care

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Main Results:

  • Primary care physician services emerged organically, lacking formal planning and support, driven by doctors' need for professional integration.
  • Services improved treatment acceptability but hindered financial accessibility, leading to expanded activities and competition with second-line care.

Conclusions:

  • Physician primary care services present a challenge and opportunity for strengthening first-line care and maintaining complementarity with secondary care.
  • A redefinition of the first-line physician role and activity scope is necessary, requiring improved dialogue among health system actors.