DRC’s National Health Strategy 2016-2020 calls for strengthened leadership and governance within the health sector.
The MOH specifically faces challenges at the provincial and health zone level in its ability to coordinate stakeholders and interventions, implement decentralization and healthcare reforms, and ensure care adheres to national standards. Weak leadership and functional steering bodies at the provincial and health zone level also results in a lack of evidence-based decision making and appropriate allocations of resources. Health Zone Management Teams and Health Development Committees (CODESAs), though present in almost all health zones, are much more responsive to routine administrative needs than to issues of management and good governance.
At the community level, villages often do not understand their rights and entitlements to health services and how to exercise them. Communities are often unaware of how governance institutions are structured, how power operates across them, and where decision-making power lies. Without this information or skills and resources to exercise them, they are unable to meaningfully hold health facilities and government accountable for health services.