2.3.MISSION AND ORGANIZATION OF MEDICAL SYSTEM
MEDICO
In RDC, the medical system is organized by the Ministry for
the Public health, assisted by the Secretariat-general in administrative
management. This Ministry is represented in each province by a provincial
Ministry of health which acts instead of the central medical authority. The
Ministry for Health has the role of ensuring the supply the whole of the
population of the care of health of quality at better cost. These various
functions are primarily:
· Administration of the care of health, the drug and the
technical equipment;
· The management of the environment for health;
· The management of the partnership for health;
· Human inheritance and finance, stock management;
· Studies, planning and standardization;
· The organization of the teaching of sciences of
health.
Until 1978, the RDC had medical system inherited
colonization. Since then, the base of our policy is based on the strategy of
the care of primary health (SSP), following the adhesion of the country to the
charter of Alma ATA (1978) and to the Charter of Development in Africa
(1980).Concretizing this adhesion in 1981, the RDC had worked out a national
medical policy founded on the primary care of health whose objective was to
make available the care from health to all the population congolaise.
For fulfilling its functions well, the Ministry for the
Public health is structured in medical pyramid which includes/understands: the
central level; the intermediate level; and the peripheral level.
2.3.1. Central level
It has primarily a normative, strategic role and of
regulation. It includes/understands the Cabinet of the Minister, the
Secretariat-general, 13 central directions and 52 directions of
programmers/services specialized such as the campaigns against paludism, the
onchocercose, tuberculosis, the VIH/SIDA and STI, the National Program of the
Nutrition, the National Programmed of Health of the Reproduction and the
Widened Program of Vaccination (PEV).The campaigns against the disease are
placed under the
coordination of the Management of the fight against the disease
(4th Direction).
II.3.2. Intermediate level
This level plays the technical role of support,
accompaniment, framing and logistics at the zones of health. In its current
configuration, it consists of 11 provincial divisions and 48 districts of
health. Each provincial division includes/understands offices corresponding to
the normative directions of the central level, a hospital and a laboratory of
the provincial level of reference. Each district of health includes/understands
three cells charged with:
· general services and studies;
· inspection of the medical departments and pharmaceutical;
and
· service of hygiene.
These cells are supervised by the Doctor Head of District. A
district supervises approximately ten zones of health.
2.3.3. Peripheral level
The ZS is the operational level. It includes/understands BCZS,
a HGR and a network of CS. The ZS is directed by the Doctor Head of Zone
supported by the members of the team tallies of the ZS. On recommendation of
the States Généraux of Health held in February 2000, the Ministry
for Health initiated the process of revision of the medical chart of the
country, in order to bring closer the health services the population and to
avoid the overlapping of a ZS between two decentralized administrative
entities. Thus, the number of ZS passed from 306 to 515 in 2005.
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