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Congo, Democratic Republic of the - P4H Network
Current Health Expenditure (CHE) as % Gross Domestic Product (GDP)4.1%CHE/GDP
Out-of-pocket (OOPS) spending as % of Current Health Expenditure (CHE)39.7%OOP/CHE
Domestic General Government Health Expenditure (GGHE-D) as % General Government Expenditure (GGE)6.3%GGHE-D/GGE
Gross Domestic Product (GDP), in constant (2020) US$ per capita57BGDP (USD)
Population in thousands (K), millions (M) or billions (B)92.9MPopulation
Incidence of Catastrophic Health Spending at 10% Threshold (SDG 3.8.2) Total4.8%Catastrophic Health Spending

Universal health coverage in the Democratic Republic of the Congo

The government of the Democratic Republic of the Congo (DRC) is committed to providing all groups of the population with effective social protection coverage  by 2030, in line with targets of the Sustainable Development Goals (SDGs), by reducing disparities and improving access to social benefits, including health. The DRC’s 2021-2023 Government Action Programme includes a section called “Implementation of Universal Health Coverage”, which upholds the vision in the National Strategic Development Plan (PNSD) titled “Strengthening of human capital and social and cultural development”.

Significant challenges

The Universal Health Coverage Technical Coordination Committee has developed a national universal health coverage (UHC) strategic plan through a participatory and inclusive process based on a multisectoral approach. 

The DRC faces multiple challenges as it progresses towards UHC: 

  • extending health risk coverage 
  • reducing the fragmentation of funding schemes 
  • sustaining UHC funding 
  • defining a package of guaranteed essential services 
  • developing compulsory membership mechanisms 
  • strengthening the targeting of beneficiaries of medical assistance schemes 
  • strengthening the management and coordination of the various schemes

A complex structure

The traditional stakeholders in UHC implementation are the ministries of social security, health and social affairs. However, implementing UHC has been accompanied by the creation of several structures, including the Health Solidarity Fund (FSS), the Health Promotion Fund (FPS), the UHC Regulatory Agency (AR-CSU), the National Institute of Public Health (INSP), the National Agency for Clinical Engineering, Health Information and Informatics (ANICIIS). These newly created structures, currently in their implementation phase, require capacity building and mechanisms for effective coordination.

Listed below are mechanisms that will collect specified funds that the FSS will pool.  The FSS will also pay benefits.

(1) The National Social Security Fund (CNSS) will collect contributions for health benefits for contract private-sector workers.

(2) The National Social Security Fund for Public Agents of the State (CNSSAPE) will collect  contributions for health benefits for all public agents of the state .

(3) The National Social Services Fund (FNSS) of the Ministry of Social Affairs will collect health contribution funds from the vulnerable and people living in poverty.

4) Community-Based Health Insurance (CBHI) schemes will collect funds from workers in the informal economy and in the agropastoral sector, as well as from other groups . CHBI schemes are expected to be the main mechanism for extending social protection to workers in the informal economy. CBHIs are expected to be the main mechanism for extending social protection to workers in the informal economy.

The challenge of Social Security and Universal Health Coverage in the DRC
NEWS |

The challenge of Social Security and Universal Health Coverage in the DRC

Congo, Democratic Republic of the
Nurses invited to commit to the success of Universal Health Coverage
NEWS |

Nurses invited to commit to the success of Universal Health Coverage

Congo, Democratic Republic of the
Round Table in DRC on the financing of Universal Health Coverage
NEWS |

Round Table in DRC on the financing of Universal Health Coverage

Congo, Democratic Republic of the
DOCUMENT |

Report on the Analysis of Health Financing in the DRC

Congo, Democratic Republic of the
DOCUMENT |

National Health Development Plan 2019-2022

Congo, Democratic Republic of the
DOCUMENT |

Report on health accounts 2021

Congo, Democratic Republic of the