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– Universal Health Coverage

The implementation of Universal Health Coverage (UHC) for all is a government priority. The adoption of the strategic plan is an important step in the process of ensuring equal access to healthcare for the Congolese people.
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In the DRC, the vast majority of the population does not benefit from any form of social security. The informal sector is the majority, with irregular and unstable incomes. However, the ability to pay determines access to care, particularly through recourse to family solidarity. Social security coverage in the formal sector is weak, covering only civil servants and employees of a few companies. Overall, the social protection system has significant coverage gaps, particularly for workers in the informal and rural economy. In 2019, only 14.11% of the population was covered by at least one social protection scheme.
In December 2021, the government adopted five draft decrees to set in motion the implementation of universal health coverage. The first draft decree concerns the creation of the regulatory authority to control universal health coverage. The second concerns the creation of a public institution called the Health Solidarity Fund; the third draft decree relates to the creation of a public institution called the Public Health Promotion Fund. The fourth draft decree concerns the creation of a public institution called the National Institute of Public Health (INSP). The last draft concerns the transformation of a public service called the National Agency for Clinical Engineering of Health Information (ANICIIS) into a public institution called the National Agency for Clinical Engineering and Digital Health (ANICNS).
Combined efforts to grant social status to health products and services also involve the process of rationalizing pricing structures and the rates of medicines and care. Ensuring fair pricing for health products and services requires consensual reforms, as health products and services are inaccessible to the majority of the Congolese population.
Furthermore, taxes, along with other factors, are among the main determinants of the high costs of health products and services in the DRC, with an additional approximately 120% on the CIF (Cost, Insurance, and Freight) value. While in other countries bordering the DRC, particularly SADC member states, products are fully exempt while other countries apply a single rate lower than that of the DRC.
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At the end of June 2022, the President of the Republic announced the decision to implement free childbirth, postnatal, and neonatal consultations as part of universal health coverage. Of Kinshasa's 35 health zones, 9 already implement free maternity care. The capital, Kinshasa, is serving as a pilot city before this measure is extended nationwide.
An agreement called "Elikia" was signed in July 2022 by the government to allow certified state agents and civil servants to benefit from health care and funeral expenses.
In February 2022, the World Bank approved a new Country Partnership Framework for the DRC, spanning the period 2022-2026. The World Bank will invest nearly $1 billion for social protection in the DRC. These investments are part of the new Country Partnership Framework (CPF). Covering the period 2022-2026, the new CPF will support the government's strategic priorities and governance reforms, with a particular focus on human development. This will include establishing a social safety net system, targeting the poor, vulnerable, and conflict-affected across the country.
Social mutual insurance companies cover health care, family and maternity benefits, and old-age and death benefits. However, most existing mutual insurance companies only cover health care, and a 2015 inventory identified 109 mutual insurance companies across the country, covering barely 11,000 of the population.
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