Health Care Entrepreneurship in the Democratic Republic of the Congo: An Exploratory Study

Bukonda, Ngoyi K. Zacharie; Chand, Masud; Disashi, Tumba G.; Lumbala, Crispin; Mbiye, Benoit

doi:10.1080/15228916.2012.693433

Cited by 18 publications

(6 citation statements)

References 31 publications

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“…The region where the city of Mbuji-Mayi now stands was once a cluster of villages on land owned by the Bakwanga clan [45]. According to Wong, "diamonds were first discovered in the area as early as 1907, but the true value of the find wasn't recognized until 1913 [45].…”

Section: 41early Development Of Mbuji Mayimentioning

confidence: 99%

“…According to Wong, "diamonds were first discovered in the area as early as 1907, but the true value of the find wasn't recognized until 1913 [45]. Following the discovery, a mining company known as "Societéminière de Bakwanga" (MIBA) was formed.…”

Section: 41early Development Of Mbuji Mayimentioning

confidence: 99%

“…The young city grew quickly, but around strict planning by MIBA, which divided the community into labor camps, mining areas and living quarters. The city's growth was not explosive, and planning was done with the needs of the mining company in mind -not the development of the region as a general population center [45,46]. In fact, fearing theft of the company's diamond resources, the MIBA actively discouraged build-up in the region and closely monitored who went in and out of the region.…”

Section: 41early Development Of Mbuji Mayimentioning

confidence: 99%

“…Following the discovery, a mining company known as "Societéminière de Bakwanga" (MIBA) was formed. This new company built a mining camp designed to house miners and company officials in the area [45,46]. The young city grew quickly, but around strict planning by MIBA, which divided the community into labor camps, mining areas and living quarters.…”

Section: 41early Development Of Mbuji Mayimentioning

confidence: 99%

“…In fact, fearing theft of the company's diamond resources, the MIBA actively discouraged build-up in the region and closely monitored who went in and out of the region. Every person in the region needed a permit allowing them to be there, and registration at a command post that monitored the population, which made indefinite residence in the area almost impossible to establish [45,46]. There was limited economic activity besides the company-run mining, with even limited agriculture, and the city's population remained low, at approximately 39,830 by the late 1950s [46].…”

Section: 41early Development Of Mbuji Mayimentioning

confidence: 99%

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Risk Factors of Human African Trypanosomiasis in Mbuji Mayi, Eastern Kasai Province, Democratic Republic of the Congo

Mpiana¹,

Mpinga²,

Tshilonda³

et al. 2015

IJTDH

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Aims: Our study is aimed at determining the risk factors of Human African Trypanosomiasis (HAT) in Mbuji Mayi, Eastern Kasai Province, Democratic Republic of the Congo. Study Design: We used a case-control design with a ratio of 2 controls for every HAT case. Place and Duration of Study: Our multidisciplinary research team collected primary data on cases of HAT patients treated at the Referral and Treatment Center of Dipumba in Mbuji Mayi in 2012 and on their controls of similar gender and age, living in Mbuji Mayi, but free of HAT infection. Methodology: We analyzed data, using both descriptive and analytical statistical procedures such univariate and multivariate methods of logistic regression. The association between the different factors studied and HAT infection has been determined by estimating the odds-ratio (OR) with a confidence interval (CI) of 95% and a P-value of less than 0.05. We interviewed 180 subjects (60 cases and 120 controls). Results: The 60 cases were predominantly male (male-female ratio of 2.2:1) with the majority (53%) in the age group of 20-40 years. Subjects in the age group of over 40 represented 28.3% of the patients. The same patterns were seen in the control group. The age of interviewees varies from 11 to 65 years. HAT cases reported drawing water from wells (16.7% vs 6.7%; P > .05), walking along the river bed and in the peat lands (11.7% vs 9.2%; P > .05) at a higher rate than controls. The HAT cases reported involvement in various activities that put them in much closer proximity with water sources: bathing (8.3% vs 6.6%; P >.05), dishwashing and laundry (20% vs 37.5%), fetching household water (50% vs 24.2%; P<.0001), cassava retting roots (1,7% vs 7.5%), diamond digging in the mines (51.7% vs 21.6%; P < .0001), trafficking or buying diamond from diggers (13,3% vs 8.3% ; P > .05). Conclusion: Involvement in activities that connect with water sources increases the risk of acquiring HAT infection in Mbuji Mayi.

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Section: 41early Development Of Mbuji Mayimentioning

confidence: 99%

Section: 41early Development Of Mbuji Mayimentioning

confidence: 99%

Section: 41early Development Of Mbuji Mayimentioning

confidence: 99%

Section: 41early Development Of Mbuji Mayimentioning

confidence: 99%

Section: 41early Development Of Mbuji Mayimentioning

confidence: 99%

See 3 more Smart Citations

Risk Factors of Human African Trypanosomiasis in Mbuji Mayi, Eastern Kasai Province, Democratic Republic of the Congo

Mpiana¹,

Mpinga²,

Tshilonda³

et al. 2015

IJTDH

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Heath Sector Network Governance and State-building in South Kivu, Democratic Republic of Congo

Bwimana

2017

Health Policy and Planning

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Longstanding patterns of interaction exist between state and non-state actors seeking to improve public health in Democratic Republic of Congo (DRC). DRC is a weak state, and, in many cases, private actors have stepped in to fill the void created by the lack of state health care provision. However, the role of these interactions in creating a governance network in the health sector has been underexplored. Using data from 18 months of qualitative field research, this study aimed to explore governance networks in DRC's health sector, examining how multiple stakeholders work to manage the health system and how the resulting governance network has been relevant for the state-building process. The findings demonstrate that the health sector in South Kivu is emerging as an arena of networked governance based on active partnerships between state institutions and non-state actors. Interactions between state and non-state actors account for the persistence of the health sector in a setting characterized by state weakness. However, networked governance does not function optimally, because, although non-state interventions fill the void where the state falls short, the DRC state has faced the challenge of interacting with partners with fragmented and horizontally competing agendas. Although weak, the shadow of state authority is present in the arena of stakeholders' interactions, as the state plays a determining role by providing a regulatory framework. Overall, the findings show that the interactive engagement of non-state actors contributes to improving institutional capacity through these actors' engagement with state institutions for health system management and institutional development. However, although networked health sector governance does contribute to state capacity, it is difficult to assess the real influence of these interactions on the state-building process in a context of critical fragility, where coordination and alignment have been problematic.

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Where the Scars Are So Thick

2023

An Archive of Possibilities

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The introduction begins with a description of Goma, a cosmopolitan border town in eastern Congo that serves as the setting for the book. It then moves on to introduce the theoretical underpinnings of the book. Bringing Congolese history together with Black feminist and race scholarship, it opens an argument connecting chronic, repetitive violence in eastern Congo to antiblack governance in the world of Man. It then describes the methodology of the book, how and by whom this archive of possibilities of healing and repair in eastern Congo was created. Finally, it concludes with a description of the interludes and an outline of the chapters that follow.

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Health Care Entrepreneurship in the Democratic Republic of the Congo: An Exploratory Study

Cited by 18 publications

References 31 publications

Risk Factors of Human African Trypanosomiasis in Mbuji Mayi, Eastern Kasai Province, Democratic Republic of the Congo

Risk Factors of Human African Trypanosomiasis in Mbuji Mayi, Eastern Kasai Province, Democratic Republic of the Congo

Heath Sector Network Governance and State-building in South Kivu, Democratic Republic of Congo

Where the Scars Are So Thick

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