Title: The creation of the CNCU: a step towards universal health coverage in the DRC
Introduction :
Universal health coverage is a major concern for many countries around the world, and the Democratic Republic of Congo is no exception. President Félix Tshisekedi recently announced the creation of the National Council for Universal Coverage (CNCU) with the aim of providing accessible health care to all. However, despite this laudable initiative, questions persist about the sustainability and effectiveness of the CNCU. In this article, we will analyze the challenges facing the implementation of universal health coverage in the DRC and propose solutions to improve the situation.
Limiting coverage to free births: a first step, but insufficient
Currently, the CNCU’s efforts are mainly focused on free births, which is a positive development. However, it is important to understand that universal health coverage is not limited to maternity care. It is essential to extend coverage to other diseases and conditions in order to meet the health needs of the entire population.
Limits of CNCU resources
Another challenge facing the CNCU relates to the limited resources it currently has. Funding arrangements and technical issues surrounding its creation and operation need to be explored further. It is crucial to put in place sustainable financing mechanisms to ensure the sustainability of universal health coverage.
The need for an autonomous health fund
To ensure effective universal health coverage, it is proposed to create a separate health fund. This fund would be a major support, providing a reliable and viable execution of President Tshisekedi’s vision. It could start by bringing together the providers and beneficiaries of the existing social security funds (CNSS and CNSSAP), which already represent a large part of the population. In addition, part of the taxes and levies collected could be allocated to this fund in order to strengthen its financial resources.
Data fusion for better management
In order to facilitate the establishment of this health fund, it is essential to merge technical data on current providers and beneficiaries. This would make it possible to establish a solid basis for the establishment of a national health fund. This data fusion would also facilitate a first phase of universal health coverage for active and retired workers from the general and special social security schemes, as well as for their dependents.
Conclusion :
The creation of the CNCU is an important step towards universal health coverage in the DRC. However, improvements are needed to ensure optimal and efficient coverage for all. The establishment of an autonomous health fund, supported by adequate financial resources, as well as the merging of existing data, would give new impetus to this vision and contribute to improving access to health care for the entire Congolese population