** Analysis of the XIIᵉ Conference of governors in Kolwezi: health issues and social cohesion in Lualaba **
The XIIᵉ Conference of governors, held in Kolwezi, was a key moment to approach the health challenges faced by the provinces of the Democratic Republic of Congo, in particular Lualaba. Under the theme of health as a factor in social cohesion and sustainable development, this meeting was inaugurated by President Félix Tshisekedi and highlighted crucial issues for rural communities.
The context of this forum is particularly significant. While the province of Lualaba is rich in natural resources, the living conditions of rural populations remain precarious, in particular in terms of access to quality health care. Chadrac Mukad, president of the Civil Society of Civil Society of Lualaba, underlined a bitter reality: “We are the richest, but our rural communities live in very precarious health conditions. This assertion raises important questions. How to explain this gap between the richness of resources and the lake of health services? What levers could be activated to reverse this trend?
The question of universal health coverage was at the heart of the debates. The recommendations from the conference are expected with hope by civil society in Lualaba, which sees it as potential to improve health conditions in the most remote areas. However, one wonders if these recommendations, if they are made with realistic ambitions, will actually be implemented effectively. Past experience has sometimes shown difficulties in applying policies across the country. What concrete measures can be established this time to ensure effective practice, and how can civil society monitor these advances?
The arrival of Prime Minister Judith Suminwa in Kolwezi has also been the subject of a particular interest. His declaration on respect for the constitution in the organization of this conference illustrates a commitment to transparent governance and dialogue. This respect is crucial, because it anchors the decisions made in a solid legislative framework. Quite often, hopes linked to political promises take shape in dialogue. What guarantees can be implemented to ensure that the discussions carried out here result in concrete actions at the level of provincial governments?
Free maternity is presented as a significant advance towards accelerating universal health coverage. This nevertheless raises questions about equitable access to these services. If some provinces already benefit from this measure, what about others? How can we guarantee that all women, whatever their location, can have access to maternity care without financial obstacle? This question of equity will be essential if you really want to consider health as a lever for social cohesion.
As a conclusion, the XIIᵉ Conference of Governors marks an important step in reflection on health as an integrator element of provincial development. However, important challenges remain, and it will be crucial to follow the evolution of the recommendations that will emerge. Civil society, the government, and private actors will have to collaborate proactively to overcome existing shortcomings and meet the needs of the rural populations of Lualaba, so that the natural richness of the province can really benefit all. Health is a precious resource, not only for the well-being of individuals, but also for the stability and development of all communities. What will be the next steps in this quest for improving living conditions in Lualaba? It is this question which, without a doubt, will echo far beyond the framework of this conference.