Factors strengthening the impact of community leadership as strategic pillars of policy and the health systems in the response to HIV/AIDS Research carried out in the Lodja Health Zone, Sankuru Province in the Democratic Republic of Congo in 2024

Abstract

In the Declaration of Alma Ata of September 1978, primary health care calls for maximum self-responsibility on the part of
communities and individuals in the operation and control of primary health care. The response to HIV is weakened when
community leadership, which is its lever for progress, suffers from a lack of recognition, support and resources. This is why
the role of community leaders must be placed at the heart of all programs. The objective was to identify the Factors
strengthening the impact of community leadership for an effective response to AIDS in the aforementioned Health Zone. The
study was a prospective quantitative study, supported by direct individual interviews. The application of linear regression
revealed a highly significant statistical relationship between participation in response activities (p-value = 0.000), availability
and mastery of documents defining health policy in the response (p-value = 0.000), access to internal and external funding for
the response (p-value = 0.000), training of leaders in AIDS response activities (P - Value = 0.008) and strengthening the
impact of community leadership in the AIDS response in the Lodja Health Zone.