Absence d’un administrateur gestionnaire des Institutions de Santé : facteur de dysfonctionnement organisationnel et de crise financière au Centre Hospitalier de Mont-Amba (Kinshasa, République Démocratique du Congo)

Aide-Stéphane Amisi Imani; Alexis Tohemo Lukamba; Beaudras Tabibi Mangombo; Jean pierre Koyelongo; Anderson Bobazodisa Dikumueni; Norbert Mathieu Ngwisani Matoba; Gabin Kalau Kaumb; Edmond Mitano Mide

doi:10.59228/rcst.025.v4.i4.185

Absence of a Healthcare Institution Administrator-Manager: A Factor of Organizational Dysfunction and Financial Crisis at the Mont-Amba Hospital Center

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Authors

Aide-Stéphane Amisi Imani Institut Supérieur Technique Médical Likasi, Haut Katanga, République Démocratique du Congo Author https://orcid.org/0009-0009-7928-546X (unauthenticated)
Alexis Tohemo Lukamba Bureau central de la zone de santé de Kenge et Institut Supérieur Technique Médical de Kenge, République Démocratique du Congo Author https://orcid.org/0009-0008-5782-738X (unauthenticated)
Beaudras Tabibi Mangombo Institut Supérieur Technique Médical Kinshasa, Kinshasa, République Démocratique du Congo Author https://orcid.org/0000-0003-0878-1254 (unauthenticated)
Jean pierre Koyelongo Institut Supérieur Technique Médical Kinshasa, Kinshasa, République Démocratique du Congo Author https://orcid.org/0009-0008-3741-6575 (unauthenticated)
Anderson Bobazodisa Dikumueni Institut Supérieur Technique Médical de Kisantu, Kisantu, République Démocratique du Congo Author https://orcid.org/0009-0001-6271-5998 (unauthenticated)
Norbert Mathieu Ngwisani Matoba UA (Présidence de la République), Kinshasa, République Démocratique du Congo Author https://orcid.org/0009-0009-6452-3082 (unauthenticated)
Gabin Kalau Kaumb Institut Supérieur Technique Médical de Kolwezi, Kolwezi, République Démocratique du Congo Author https://orcid.org/0009-0000-5386-4740 (unauthenticated)
Edmond Mitano Mide Régie de Voies Aériennes, Kinshasa, République Démocratique du Congo Author https://orcid.org/0009-0007-9718-6604 (unauthenticated)

DOI:

https://doi.org/10.59228/rcst.025.v4.i4.185

Keywords:

Hospital governance, Administrator-manager, Dysfunction, Financial crisis

Abstract

The performance of hospital institutions largely depends on effective governance. The absence of a qualified healthcare institution administrator-manager can cause major organizational dysfunctions, affecting both service quality and financial stability. This study explores the impact of such an absence at Mont-Amba Hospital Center. A descriptive and analytical approach was used. Data were collected through semi-structured interviews with staff members (n=10) and document analysis (financial reports, organizational charts, and internal audits over a 3-year period). Findings highlight poor interdepartmental coordination, mismanagement of human and material resources, and chronic financial imbalance. The absence of an administrator-manager led to reduced performance, staff demotivation, and increased hospital debt. These results reinforce the critical role of the administrator-manager as a central actor in hospital governance. Their absence weakens planning, oversight, and effective resource allocation. It is urgent to institutionalize this role in public healthcare structures in the DRC.

How to cite

APA

Amisi Imani , Aide-Stéphane, Tohemo Lukamba , Alexis, Tabibi Mangombo , Beaudras, Koyelongo , Jean pierre, Bobazodisa Dikumueni , Anderson, Ngwisani Matoba , Norbert Mathieu, Kalau Kaumb , Gabin, Mitano Mide , Edmond (2025). Absence of a Healthcare Institution Administrator-Manager: A Factor of Organizational Dysfunction and Financial Crisis at the Mont-Amba Hospital Center. Congolese Journal of Science and Technology, 4(4), 586-596. https://doi.org/10.59228/rcst.025.v4.i4.185

Vancouver

Amisi Imani A, Tohemo Lukamba A, Tabibi Mangombo B, Koyelongo J, Bobazodisa Dikumueni A, Ngwisani Matoba N, Kalau Kaumb G, Mitano Mide E. Absence of a Healthcare Institution Administrator-Manager: A Factor of Organizational Dysfunction and Financial Crisis at the Mont-Amba Hospital Center. CJST. 2025;4(4):586-596. doi:10.59228/rcst.025.v4.i4.185

BibTeX

@article{rcst590,
  author  = {Amisi Imani , Aide-Stéphane and Tohemo Lukamba , Alexis and Tabibi Mangombo , Beaudras and Koyelongo , Jean pierre and Bobazodisa Dikumueni , Anderson and Ngwisani Matoba , Norbert Mathieu and Kalau Kaumb , Gabin and Mitano Mide , Edmond},
  title   = {Absence of a Healthcare Institution Administrator-Manager: A Factor of Organizational Dysfunction and Financial Crisis at the Mont-Amba Hospital Center},
  journal = {Congolese Journal of Science and Technology},
  year    = {2025},
  volume  = {4},
  number  = {4},
  pages   = {586--596},
  doi     = {10.59228/rcst.025.v4.i4.185},
  url     = {https://rcst.cd/index.php/rcst/en/article/view/590}
}

RIS

TY  - JOUR
AU  - Amisi Imani , Aide-Stéphane
AU  - Tohemo Lukamba , Alexis
AU  - Tabibi Mangombo , Beaudras
AU  - Koyelongo , Jean pierre
AU  - Bobazodisa Dikumueni , Anderson
AU  - Ngwisani Matoba , Norbert Mathieu
AU  - Kalau Kaumb , Gabin
AU  - Mitano Mide , Edmond
TI  - Absence of a Healthcare Institution Administrator-Manager: A Factor of Organizational Dysfunction and Financial Crisis at the Mont-Amba Hospital Center
JO  - Congolese Journal of Science and Technology
PY  - 2025
VL  - 4
IS  - 4
SP  - 586
EP  - 596
DO  - 10.59228/rcst.025.v4.i4.185
UR  - https://rcst.cd/index.php/rcst/en/article/view/590
ER  -

288 0

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