Contribution of Health System Financing to Biomedical Equipment in Health Facilities in the City of Kolwezi: The Case of Mwangeji Hospital and Dilala Health Center

Authors

  • Fidèle Kambaj Mutombu Institut Supérieur Technique Médical-KINSHASA et MUSUMBA, Lualaba, République Démocratique du Congo Author
  • Alexis Lukamba Tohemo Institut Supérieur Technique Médical-KINSHASA et Marie Reine de la Paix de Kenge, République Démocratique du Congo Author
  • Jean René Kwete Manga Institut supérieur des Sciences de Santé de KOLWEZI, République Démocratique du Congo Author
  • André Tshibad Yirung Institut Supérieur Technique Médical-MUSUMBA,Lualaba, République Démocratique du Congo Author
  • Gabin Kaumb Kalau Institut Supérieur Technique Médical-KINSHASA et KOLWEZI, République Démocratique du Congo Author
  • Aide-Stéphane Imani Amisi Institut Supérieur Technique Médical-Likasi, Haut Katanga, République Démocratique du Congo Author
  • José Kibembe Mubaya Institut Supérieur Technique Médical-KINSHASA, République Démocratique du Congo Author
  • Jean-Pierre Ilengi Mbula Basila Institut Supérieur Technique Médical-KINSHASA, République Démocratique du Congo Author

DOI:

https://doi.org/10.59228/rcst.026.v5.i1.226

Keywords:

Health financing, biomedical equipment, Health facilities, Kolwezi / Mwangeji Hospital

Abstract

Biomedical equipment plays a vital role in healthcare quality. However, its availability and functionality largely depend on health system financing mechanisms. This study aims to assess the contribution of public and private health financing in the provision of biomedical equipment to health facilities in the city of Kolwezi. A descriptive cross-sectional study was conducted between January and March 2025 in 15 public and private health facilities in Kolwezi. Data were collected using semi-structured questionnaires administered to facility managers and through document analysis of budgets allocated to biomedical equipment from 2020 to 2024.
Only 35% of facilities had functional biomedical equipment. Public funding accounted for about 40% of investments, mainly directed toward referral hospitals, while private funding and partnerships represented 60%, mostly supporting primary-level facilities. Public funding was found to be insufficient and irregular, posing a major challenge to sustainable equipment availability. The findings suggest that health system financing in Kolwezi is uneven and inadequate to meet biomedical equipment needs. Alternative resource mobilization strategies and improved budget planning are required to enhance access to and the quality of healthcare services.

Downloads

Download data is not yet available.

References

Banque mondiale. (2020). "Health Financing and Service Delivery: Evidence and Lessons from Africa."

Banque mondiale. (2023). Données économiques sur la République Démocratique du Congo. Washington, DC: World Bank Group.

Blandford, A., Furniss, D., & Makri, S. (2018). Investment in health technology: The impact of health financing on healthcare systems. Journal of Health Economics, 57, 53–65. https://doi.org/10.1016/j.jhealeco.2018.01.004

use, K., Mays, N., & Walt, G. (2012). Making health policy (2nd ed.). London, UK: SAGE Publications.

Cour des comptes. (2018). Les équipements biomédicaux dans les hôpitaux : enjeux et perspectives.

Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). SAGE Publications.

Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). SAGE Publications.

Division Provinciale de la Santé Lualaba. (2023). Rapport annuel sur les équipements médicaux et financement sanitaire. Kolwezi.

Donabedian, A. (1988). The quality of care: How can it be assessed? JAMA, 260(12), 1743–1748.

DPS Lualaba. (2022). État des lieux des équipements biomédicaux dans les structures sanitaires de Kolwezi. Kolwezi : Division Provinciale de la Santé du Lualaba.

Dupont, M. (2022). "L'impact des investissements dans les équipements biomédicaux sur les soins de qualité : Cas des hôpitaux de référence en France." Thèse de doctorat, Université de Paris.

Fekadu, A., Tadesse, M., & Bekele, D. (2019). Assessment of medical equipment management practices in Ethiopian public hospitals. BMC Health Services Research, 19(1), 1-9.

Field, A. (2013). Discovering statistics using IBM SPSS statistics (4th ed.). SAGE.

Kothari, C. R. (2004). Research methodology: Methods and techniques (2nd ed.). New Age International.

Kruk, M. E., Gage, A. D., Arsenault, C., et al. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet Global Health, 6(11), e1196-e1252.

Lehmann, U., & Sanders, D. (2019)."Health System Financing and its Impact on Health Outcomes." Global Health Action, 12(1), 1632165.

Lemeshow, S., Hosmer, D. W., Klar, J., & Lwanga, S. K. (1990). Adequacy of sample size in health studies. WHO.

McKee, M., & Healy, J. (2017). Health Systems in Transition: An Overview of the Health Systems in Europe.

Médecins Sans Frontières (MSF). (2018). Évaluation des équipements de stérilisation dans les structures sanitaires en RDC. Kinshasa : MSF-RDC.

Ministère de la Santé RDC. (2021). Annuaire statistique national 2020 du système de santé. Kinshasa : Secrétariat Général à la Santé.

Okeke, C., & Akinola, B. (2017). Challenges in the maintenance of biomedical equipment in Nigeria. African Journal of Medical Engineering, 3(2), 45-53.

Organisation mondiale de la santé. (2016). "Global Strategy on Human Resources for Health: Workforce 2030."

Organisation mondiale de la santé. (2021). "Health Financing for Universal Health Coverage."

Orodho, J. A. (2009). Techniques of writing research proposals and reports in education and social sciences. Kanezja HP.

Pallant, J. (2020). SPSS survival manual (7th ed.). McGraw-Hill Education.

Sato, T., & Saito, Y. (2021). "Effects of Health Financing on Biomedical Equipment Availability in Hospitals." BMC Health Services Research, 21, 384.

United Nations Development Programme (UNDP). (2023). Sustainable Development Goals Report 2023. New York: UNDP.

WHO Africa. (2022). Status of medical equipment in sub-Saharan Africa: Challenges and opportunities. Brazzaville: WHO Regional Office.

WHO. (2010). Medical devices: Managing the mismatch. Geneva: World Health Organization.

WHO. (2022). Global Atlas of Medical Devices. Geneva: World Health Organization.

Won, P., & Kim, H. (2020). "Healthcare Investment: The Role of Financial Allocations on Health Technology." Technology and Health Care, 28(4), 911-922.

World Bank & WHO. (2019). Investing in Health Systems for Universal Health Coverage. Washington, DC & Geneva: World Bank & WHO.

World Health Organization (WHO). (2010). Medical devices: Managing the mismatch. WHO Press.

World Health Organization (WHO). (2022). Global strategy on health system financing: Better health for all. Geneva: WHO

Downloads

Published

2026-01-05

Similar Articles

1-10 of 224

You may also start an advanced similarity search for this article.