Strengthening Financial Governance of Health Facilities in Likasi: Contribution of the SHAREHOLDERS Shareholder Model. Likasi (Upper Katanga, DRC)
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Abstract
Financial governance in health facilities in the Democratic Republic of Congo (DRC) is often characterized by low transparency and limited stakeholder involvement. In Likasi, these challenges hinder the effectiveness of health services. The SHAREHOLDERS stakeholder model, centered on stakeholder engagement, could offer an appropriate solution. A pilot study was conducted in several health facilities in Likasi, combining semi-structured interviews with managers and community members, along with the analysis of financial documents. The objective was to assess the impact of applying the SHAREHOLDERS model on financial governance. The results indicate a significant improvement in financial transparency and an increase in stakeholder participation in decision-making processes. Facilities that adopted the model demonstrated better resource management and higher user satisfaction. Integrating the SHAREHOLDERS stakeholder model appears to strengthen financial governance by promoting accountability and collaboration among actors. However, challenges remain, particularly regarding training and awareness of stakeholders. The SHAREHOLDERS model offers a promising framework for improving financial governance in health facilities in Likasi. Its adoption could be extended to other regions of the DRC to strengthen the national health system.
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