Apport du financement du système de santé dans le domaine des équipements biomédicaux aux structures de santé de la ville de KOLWEZI. Cas de l’Hôpital de Mwangeji et de Centre de santé de Dilala. Kolwezi (Lualaba), République démocratique du Congo

Publication Date : 12/02/2026

Author(s) :

Fidèle Kambaj Mutombu, Alexis Lukamba Tohemo , Kwete Manga Jean René, André Tshibad Yirung, Gabin Kaumb Kalau, Aide-Stéphane Imani Amisi, José Kibembe Mubaya, Jean-Pierre Ilengi Mbula Basila.

Volume/Issue :

Volume 5

Issue 1

(02 - 2026)

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.