Généralités sur le cadre juridique du système de santé congolais : une analyse organisationnelle et fonctionnelle

This article reviews the Congolese health system as organized by the legislative and regulatory Act. There is no perfect model for a health system since each country organizes the system considering political, economic and social realities. The paper draws a parallel between, on the one hand, the political and administrative organisation of the Congolese state and the health structure, on the other hand, the adaptation of the health system into the social context of the country. It appears that territorial decentralization and the sharing of competences between the central government and the provinces could explain the pyramidal structure of the Heath system : The central government fixes the main orientations on health policy and the devolved services are aimed for implementing bodies, meanwhile the provinces only provide a technical assistance. According to the functional perspective, we describe a many-faceted system, due to the lack of a real social insurance coverage policies. Instead we find what we could call a system of adaptation made from private mutual insurance.