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Unravelling the implementation of the technical support from the provincial health administration to district health management teams in the democratic Republic of Congo: a realist evaluation

Crossref DOI link: https://doi.org/10.1186/s12913-026-14403-7

Published Online: 2026-03-23

Update policy: https://doi.org/10.1007/springer_crossmark_policy

Authors

Bosongo, Samuel

Chenge, Faustin

Belrhiti, Zakaria

Criel, Bart

Yves, Coppieters

Marchal, Bruno
License Information

Text and Data Mining valid from 2026-03-23

Accepted Manuscript valid from 2026-03-23
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Article History

Received: 1 October 2024

Accepted: 14 March 2026

First Online: 23 March 2026

Declarations

:

: The protocol was approved by the Institutional Review Board of the Institute of Tropical Medicine, Antwerp (Ref IRB # 1654/22) and the Medical Ethics Committee of the University of Lubumbashi (Ref # UNILU/CEM/005/2023). The study also obtained authorisation from local authorities. Participants were given information on objectives, confidentiality, and risks. After agreeing, they provided written consent and permission for recording. Data was pseudonymised and securely stored in a password-protected drive. The entire research process was conducted in accordance with the principles of the Declaration of Helsinki as amended in 2013 [ ].

: Not applicable.

: The authors declare no competing interests.

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