The national health system is led by the Ministère de la Santé et de la Population. Central authorities set strategy, standards and regulation, while departmental services and 52 health districts organise delivery closer to communities. District management includes the Comité de gestion, the Équipe Cadre and the équipe de gestion, with community participation through local committees such as COSA and COGES. Community relays and community structures support vaccination, nutrition, recognition of danger signs and referral. The first formal contact is usually a Centre de Santé Intégré (CSI) or another primary-care facility. These facilities provide promotional, preventive, curative, palliative and rehabilitative care. PMAE I facilities focus on maternity services, while PMAE II facilities also provide basic surgery. A referral may lead to a Hôpital de Base, which serves as the first referral level, or to a general, university or specialist hospital for more complex care. Reference and counter-reference are intended to connect these levels, but transport, staffing and uneven facility readiness can interrupt continuity. A 24-hour emergency capacity at district level remains a policy target rather than a verified universal service. Before treatment, services include routine and campaign vaccination, antenatal care, newborn and child care, growth and nutrition support, prevention of mother-to-child HIV transmission, malaria prevention and testing, HIV and tuberculosis prevention or screening, and screening for non-communicable-disease risks. Mental-health support is being integrated but remains uneven. During care, facilities and laboratories address conditions including malaria, HIV, tuberculosis, hypertension, stroke, diabetes and cervical lesions. The Laboratoire National de Santé Publique and other laboratories support diagnosis, the Centre National de Transfusion Sanguine supports blood services, and CAMEPS supplies essential medicines. After treatment, follow-up may include adherence support for tuberculosis or HIV treatment, monitoring of chronic conditions, rehabilitation, palliative care and community follow-up. Continuity varies with medicine availability, workforce, transport and the quality of referrals. Government policy frames access to health care for residents regardless of residence, social status or education, but practical access is more difficult in remote, isolated and river-based areas. Direct payment remains a major way of obtaining care. CAMU was created by Law 19-2023, but no uniform national tariff or waiting-time standard has been verified. The available evidence also does not establish a nationwide patient charter, a uniform complaints procedure or a national patient-identification requirement. Recent programme evidence shows that a 2024 WHO-supported effort supplied essential medicines and equipment to 12 districts and reduced stock-outs by 20 percent. Tuberculosis treatment success reached 82 percent in the second quarter of 2024, compared with 78 percent in 2022. In 2025, UNICEF reported certification of 19 additional CSIs under Mavimpi Ya Mboté in Brazzaville and Pointe-Noire. Displayed AHO indicators include life expectancy of 65.60 years, healthy life expectancy of 56.40 years, maternal mortality of 282 per 100,000 live births, neonatal mortality of 18 per 1,000 live births and under-five mortality of 42.97 per 1,000 live births; the source years for these displayed values require separate checking. Service availability was displayed at 39 percent.
Health in Congo Republic
Health care in the Republic of the Congo combines public, private and community services. Care usually starts in a community service or health centre, then moves to a basic hospital or a general, university or specialist hospital when referral is needed. Access is available in principle to all residents, but distance, transport, staffing, medicine stocks and local facility readiness affect the practical care pathway.
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