How Does the Context Shape the Technical Support from the Provincial Health Administration to District Health Management Teams in the Democratic Republic of Congo? A Realist Evaluation.

The following excerpt from the interviews explains this: “In most cases, there is a positive trend [of the performance of the health districts] , which leads us to believe our [technical] support has brought about effects in the right direction.” [KII 6 , PHA] Based on quantitative routine data collected from DHIS2 software from 2018 to 2022, both HDs have shown good performance, with a score of 84% for Katoka HD and 80% for Bunkonde HD in 2022 ( Figure 5 ).

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