• The development of national health information system for the production of a directory of national health statistics, the development of the national health map and the establishment of a health observatory; • Enhancing the quality of care and services in health facilities; • Reform of the health financing system. In order to improve the health of the Congolese population, the Ministry for Health runs some 11 specific programmes, such as reproductive health, immunisation, fighting against malaria and diarrheal diseases, are integrated into the daily activities of the CSI, while others, such as the National Programme on AIDS Control (PNLS), develop structures and specific actions increasingly decentralised. At the end of 2012, all 36 health and social constituencies (CSS) were rationalised, which means that they had started the process of rationalisation based on the use of strategies "diagnostic treatment," the integration of care and the development of the standard package of activities on a programmatic approach and community participation in the management of integrated health centres (CSI). They implement the following components: organisation of the minimum package of activities; cost recovery; the use of essential drugs; relations with the community through participation bodies. The results of curative care, prenatal care, monitoring of growth and the Expanded Programme on Immunisation (EPI) show that the routine use of the CSI remains low due to, (i) frequent shortages of generic essential drugs (MEG); (ii) lack of information of communities on health actions; (iii) weaknesses in the supervision and monitoring of activities; (iv) the socio-economic situation of households and (v) a non-contextualised training. This led the government to develop, with the assistance of the World Bank, a programme of development of health services (PDSS) 2008-2012 which serves as a support framework to the PNDS and also includes equipment in terms of transport of various medicines and equipment. The programme benefits from institutional, financial and material support from the World Bank, through its subsidiary, the International Development Agency (IDA). This programme aims to ensure the strengthening of the health system in order to improve the health status of the population in general and women and children particularly through: • Strengthening leadership skills, management and operation of a decentralised health system; • The establishment of an effective and efficient system of human resources management; • Rehabilitation and re-equipment of health facilities; • Improving access to care package and quality essential services through (i) the definition of care packages and essential services; (ii) the national coverage of essential care and service packages; (iii) strengthening the supply system and reliable and sustainable management of medicines, equipment and medical consumables; (iv) promoting the commitment and community participation; (v) the promotion of equitable access to health services for vulnerable population. 62