Résumé : In this article, we present the process leading to the pilot test of a new primary health care services model in Goma (DRC). This new model proposes the introduction of a multidisciplinary team in the urban health centres to offer comprehensive and better-quality patient care. Our contribution highlights the importance of an in-depth analysis of the urban context for the implementation of a new model of care, and the usefulness of a constructive dialogue and active participation of all relevant stakeholders. Our analysis informs launches new research perspectives on the improvement of health care services access in the urban areas.