[Mutual health insurance in Bukavu in the Democratic Republic of the Congo: factors favouring the utilization of health services by adherents].
| Autor: | Bashi J; Bureau Diocésain des Œuvres Médicales de Bukavu, Bukavu, République Démocratique du Congo., Sia D; Département des Sciences Infirmières, Université du Québec en Outaouais, Saint-Jerôme, Canada., Tchouaket E; Département des Sciences Infirmières, Université du Québec en Outaouais, Saint-Jerôme, Canada., Balegamire SJ; Ecole de Santé Publique, Université de Montréal, Montréal, Quebec, Canada., Karemere H; Faculté de Médecine, Ecole Régionale de Santé Publique, Université Catholique de Bukavu, Bukavu, République Démocratique du Congo. |
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| Jazyk: | francouzština |
| Zdroj: | The Pan African medical journal [Pan Afr Med J] 2020 Apr 07; Vol. 35, pp. 100. Date of Electronic Publication: 2020 Apr 07 (Print Publication: 2020). |
| DOI: | 10.11604/pamj.2020.35.100.20441 |
| Abstrakt: | Introduction: This study highlights the determinants of the use of health services by adherents to the three mutual health insurances in the town of Bukavu in the Democratic Republic of the Congo. Methods: We conducted a descriptive cross-sectional study, based on a perception survey among users of healthcare services affiliated to the mutual health insurances in the Bukavu health zones. The encoding and statistical analysis were carried out using the Epi INFO version 2010 software. Results: The main determinants of the use of healthcare services by adherents to the mutual health insurances are: the member's place of residence, the level of education of the head of household, the previous experience of care in the healthcare structure partner of the mutual health insurances, the reputation of the structure partner of the mutual health insurances and the ability of households to pay the user fee. Conclusion: This study highlights that, beyond the financial barrier, the implementation of a mutual health organisation should promote a better regulation of the user fee and a good quality of care to meet the care needs of members. The factors emerging from the study as a major determinant of the use of health services by adherents to a mutual health insurance are often not taken into account in the implementation of mutual health insurance in contexts similar to those of Bukavu. Competing Interests: Les auteurs ne déclarent aucun conflit d'intérêts. (© Justine Bashi et al.) |
| Databáze: | MEDLINE |
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