[Mutual health insurance in Bukavu in the Democratic Republic of the Congo: factors favouring the utilization of health services by adherents].
Mutuelles de santé à Bukavu en République Démocratique du Congo: facteurs favorables à l’utilisation des services de santé par des adhérents.
Bukavu
Democratic Republic of the Congo
Mutual health insurance
South Kivu
determinants
use of services
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2020
2020
Historique:
received:
25
09
2019
accepted:
10
12
2019
entrez:
9
7
2020
pubmed:
9
7
2020
medline:
29
12
2020
Statut:
epublish
Résumé
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. 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. 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. 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.
Identifiants
pubmed: 32636998
doi: 10.11604/pamj.2020.35.100.20441
pii: PAMJ-35-100
pmc: PMC7320771
doi:
Types de publication
Journal Article
Langues
fre
Sous-ensembles de citation
IM
Pagination
100Informations de copyright
© Justine Bashi et al.
Déclaration de conflit d'intérêts
Les auteurs ne déclarent aucun conflit d'intérêts.
Références
Pan Afr Med J. 2015 Mar 23;20:281
pubmed: 26161204
Glob Health Promot. 2011 Jun;18(2):68-80
pubmed: 21744670
Presse Med. 1999 Oct 2;28(29):1610-3
pubmed: 10544717
C R Biol. 2008 Dec;331(12):952-63
pubmed: 19027696
Soc Sci Med. 1995 Mar;40(6):743-53
pubmed: 7747209
Trop Med Int Health. 1997 Jul;2(7):654-72
pubmed: 9270733
Sante Publique. 2012 Sep-Oct;24(5):453-8
pubmed: 23472986
Health Aff (Millwood). 2011 Aug;30(8):1518-27
pubmed: 21821568
Lancet. 2005 Mar 19-25;365(9464):1099-104
pubmed: 15781105
Soc Sci Med. 1995 Apr;40(8):1041-52
pubmed: 7597458
Cochrane Database Syst Rev. 2012 Feb 15;(2):CD007899
pubmed: 22336833
Bull World Health Organ. 2008 Nov;86(11):857-63
pubmed: 19030691
Arch Intern Med. 1998 Mar 9;158(5):466-72
pubmed: 9508224
Soc Sci Med. 1990;30(12):1319-27
pubmed: 2367877
Soc Sci Med. 1999 Apr;48(7):897-911
pubmed: 10192557
CMAJ. 2006 Mar 28;174(7):923
pubmed: 16567753
Trop Med Int Health. 2004 Nov;9(11):1222-7
pubmed: 15548320
Soc Sci Med. 1995 Apr;40(7):919-30
pubmed: 7792631
Trop Med Int Health. 2000 Aug;5(8):563-70
pubmed: 10995098