Mutual Health Insurance and Access to Care in the Health Zone of Kabinda, Kasai-Oriental, Democratic Republic of Congo (DRC) - Open Access Library Journal

OALibJ > Vol.4 No.4, April 2017

Mutual Health Insurance and Access to Care in the Health Zone of Kabinda, Kasai-Oriental, Democratic Republic of Congo (DRC) ()

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DOI: 10.4236/oalib.1103568 1,204 Downloads 2,321 Views Citations

Author(s)

Cibangu Kazadi Richard^1*, Bilonda Mpiana Alphonsine¹, Kabengele Mpinga Emmanuel², Mulewu Ngandu Hippolyte³, Ciamala Mukendi Paul⁴, Kanyiki Katala Moise⁵, Kapitena Mangola Dominique¹, Tshimungu Kandolo Félicien⁶

Affiliation(s)

¹Department of Nursing, Higher Institute of Health Sciences of the Red Cross, Mbuji-Mayi, Democratic Republic of Congo.
²Department of Community Health and Medicine, Faculty of Medicine, Institute of Global Health, University of Geneva, Geneva, Switzerland.
³Department Nutrition Section of Nutrition and Dietetics, The Higher Institute of Medical Techniques of Mbuji-Mayi, Mbuji-Mayi, Democratic Republic of Congo.
⁴Department of Education and Administration in Nursing, Nursing Section, The Higher Institute of Medical Techniques of Mbuji-Mayi, Mbuji-Mayi, Democratic Republic of Congo.
⁵Department of Epidemiology, Division of Community Health, The Higher Institute of Medical Techniques of Mbuji-Mayi, Mbuji-Mayi, Democratic Republic of Congo.
⁶Department of Public Health, Epidemiology, Policy and Health System Division of Community Health, The Higher Institute of Medical Technologies, Kinshasa, Democratic Republic of Congo.

ABSTRACT

In the Democratic Republic of Congo, a large part of the population now lives in a context of extreme poverty and suffers from serious health problems. Deprived of social protection, these people see themselves therefore in the financial inability to access quality health care. This study aims to analyze the different characteristics of members of the mutual health insurance and compare with non-members. The following observations were made: Of those surveyed, 97.7% and 91.4% of members were not members resorted average 4 times to health services during the last 6 months prior to the survey, a statistically significant difference was observed (p = 0.027). The survey data showed that a significant proportion of members and non-members (62.5% vs 66.4%; p = 0.36) had resorted to self-medication. For non-members, the rate of self-medication and traditional therapy were higher. Lack of money is mentioned by members and non-members as a problem limiting access to health care (38.3% vs 69.5%; p < 0.0001).

KEYWORDS

Membership, Mutual Health, Access to Care, Rural Kabinda

Share and Cite:

Richard, C. , Alphonsine, B. , Emmanuel, K. , Hippolyte, M. , Paul, C. , Moise, K. , Dominique, K. and Félicien, T. (2017) Mutual Health Insurance and Access to Care in the Health Zone of Kabinda, Kasai-Oriental, Democratic Republic of Congo (DRC). Open Access Library Journal, 4, 1-11. doi: 10.4236/oalib.1103568.

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