TITLE:
Organisational Health and Resilience of Community Health Insurance Schemes in Bukavu Eastern DRC
AUTHORS:
Buhendwa Wendo M. Victor, Bédan Mokakando Alonga, Léandre Simbananiye, Philippe Awezaye Mwilarhe, Ildephonse Sindayigaya
KEYWORDS:
Health, Organisational Health, Psychological and Physiological State of Health, Living Organisation-Organism, Community Health Mutuality (Musaco), Organisational Therapy
JOURNAL NAME:
Open Journal of Social Sciences,
Vol.11 No.9,
September
20,
2023
ABSTRACT: This
study aims to analyse the health status and transformative potential of
community health mutualism (Musaco) to ensure support for inclusive access to
healthcare. In dealing with this, it analyses the psychological, physiological,
behavioural, systemic and absorptive factors of the mutual health organisations
in question. On the basis of the untypicalities, deficits, gaps and
disturbances in operation, it diagnoses the organisational structure, in towns
compared to the countryside; describes the structure and functionality, the
evolution of membership, penetration and the recovery of contributions and
care. The data collected provided the necessary inputs. The Integrated Organisation Model (IOM) was used as an organisational
diagnostic tool. Data processing was carried out using Stata and Excel
software. Qualitative analysis of the reports and the results of the interviews
enriched the quantitative data. Discussion of the results generally reveals
obstacles, with or without significant differences between towns and villages.
The differences appear in the “Inputs-Processing-Outputs”
process and the reuse of outputs. Similarly, the strong influence of the
technostructure and the lack of managerial compassion somewhat delay the
weaning and emergence of Musaco. However, assets such as the commitment and optimism
of the managers and the attachment of the members, as well as opportunities
such as the support and backing of the local authorities, are all essential to
the success of Musaco.