[ De l’utilisation des services en milieu urbain à la couverture sanitaire universelle dans le contexte du système de santé de la République Démocratique du Congo : cas de la ville de Goma ]
Volume 26, Issue 1, April 2019, Pages 175–184
Mitangala Ndeba Prudence1, Jean Bosco Kahindo Mbeva2, Musubao Tsongo Muhatikani Edgar3, Janvier Kubuya Bonane4, and Celestin Kimanuka5
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, Padiss, Bureau du Nord Kivu, Goma, RD Congo
3 ULB Coopération, Padiss, Bureau du Nord Kivu, Goma, RD Congo
4 Division Provinciale de la Santé du Nord Kivu, Goma, RD Congo
5 Institut National de Statistiques-Direction du Nord Kivu; Goma, Nord Kivu, RD Congo
Original language: French
Copyright © 2019 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Introduction : The organizational model of health in the Democratic Republic of Congo is based on primary health care. Overall, the organization of this system in urban areas still depend on the one of rural areas where public health facilities predominate. Only data from these integates facilities are taken into consideration for the evaluation of utilization services. In this context, in cities where private health facilities proliferate, the level of use is still considered low. Methodology : Data were analyzed in relation to the curative service utilization of all functional health facilities in the eastern DRC city of Goma in order to estimate the overall health coverage for the year 2017 and its contribution in monitoring progress towards universal health coverage. Results : Overall utilization of curative services was 0.61 new case per capita. In this global utilization, the contribution of integrated health facilities in the health system was only 18.7% (n = 579,555). More than 75% of this utilization was covered by private health facilities. But in thses private health facilities, quality was poor. Conclusion : In urban areas, most medical supply service was provided by private health facilities, their non consideration does not make it possible to correctly assess either their use by the population nor the progress towards universal health coverage. In a context of increasing urbanization, the accreditation of private health facilities could be an innovative strategy for their integration, improve quality and good monitoring progress towards universal health coverage.
Author Keywords: urban health, provision of care, universal health coverage, accreditation, service utilization.
Volume 26, Issue 1, April 2019, Pages 175–184
Mitangala Ndeba Prudence1, Jean Bosco Kahindo Mbeva2, Musubao Tsongo Muhatikani Edgar3, Janvier Kubuya Bonane4, and Celestin Kimanuka5
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, Padiss, Bureau du Nord Kivu, Goma, RD Congo
3 ULB Coopération, Padiss, Bureau du Nord Kivu, Goma, RD Congo
4 Division Provinciale de la Santé du Nord Kivu, Goma, RD Congo
5 Institut National de Statistiques-Direction du Nord Kivu; Goma, Nord Kivu, RD Congo
Original language: French
Copyright © 2019 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction : The organizational model of health in the Democratic Republic of Congo is based on primary health care. Overall, the organization of this system in urban areas still depend on the one of rural areas where public health facilities predominate. Only data from these integates facilities are taken into consideration for the evaluation of utilization services. In this context, in cities where private health facilities proliferate, the level of use is still considered low. Methodology : Data were analyzed in relation to the curative service utilization of all functional health facilities in the eastern DRC city of Goma in order to estimate the overall health coverage for the year 2017 and its contribution in monitoring progress towards universal health coverage. Results : Overall utilization of curative services was 0.61 new case per capita. In this global utilization, the contribution of integrated health facilities in the health system was only 18.7% (n = 579,555). More than 75% of this utilization was covered by private health facilities. But in thses private health facilities, quality was poor. Conclusion : In urban areas, most medical supply service was provided by private health facilities, their non consideration does not make it possible to correctly assess either their use by the population nor the progress towards universal health coverage. In a context of increasing urbanization, the accreditation of private health facilities could be an innovative strategy for their integration, improve quality and good monitoring progress towards universal health coverage.
Author Keywords: urban health, provision of care, universal health coverage, accreditation, service utilization.
Abstract: (french)
Introduction : Le modèle organisationnel des soins en République Démocratique du Congo est basé sur les soins de santé primaires. Globalement, l’organisation de ce système dans le milieu urbain reste calqué sur celle du milieu rural où prédominent les formations sanitaires publiques. Seules les données issues de ces formations publiques sont prises en considération pour l’évaluation de l’utilisation des services. Dans cette optique, dans les villes où prolifèrent les formations sanitaires privées, le niveau d’utilisation est toujours jugé bas. Méthodologie : Nous avons analysé les données de l’utilisation curative de toutes les formations sanitaires fonctionnelles dans la ville de Goma à l’Est de la RDC en vue d’estimer la couverture sanitaire globale pour l’année 2017 et son apport dans le suivi des progrès vers la couverture sanitaire universelle. Résultats : L’utilisation globale des services de consultation curative était de 0,61 nouveau cas par habitant. Dans cette utilisation, la contribution des formations sanitaires intégrées dans le système de santé n’était que de 18,7 % (n= 579 555). Plus de 75% de cette utilisation était couvert par les formations sanitaires privées avec une faible qualité des soins. Conclusion : Dans le milieu urbain, l’offre des soins étant majoritairement faite par les formations sanitaires privées, leur non considération ne permet pas d’évaluer correctement ni l’utilisation par la population ni les progrès vers la couverture sanitaire universelle. Dans un contexte d’urbanisation croissante, l’accréditation des formations sanitaires privées pourrait être une stratégie innovante permettant leur intégration avec amélioration de la qualité de leurs prestations et un bon suivi des progrès vers la couverture sanitaire universelle.
Author Keywords: santé urbaine, offre des soins, couverture sanitaire universelle, accréditation, utilisation des services.
How to Cite this Article
Mitangala Ndeba Prudence, Jean Bosco Kahindo Mbeva, Musubao Tsongo Muhatikani Edgar, Janvier Kubuya Bonane, and Celestin Kimanuka, “From care services utilization in urban areas to the universal health coverage in the context of the health system in the Democratic Republic of Congo: the case of the city of Goma,” International Journal of Innovation and Applied Studies, vol. 26, no. 1, pp. 175–184, April 2019.
