[ Système de Référence des Centres de Santé vers l’Hôpital Général de Référence de Bwamanda RDC de Septembre à Novembre 2021 ]
Volume 38, Issue 1, November 2022, Pages 1–10
Pascal LENGA WALE1, Joly BOFIO NAGENEGO2, Annette MBILISI LISAMBO3, Judith DJEKEMBE MANIAMA4, and Daniel Matili Widobana5
1 Institut Supérieur des Techniques Médicales de Gemena, RDC
2 Institut Supérieur des Techniques Médicales de Zongo, RDC
3 Institut Supérieur des Techniques Médicales de Gemena, RD Congo
4 Institut Supérieur des Techniques Médicales de Zongo, RDC
5 Institut Supérieur des Techniques Médicales de Gemena, RD Congo
Original language: French
Copyright © 2022 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.
The present study was carried out in the Zone of Health of Bwamanda, in the Provincial Division of the South Ubangi in DRC. The various actors on ground, in particular the male nurses, the patients and the population in general were approximate for better including/understanding their attitude and difficulties compared to the frame of reference. The transport and the costs of care in general like the transport charges, the costs secondary and the tariffs of care probably constitute the most significant barriers compared to the reference. Nevertheless, other barriers could be identified with certainty, more particularly the negative attitude of the male nurses towards the references (because they would decrease their prestige), the deficit of dialogue between the male nurse and his patients, corruption on the level of the hospital and the visits of the culturally obligatory patients for the population. Other cultural barriers are resignation and the recourse to the traditional therapists. This study enabled us to better include/understand the stakes of the frame of reference. It now remains to be seen how the medical services can reinforce the system in order to act on the various determinants favorable to the change.
Author Keywords: Frame of reference, patients, male nurses, attitudes and difficulties.
Volume 38, Issue 1, November 2022, Pages 1–10
Pascal LENGA WALE1, Joly BOFIO NAGENEGO2, Annette MBILISI LISAMBO3, Judith DJEKEMBE MANIAMA4, and Daniel Matili Widobana5
1 Institut Supérieur des Techniques Médicales de Gemena, RDC
2 Institut Supérieur des Techniques Médicales de Zongo, RDC
3 Institut Supérieur des Techniques Médicales de Gemena, RD Congo
4 Institut Supérieur des Techniques Médicales de Zongo, RDC
5 Institut Supérieur des Techniques Médicales de Gemena, RD Congo
Original language: French
Copyright © 2022 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
The present study was carried out in the Zone of Health of Bwamanda, in the Provincial Division of the South Ubangi in DRC. The various actors on ground, in particular the male nurses, the patients and the population in general were approximate for better including/understanding their attitude and difficulties compared to the frame of reference. The transport and the costs of care in general like the transport charges, the costs secondary and the tariffs of care probably constitute the most significant barriers compared to the reference. Nevertheless, other barriers could be identified with certainty, more particularly the negative attitude of the male nurses towards the references (because they would decrease their prestige), the deficit of dialogue between the male nurse and his patients, corruption on the level of the hospital and the visits of the culturally obligatory patients for the population. Other cultural barriers are resignation and the recourse to the traditional therapists. This study enabled us to better include/understand the stakes of the frame of reference. It now remains to be seen how the medical services can reinforce the system in order to act on the various determinants favorable to the change.
Author Keywords: Frame of reference, patients, male nurses, attitudes and difficulties.
Abstract: (french)
La présente étude a été menée dans la Zone de Santé de Bwamanda, dans la Division Provinciale du Sud Ubangi en RDC. Les différents acteurs sur terrain, notamment les infirmiers, les patients et la population en général ont été approchés pour mieux comprendre leurs attitudes et difficultés par rapport au système de référence. Néanmoins d’autres barrières ont pu être identifiées avec certitude, plus particulièrement l’attitude négative des infirmiers envers les références (parce qu’elles diminueraient leur prestige), le déficit de dialogue entre l’infirmier et ses patients, et les visites des malades culturellement obligatoires pour la population. D’autres barrières culturelles sont la résignation et le recours aux guérisseurs traditionnels. Cette étude nous a permis de mieux comprendre les enjeux du système de référence. Il reste maintenant à voir comment les services sanitaires peuvent renforcer le système en vue d’agir sur les différents déterminants favorables au changement.
Author Keywords: Système de référence, patients, infirmiers, attitudes et difficultés.
How to Cite this Article
Pascal LENGA WALE, Joly BOFIO NAGENEGO, Annette MBILISI LISAMBO, Judith DJEKEMBE MANIAMA, and Daniel Matili Widobana, “Referral System from Health Centers to the General Reference Hospital of Bwamanda DRC from September to November 2021,” International Journal of Innovation and Applied Studies, vol. 38, no. 1, pp. 1–10, November 2022.
