Far from being a reality in the daily life of populations, access to quality health care is more like a propagandist leitmotif in the head of the decision-making bodies of our country's health system. Are there not, however, means to facilitate this access? this is the question that lurks in the heads of those who suffer in search of such quality care. Several solutions can be proposed to gain access to care and achieve the goal of universal health coverage. And for poor or developing countries, the appropriate solution remains the pooling of available resources despite their limitations. Academic institutions, places of training and melting pot for the youth and future of the country can serve as laboratories to develop these experiences before considering their extension within the wider community. Mutual health insurance is a system of solidarity between the members of a professional group of mutual assistance, this organization brings together people of the same category or tendency to belong to.
Still and still poorly understood, misdiagnosed, underreported or simply ignored, urogenital schistosomiasis remains widespread in sub-Saharan Africa, the DRC and the province of Nord-Ubangi. Its early recognition, even if asymptomatic, is essential because of the multiple complications it causes; the high risk of HIV transmission and, if left untreated, the risk of infertility and the development of bladder cancer and many more. The geo-climatological data from the northwest of the Bosobolo health zone in the Province of Health Division (DPS) of Nord-Ubangi, more specifically, the health areas of Bomanza, Bubanda and Bokada-Pombo are characteristic for the development. of this disease. The treatment is based on Praziquantel, 40 mg / kg as a single dose to be repeated after one month. The only means of the most effective control these days remain the prophylaxis (mass and individual) which passes by the knowledge of the disease and its signs as well as the appropriate means of which the prevention, without which, the fight against the schistosomiasis uro -Genital risks being a losing battle in advance.
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