[ Profil de l’offre des soins médicaux en milieu urbain africain: Cas de la ville de Goma à l’est de la RDC ]
Volume 31, Issue 3, December 2020, Pages 458–471
Jean-Bosco Kahindo Mbeva1, Mitangala Ndeba Prudence2, Hermès Karemere3, Edgar Tsongo Musubao4, Ntabe Namegabe Edmond5, and Celestin Kimanuka6
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, PADISS, Bureau de Goma, RD Congo
3 Ecole régionale de Santé Publique, Université catholique de Bukavu, Bukavu, Sud-Kivu, RD Congo
4 ULB Coopération, PADISS, Bureau de Goma, RD Congo
5 Université Libre des Pays des Grands Lacs (ULPGL), Goma, Nord Kivu, RD Congo
6 Institut National de Statistiques-Direction du Nord Kivu; Goma, Nord Kivu, RD Congo
Original language: French
Copyright © 2020 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: As part of a process to reorganize urban health services, this article analyzes the profile of health services in the eastern DRC city of Goma; the aim is to identify their distribution and level of medicalization. Methods: This descriptive and cross-sectional study conducted a comprehensive survey of health care facilities in the city of Goma in January 2018. Geographical and health data (infrastructure, equipment, human resources, care provided) were collected by professionals. They were encoded and analyzed using SPSS version 20 software. Results: The urban supply of care in Goma is too bloated with one facility for 8,794 inhabitants, one hospital bed for 326 inhabitants, one nurse for 586 inhabitants and one doctor for 2567 inhabitants. On the other hand, a lack of midwives, sub-equipment and infrastructure that does not meet hospital standards are observed. This health facilities, mainly privately lucrative (79%) with 56% of establishments created in the last 6 years, are variously distributed. The first-line care offer represents 34% and incorporates a medical practice in 43% of cases. Discussion and Conclusion: This provision of care requires strong regulation from the perspective of a better governed, streamlined and staggered urban health system, which better meets the quality standards and user’s expectations in urban contexts.
Author Keywords: Health service, urban context, regulation, Democratic Republic of Congo.
Volume 31, Issue 3, December 2020, Pages 458–471
Jean-Bosco Kahindo Mbeva1, Mitangala Ndeba Prudence2, Hermès Karemere3, Edgar Tsongo Musubao4, Ntabe Namegabe Edmond5, and Celestin Kimanuka6
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, PADISS, Bureau de Goma, RD Congo
3 Ecole régionale de Santé Publique, Université catholique de Bukavu, Bukavu, Sud-Kivu, RD Congo
4 ULB Coopération, PADISS, Bureau de Goma, RD Congo
5 Université Libre des Pays des Grands Lacs (ULPGL), Goma, Nord Kivu, RD Congo
6 Institut National de Statistiques-Direction du Nord Kivu; Goma, Nord Kivu, RD Congo
Original language: French
Copyright © 2020 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: As part of a process to reorganize urban health services, this article analyzes the profile of health services in the eastern DRC city of Goma; the aim is to identify their distribution and level of medicalization. Methods: This descriptive and cross-sectional study conducted a comprehensive survey of health care facilities in the city of Goma in January 2018. Geographical and health data (infrastructure, equipment, human resources, care provided) were collected by professionals. They were encoded and analyzed using SPSS version 20 software. Results: The urban supply of care in Goma is too bloated with one facility for 8,794 inhabitants, one hospital bed for 326 inhabitants, one nurse for 586 inhabitants and one doctor for 2567 inhabitants. On the other hand, a lack of midwives, sub-equipment and infrastructure that does not meet hospital standards are observed. This health facilities, mainly privately lucrative (79%) with 56% of establishments created in the last 6 years, are variously distributed. The first-line care offer represents 34% and incorporates a medical practice in 43% of cases. Discussion and Conclusion: This provision of care requires strong regulation from the perspective of a better governed, streamlined and staggered urban health system, which better meets the quality standards and user’s expectations in urban contexts.
Author Keywords: Health service, urban context, regulation, Democratic Republic of Congo.
Abstract: (french)
Introduction: Dans le cadre d’un processus visant la réorganisation des services de santé urbains, cet article analyse le profil des services de santé dans la ville de Goma, à l’Est de la République Démocratique du Congo; l’objectif étant d’identifier leur distribution et leur niveau de médicalisation. Méthodologie: Cette étude transversale descriptive a procédé par une enquête exhaustive auprès des établissements de soins de la ville de Goma, en janvier 2018. Les données géographiques et sanitaires (infrastructures, équipements, ressources humaines, soins prestés) ont été collectées par des professionnels. Elles ont été encodées et analysées grâce au logiciel SPSS version 23. Résultats: L’offre urbaine de soins à Goma est pléthorique avec un établissement pour 8.794 habitants, un lit hospitalier pour 326 habitants, un infirmier pour 586 habitants et un médecin pour 2567 habitants. En revanche, une carence en sages-femmes, un sous équipement hospitalier et des infrastructures répondant peu aux normes hospitalières sont notés. Cette offre de soins, principalement privée lucrative (79%) avec 56% d’établissements créés au cours de 6 dernières années, est diversement distribuée. L’offre de soins de la première ligne représente 34% et intègre une pratique médicalisée dans 43% des cas. Discussion et Conclusion: Cette offre de soins, requiert une forte régulation dans une perspective d’un réseau de santé urbain mieux gouverné, rationalisé et échelonné, qui réponde davantage aux standards de qualité et aux attentes des usagers en contexte urbain.
Author Keywords: Service de santé, contexte urbain, régulation, Goma, République Démocratique du Congo.
How to Cite this Article
Jean-Bosco Kahindo Mbeva, Mitangala Ndeba Prudence, Hermès Karemere, Edgar Tsongo Musubao, Ntabe Namegabe Edmond, and Celestin Kimanuka, “Urban health services profile in Africa settings: Goma city case in the east of the Democratic Republic of Congo,” International Journal of Innovation and Applied Studies, vol. 31, no. 3, pp. 458–471, December 2020.
