[ Recherche-action sur les centres de santé médicalisés urbains dans la ville de Goma (Est de la RDC): Bassin d’attraction et profil de la patientèle ]
Volume 39, Issue 2, April 2023, Pages 1057–1067
Jean-Bosco Kahindo Mbeva1, Edgar Tsongo Musubao2, Prudence Mitangala Ndeba3, Jean Pierre Noterman4, Paluku Bahwere5, Robert Vutsopire Kipumo6, Levis Kahandukya Nyavanda7, Aimé Kambale Saruti8, and Denis Porignon9
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, PADISS, Bureau de Goma, RD Congo
3 Faculté de médecine, Université Officielle de Ruwenzori (UOR), RD Congo
4 ULB Coopération, Goma, Nord Kivu, RD Congo
5 CEMUBAC Congo, Kinshasa, RD Congo
6 Université Catholique de Bukavu (UCB), Bukavu, RD Congo
7 Université Libre des Pays des Grands Lacs (ULPGL), Goma, RDC
8 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
9 Université de Liège (ULG), Liège, Belgium
Original language: French
Copyright © 2023 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: Faced with the growing phenomenon of urbanization and the need to adapt health services to the urban context, this article describes the catchment area and the profile of the patient who attended the two urban medical health centers (CSMU) set up, as part of an action research, in the city of Goma, Eastern Democratic Republic of (DRC). Methods: This is a retrospective observational study based on registry and patient record data from April 2019 to December 2021. Data collected on tablets were analyzed using statistical software STATA 14.1. Results: 14.433 patients attended both CSMUs during the period. Both CSMUs experienced attraction beyond the health areas of implantation (26.7%). The profile of the patient is predominantly female (62.3%), educated (70.5% graduated at least in the humanities), adult (44.9% aged 18 to 49), registered with the CSMU in 19.6% of cases. The reason for consultations is dominated by infectious (55.2%) and parasitic (10.6%) diseases, followed by chronic diseases (26.9%) and trauma (2.6%) (p <0.001). In more than 90% of cases, the care involves 3 different skills (medical, nurses and social worker) of the multidisciplinary team. Discussion and Conclusion: The catchment area and patient profile found show the interest of rethinking the way urban health services are organized in order to better meet the expectations of urban populations.
Author Keywords: multidisciplinary team, patient, urban context, Goma, Democratic Republic of Congo.
Volume 39, Issue 2, April 2023, Pages 1057–1067
Jean-Bosco Kahindo Mbeva1, Edgar Tsongo Musubao2, Prudence Mitangala Ndeba3, Jean Pierre Noterman4, Paluku Bahwere5, Robert Vutsopire Kipumo6, Levis Kahandukya Nyavanda7, Aimé Kambale Saruti8, and Denis Porignon9
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, PADISS, Bureau de Goma, RD Congo
3 Faculté de médecine, Université Officielle de Ruwenzori (UOR), RD Congo
4 ULB Coopération, Goma, Nord Kivu, RD Congo
5 CEMUBAC Congo, Kinshasa, RD Congo
6 Université Catholique de Bukavu (UCB), Bukavu, RD Congo
7 Université Libre des Pays des Grands Lacs (ULPGL), Goma, RDC
8 Université Officielle de Ruwenzori (UOR), Butembo, RD Congo
9 Université de Liège (ULG), Liège, Belgium
Original language: French
Copyright © 2023 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: Faced with the growing phenomenon of urbanization and the need to adapt health services to the urban context, this article describes the catchment area and the profile of the patient who attended the two urban medical health centers (CSMU) set up, as part of an action research, in the city of Goma, Eastern Democratic Republic of (DRC). Methods: This is a retrospective observational study based on registry and patient record data from April 2019 to December 2021. Data collected on tablets were analyzed using statistical software STATA 14.1. Results: 14.433 patients attended both CSMUs during the period. Both CSMUs experienced attraction beyond the health areas of implantation (26.7%). The profile of the patient is predominantly female (62.3%), educated (70.5% graduated at least in the humanities), adult (44.9% aged 18 to 49), registered with the CSMU in 19.6% of cases. The reason for consultations is dominated by infectious (55.2%) and parasitic (10.6%) diseases, followed by chronic diseases (26.9%) and trauma (2.6%) (p <0.001). In more than 90% of cases, the care involves 3 different skills (medical, nurses and social worker) of the multidisciplinary team. Discussion and Conclusion: The catchment area and patient profile found show the interest of rethinking the way urban health services are organized in order to better meet the expectations of urban populations.
Author Keywords: multidisciplinary team, patient, urban context, Goma, Democratic Republic of Congo.
Abstract: (french)
Introduction: Le phénomène croissant d’urbanisation observé en République Démocratique du Congo (RDC) oblige une adaptation dans l’organisation des services de santé urbains. Dans cette perspective, cette étude décrit le bassin d’attraction et le profil de la patientèle ayant fréquenté les deux Centres de Santé Médicalisés Urbains (CSMU) mis en place dans ville de Goma à l’Est de la RDC dans le cadre d’une recherche-action. Méthodologie: Il s’est agi d’une étude basée sur l’analyse des données des registres et des dossiers des patients ayant fréquenté les deux CSMU pendant la période allant d’avril 2019 à décembre 2021. Résultats: Un total de 14433 patients a fréquenté les deux CSMU pendant la période. Les deux CSMU avaient connu une attraction au-delà des aires de santé d’implantation (26,7%). Le profil de la patientèle avait été de prédominance féminine (62,3%), instruite (70,5%), adulte (44,9% âgés de 18 à 49 ans), et issue des ménages inscrits au CSMU dans 19,6% des cas. Le motif de prise en charge était dominé par des pathologies infectieuses (55,2%) et parasitaires (10,6%), suivies des maladies chroniques (26,9%) et des traumatismes (2,6%) (p <0,001). Dans plus de 90% des cas, la prise en charge avait fait intervenir à la fois trois compétences différentes (médicales, infirmières et assistant social) de l’équipe pluridisciplinaire. Discussion et conclusion: Le bassin d’attraction et le profil de la patientèle trouvés montrent l’intérêt de repenser le mode d’organisation des services de santé urbains en vue de mieux répondre aux attentes des populations urbaines.
Author Keywords: équipe pluridisciplinaire, patientèle, contexte urbain, Goma, République Démocratique du Congo.
How to Cite this Article
Jean-Bosco Kahindo Mbeva, Edgar Tsongo Musubao, Prudence Mitangala Ndeba, Jean Pierre Noterman, Paluku Bahwere, Robert Vutsopire Kipumo, Levis Kahandukya Nyavanda, Aimé Kambale Saruti, and Denis Porignon, “Action research on urban health centers in Goma city (Eastern DRC): Attraction area and patient profile,” International Journal of Innovation and Applied Studies, vol. 39, no. 2, pp. 1057–1067, April 2023.
