Objective: Mbujimayi like the other African cities where the environmental, social and economic problems, promote the development of urban pathology, several factors limit or promote access to quality health care services especially for slum dwellers. The objective of this study was to analyze factors associated with seeking care in this city. Material and Methods: This study was conducted in 2010 on the therapeutic use in six health zones of the 10 areas that make up the urban medical district of the city with a cross-sectional survey of 386 households. To study the association of different factors, we relied on crosstabs and statistical associations: we connected, one by one, the independent variables to those characterizing the use of care; we evaluated the significance of the statistical relationships subjecting the consequences we assume they induced the chi-square test. The degree of significance of the associations has been indicated by the value of p < 0.05. Data processing was carried out using the software Epi-Info 6 version 3.5. 1, 2008, and Excel for tables. Results: The results show that therapeutic routes are as diverse as health care supply is varied. It appears from this study that 94.8% of households had at least one case of disease, 70.5% used modern health care, 17.1% consulted traditional healers, 4.3% practiced self-medication and 8.1% gave up to care. 70.3% have resorted to private structures, 85.7% used private structures. The corresponding description said the gender of the household head, sex and age of the patient, the level of education of the household head, the distance, the supposed cause of the disease and care of financing are factors associated with access to both modern and traditional treatments (p < 0.05).
Cite this paper
Guillaume, K. M. A. , Christophe, B. T. J. , Christine, K. B. , Henock, M. K. J. , Anaclet, M. M. , Valentin, K. B. , Patricia, M. L. , André, M. K. and Stanis, W. O. (2019). Factors Associated with Inequalities in Access to Health Care to Mbujimayi (Kasai Oriental/DR Congo). Open Access Library Journal, 6, e5666. doi: http://dx.doi.org/10.4236/oalib.1105666.
Fournier, P. and Haddad, S. (1995) Factors Associated with the Use of Health Services in Developing Countries. Sociology Populations, Montreal, 289-325
Obrist, B., Iteba, N., Lengeler, C., et al. (2007) Access to Health Care in Contexts of Livelihood Insecurity: A Framework for Analysis and Action. PLoS Medicine, 4, e308. https://doi.org/10.1371/journal.pmed.0040308
Mariko, M. (2003) Access to Quality Care: Results of an Empirical Study Conducted in Bamako (Mali), AUDIBERT and Went in Health Financing in African Countries and Low-Income Asia. Paris, Karthala, 41-58.
Mariko, M. (2003) Quality of Care and the Demand for Health Services in Bamako, Mali: The Specific Roles of Structural, Process and Outcome Components. Social Science & Medicine, 56, 1183-1196. https://doi.org/10.1016/S0277-9536(02)00117-X
Haddad, S., Nougtara, A. and Ridde, V. (2004) Inequalities in Access to Health Services and Their Determinants in BURKINA FASO. Health, Company and Soli- darity, No. 2, 203.
Raynaud, D. (2005) Individual Determinants of Health Spending: The Influence of Social Class and Supplementary Health Insurance in Studies and Results. No. 378, DREES.
Zougba, A.D. (2000) Services of Care and Quality in Burkina Faso: An Interpretation and Management of the Health Issue Particularly Advanced, Difficulties and Defi- ciencies, Ouagadougou, Burkina Faso. 22.
Coulibally, I. and Balla Keita Kuepe, M. (2008) The Determinants of Therapeutic Use in Mali between Sociocultural, Economic Factors and Geographical Accessibility. http://retro.erudit.org/livre/AIDELF/2008
Wembonyama, S., Mpaka, S. and Tshilolo, L. (2007) Medicine and Health in the Democratic Republic of Congo’s independence in 3rd Republic. Medicine Tropical, 67, 447-457.
Manzambi, J.K. (2002) Determinants of Seeking Behavior Health Center in Urban Africa: Results of a Survey of Households Conducted in Kinshasa-Congo. Deve- lopment and Health, No. 160.
Diakite, B.D., Diarra, T. and Traores (1993) Use of Care and Medical Consumption in the District of Bankoni. Healing If the Mali, Orstom, Khartala, Paris, 343.
Mushagalusa, S.P. (2005) Study of Socio-Economic Determinants of Access to the Use of Health Services by Households in the Health Zone Kadutu/South Kivu. Master’s Degree, UNIKIN.
Sow, B. (1994) Survey of the Will and the Ability of Households to Pay for Health Care in Three Provinces of Burkina Faso, the USAID Mission in Burkina Faso and the Division of Sectoral Reforms and Policies. Office of Health and Nutrition, Bureau for Global Programs Field Support and Research, US Agency for Inter- national Development.
Moussa, D., Yves de Hersan, A.M. and Anta Ta Dial, J. (2014) Demand Deter- minants of Peri-Urban Care in a Context of Subsidy in Pikine, Senegal. Studies and Documents, No. 15, CERDI. http://www.cerdi.org/ed
Cissé, B., Luchini, S. and Moatti, J.P. (2004) The Effects of Cost Recovery Policies on the Demand for Care in Developing Countries: Conflicting Results of the Reasons. French Journal of Economics, 18, 111-149.
Gessler, M.C., Msuya, D., Nkunya, M.H., Schar, A., Heinrich, M. and Tanner, M. (1995) Traditional Healers in Tanzania: The Perception of Malaria and Its Causes. Journal of Ethnopharmacology, 48, 119-130. https://doi.org/10.1016/0378-8741(95)01294-N
Sy, I., Keita, M., Mostapha, O.T., Baddidy, L.O., Tanner, M. and Cisse, G. (2010) Use of Care and Use of Health Services in Nouakchott (Mauritania): Spatial Inequa- lities or Social Constraints? Health, 1, 13-21.
Duchenne, D. (1998) Duchenne Devaluation of the Function of the Health Care Demand in Tanzania Center for Research and Development in Economics (CRC). University of Montreal, Montreal.
Sylvain Landry, F. and Lalou Adjamagbo, R.A. (2004) Caring for Children Exclu- sively at Home for Malaria in Rural Senegal: An Effect of Poverty? African Popu- lation. Studies, 19, 221-240.
Baxerres, C. and Le Hesran, J.Y. (2004) Care Seeking for Fever in Children Sereer Country Senegal: Economic Constraint and Illness Perception. Social Science & Health, 22, 19. https://doi.org/10.3406/sosan.2004.1634