[ Itinéraire thérapeutique du patient en milieu urbain africain: Cas de la ville de Goma à l’est de la RD Congo ]
Volume 53, Issue 1, February 2021, Pages 85–97
Jean-Bosco Kahindo Mbeva1, Mitangala Ndeba Prudence2, Edgar Tsongo Musubao3, Mahamba Nzanzu4, Ntabe Namegabe Edmond5, Celestin Kimanuka6, Hélène Lambert7, and Denis Porignon8
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, PADISS, Bureau de Goma, RD Congo
3 ULB Coopération, PADISS, Bureau de Goma, 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
7 Université Catholique de Louvain, Belgium
8 Université de Liège (ULG), Liège, Belgium
Original language: French
Copyright © 2021 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 comprehensive study aimed at the reorganization of urban health services, this article describes the therapeutic itinerary of the urban patient in Goma city, Eastern Democratic Republic of Congo; the aim of this study was to identify the kind of health services attended by the urban patients. Methods: This descriptive and cross-sectional study was conducted using a random sampling procedure of 1000 household in Goma city in September 2017. The collected data were collected by professionals encoded and analyzed by statisticians using the SPSS version 23 software. Results: In an episode of sickness, more than half of patients (51%) sought from pharmaceutical offices without a prescription or self-medication, 25% used a structure with a doctor and only 7% sought treatment at the health facility of its health area. In addition, 7% of patients did not use any care while 3% of patients look first treatment in traditional pharmacopoeia. Higher levels of non-use of health care and mortality were noted in households with a female household head. On the other hand, there were no significant difference in the type of care, quality and perceptions of direct cost of care (P>0.05) depending on the head household gender. Discussion and Conclusion: The important recourse of the urban patient to self-medication and secondarily to health services with doctors, requires rethinking the organization and regulation of urban health services and pharmaceutical institutions.
Author Keywords: therapeutic itinerary, urban context, regulation, Democratic Republic of Congo.
Volume 53, Issue 1, February 2021, Pages 85–97
Jean-Bosco Kahindo Mbeva1, Mitangala Ndeba Prudence2, Edgar Tsongo Musubao3, Mahamba Nzanzu4, Ntabe Namegabe Edmond5, Celestin Kimanuka6, Hélène Lambert7, and Denis Porignon8
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, PADISS, Bureau de Goma, RD Congo
3 ULB Coopération, PADISS, Bureau de Goma, 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
7 Université Catholique de Louvain, Belgium
8 Université de Liège (ULG), Liège, Belgium
Original language: French
Copyright © 2021 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 comprehensive study aimed at the reorganization of urban health services, this article describes the therapeutic itinerary of the urban patient in Goma city, Eastern Democratic Republic of Congo; the aim of this study was to identify the kind of health services attended by the urban patients. Methods: This descriptive and cross-sectional study was conducted using a random sampling procedure of 1000 household in Goma city in September 2017. The collected data were collected by professionals encoded and analyzed by statisticians using the SPSS version 23 software. Results: In an episode of sickness, more than half of patients (51%) sought from pharmaceutical offices without a prescription or self-medication, 25% used a structure with a doctor and only 7% sought treatment at the health facility of its health area. In addition, 7% of patients did not use any care while 3% of patients look first treatment in traditional pharmacopoeia. Higher levels of non-use of health care and mortality were noted in households with a female household head. On the other hand, there were no significant difference in the type of care, quality and perceptions of direct cost of care (P>0.05) depending on the head household gender. Discussion and Conclusion: The important recourse of the urban patient to self-medication and secondarily to health services with doctors, requires rethinking the organization and regulation of urban health services and pharmaceutical institutions.
Author Keywords: therapeutic itinerary, urban context, regulation, Democratic Republic of Congo.
Abstract: (french)
Introduction: Cet article décrit l’itinéraire thérapeutique de la patientèle urbaine de Goma, à l’Est de la République Démocratique du Congo; l’objectif étant d’identifier le type de services de santé fréquentés par les patients et leur niveau de satisfaction. Méthodologie: Cette étude transversale descriptive a procédé par une enquête par questionnaire administré auprès d’un échantillon aléatoire simple de 1000 ménages de la ville de Goma, en septembre 2017. Les données collectées par des professionnels ont été encodées et analysées grâce au logiciel SPSS version 23. Résultats: Lors d’un épisode maladie, plus de la moitié des patients (51%) recourt en première intention à une officine pharmaceutique sans ordonnance ou à l’automédication, 25% recourent à une structure avec médecin et seulement 7% utilisent le centre de santé de son aire de santé. Enfin 7% de patients ne recourent à aucuns soins tandis que 3% de patients recourent à la pharmacopée traditionnelle. Des niveaux plus élevés de non-recours aux soins et de mortalité sont notés dans les ménages avec un chef de ménage de sexe féminin (p<0,05). En revanche, aucune différence significative de type de recours aux soins, de perceptions de la qualité et du coût direct des soins n’est observée (p>0,05) selon que le chef de ménage est de sexe masculin ou féminin. Discussion et Conclusion: Le recours important de la patientèle urbaine à l’automédication, secondairement aux services sanitaires avec médecins et exceptionnellement au centre de santé, impose de repenser l’organisation et la régulation des services de santé urbains.
Author Keywords: itinéraire thérapeutique, contexte urbain, régulation, Goma, République Démocratique du Congo.
How to Cite this Article
Jean-Bosco Kahindo Mbeva, Mitangala Ndeba Prudence, Edgar Tsongo Musubao, Mahamba Nzanzu, Ntabe Namegabe Edmond, Celestin Kimanuka, Hélène Lambert, and Denis Porignon, “Patient itinerary in Africa settings: Goma city case in the east of the Democratic Republic of Congo,” International Journal of Innovation and Scientific Research, vol. 53, no. 1, pp. 85–97, February 2021.
