[ Revenu et dépenses de soins des ménages en milieu urbain de Goma, à l’est de la République Démocratique du Congo ]
Volume 57, Issue 2, November 2021, Pages 65–80
Mahamba Nzanzu1, Mitangala Ndeba Prudence2, Eric Tchouaket3, Edgar Tsongo Musubao4, Kavugho Kayenga Aminata5, and Jean-Bosco Kahindo Mbeva6
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, PADISS, Bureau de Goma, RD Congo
3 Faculté des sciences infirmières, Université du Québec en Outaouais, Canada
4 ULB Coopération, PADISS, Bureau de Goma, RD Congo
5 Division provinciale de la santé du Nord Kivu, Goma, Nord-Kivu, RD Congo
6 ULB Coopération, PADISS, Bureau de Goma, RD Congo
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: In a national context of increasing urban populations and commitment to universal health coverage, this study aims to analyze the household income and health care expenditure in the city of Goma, Eastern DRC.Methodology: This descriptive cross-sectional study was based on a 2017 survey of a sample of 1,000 households in the urban and suburban areas of the City of Goma on household income and health care expenditures during the last episode of illness. Data was analyzed by SPSS version 23.Results: The median monthly household income was 140 Usd, with 89.9% of households living on less than 1.9 Usd per day. Only 9.1% of households were covered by a health insurance system and 91.6% of households experienced at least one illness episode in the past three months. The use of care were dominated by self-medication by purchasing drugs from the pharmacy (50.7%), with non-care cases (6.8%), and varied by income quartile and gender (p <0.001). The median direct care expenditure was 10.7 Usd (0-2272.5 Usd), with catastrophic expenditures in 42.9% of cases and loss of working days and income, not varying according to income quartile (p> 0.05).Discussion and conclusion: This level of income and catastrophic healthcare expenditure requires progress towards a better thought-out compulsory health insurance system that capitalizes on innovative financing.
Author Keywords: Healthcare access, household income, catastrophic expenditures, health insurance, DRC.
Volume 57, Issue 2, November 2021, Pages 65–80
Mahamba Nzanzu1, Mitangala Ndeba Prudence2, Eric Tchouaket3, Edgar Tsongo Musubao4, Kavugho Kayenga Aminata5, and Jean-Bosco Kahindo Mbeva6
1 ULB Coopération, PADISS, Bureau de Goma, RD Congo
2 ULB Coopération, PADISS, Bureau de Goma, RD Congo
3 Faculté des sciences infirmières, Université du Québec en Outaouais, Canada
4 ULB Coopération, PADISS, Bureau de Goma, RD Congo
5 Division provinciale de la santé du Nord Kivu, Goma, Nord-Kivu, RD Congo
6 ULB Coopération, PADISS, Bureau de Goma, RD Congo
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: In a national context of increasing urban populations and commitment to universal health coverage, this study aims to analyze the household income and health care expenditure in the city of Goma, Eastern DRC.Methodology: This descriptive cross-sectional study was based on a 2017 survey of a sample of 1,000 households in the urban and suburban areas of the City of Goma on household income and health care expenditures during the last episode of illness. Data was analyzed by SPSS version 23.Results: The median monthly household income was 140 Usd, with 89.9% of households living on less than 1.9 Usd per day. Only 9.1% of households were covered by a health insurance system and 91.6% of households experienced at least one illness episode in the past three months. The use of care were dominated by self-medication by purchasing drugs from the pharmacy (50.7%), with non-care cases (6.8%), and varied by income quartile and gender (p <0.001). The median direct care expenditure was 10.7 Usd (0-2272.5 Usd), with catastrophic expenditures in 42.9% of cases and loss of working days and income, not varying according to income quartile (p> 0.05).Discussion and conclusion: This level of income and catastrophic healthcare expenditure requires progress towards a better thought-out compulsory health insurance system that capitalizes on innovative financing.
Author Keywords: Healthcare access, household income, catastrophic expenditures, health insurance, DRC.
Abstract: (french)
Introduction: Dans un contexte national d’accroissement des populations urbaines et d’engagement sur la voie de la couverture santé universelle, cette étude analyse le revenu et les dépenses des soins des ménages en milieu urbain de Goma, Est de la RDC.Méthodologie: Cette étude transversale descriptive repose sur une enquête menée en 2017 auprès d’un échantillon de 1000 ménages de la ville de Goma portant sur le revenu et les dépenses des soins des ménages lors du dernier épisode maladie. Les données ont été analysées par SPSS version 23.Résultats: Le revenu mensuel médian des ménages était de 140 Usd, avec 89,9% des ménages vivant avec moins de 1,9 Usd par jour. Seuls 9,1% de ménages étaient couverts par un système d’assurance maladie et 91,6% de ménages avaient connu au moins un épisode maladie au cours de 3 derniers mois. Le recours aux soins dominé par l’automédication par achat des médicaments à la pharmacie (50,7%), avec des cas non-soins (6,8%), variait selon le quartile de revenu et le genre (p<0,001). Les dépenses médianes directes de soins étaient de 10,7 Usd (0-2272,5 Usd), avec des dépenses catastrophiques dans 42,9% des cas et des pertes de journées de travail et de revenus, non variables selon le quartile de revenu (p>0,05).Discussion et conclusion: Ce niveau de revenu et des dépenses catastrophiques des soins impose de progresser vers un système d’assurance maladie obligatoire qui capitalise les financements innovants.
Author Keywords: Accès aux soins, revenu de ménages, dépenses catastrophiques, assurance maladie, RDC.
How to Cite this Article
Mahamba Nzanzu, Mitangala Ndeba Prudence, Eric Tchouaket, Edgar Tsongo Musubao, Kavugho Kayenga Aminata, and Jean-Bosco Kahindo Mbeva, “Household income and health care expenditure in Goma city, eastern Democratic Republic of Congo,” International Journal of Innovation and Scientific Research, vol. 57, no. 2, pp. 65–80, November 2021.
