This study is the result of a survey of 344 people in the Bwamanda Health Zone specifically in 8 health areas on the determinants of low affiliation to the Bondeko Health Mutual in the Provincial Division of Southern Ubangi Health. In the Democratic Republic of Congo. We conducted a descriptive retrospective study aimed at improving the conditions for universal access to health care by identifying the factors that may affect affiliation to the health insurance system of developing countries. Considering the contribution and the importance of a mutual health in the accessibility of care in health facilities, this research is based on the observation that Bondeko Health Mutual is one of the oldest in the DRC but also constituted for certain country a model to follow for others including Rwanda. Despite its seniority it turns out that the annual affiliation rate does not believe in relation to the expected population. The results of this research revealed that poverty, discouragement of providers, number of people in the household and high affiliation fees are the determinants of weak community affiliation in this research.

his article presents the summary of a transverse exploratory study carried out within the framework of a study led to the General Hospital of Reference of Gemena on 70 professionals of health in this institution in the chief town of the Province of the South-Ubangi in Democratic Republic of Congo; it is a evaluative research in order to improvement of the working conditions of the professionals of health in the hospitals. Considering the impact that the working conditions produce on the employees of a medical institution, this research leaves the report of the fall of the outputs of work by tiredness, the stress, the insufficiency of adequate materials, the bad policy wage, the plethoric manpower of people receiving benefits, the insufficiency of materials of care, the precariousness of hospital hygiene and the modicity of wages and premiums for professionals of health not doctors. The results obtained reveal that the working conditions of professionals of health of the HGR Gemena are less favorable (average 52%). What proves that the "SOCIAL" conditions of work are not taken into account; what bring the demotivation and the dissatisfaction instead of work. By comparing the various categories of the following left again professionals of health some socio-professional characteristics (training areas, sex, age and occupational categories), the study did not reveal any statistically significant difference between the categories observed and expressed at the time of this research.