The present study was carried out at the Higher Institute of Medical Techniques of Gemena, in the South Ubangi Province in the DRC. The disease is most often unpredictable, it neither advises the time of its onset, nor the time of its departure. It is certain that the expenses it gives rise to cannot be foreseen either in terms of their amount or the period in which they will be incurred. However, health is priceless, but health services come at a cost: «Man can only offer what he has» it is said. Mutual health insurance is a system of solidarity between members of a professional mutual aid group, this organization brings together people of the same category or tendency to belong to. This is how the determination of the factors favoring the organization of the mutual health organization at ISTM Gemena would serve as a prerequisite for access to quality health care for the health of students. This article addressed the «determining aspect of the organization of the mutual health insurance at ISTM Gemena». We have set ourselves the general objective of determining the factors that favor the organization of this system. To achieve this objective, we have set ourselves the following specific objectives: Describe the socio-demographic characteristics of the subjects selected for the study; identify the factors that explain the organization of a mutual health system; Analyze the links between student responses and the various factors identified. The field survey method using a questionnaire and documentary review and interview techniques on a sample of 110 students divided into 7 sections of the ISTM Gemena; after descriptive analysis of the data, we arrived at the following results: 98 or 89.1% of respondents wish to join the mutual insurance company while 12 or 10.9% have the opposite opinion, 100 respondents or 90.9% are willing to contribute while 10 respondents or 9.1% do not have this will, The factors identified in order to promote the organization of the mutual: socioeconomic, demographic, geographical, cultural and organizational, There is no relation between the information received by the students and the importance of the mutual health insurance, therefore the students of ISTM Gemena would not have sufficient knowledge on the importance of mutual health insurance, There is no relationship between the information received by the students and the accessibility to health care. quality, therefore the students of ISTM Gemena would not have access to quality health care, There is a relationship between the information received by the students and the organization of the mutual health insurance, therefore the students of the ISTM Gemena would not have sufficient knowledge on the importance of the mutual, There is no relation between the information received by the students and the accessibility to quality care, therefore the students of ISTM Gemena do not would not have access to quality health care.

It should be pointed out that currently the use of teaching documents remains a real problem and this has direct and indirect implications on the training of learners and even the performance of nationals on the job. In fact, the use of educational materials offers several advantages. This defeated reality motivated us to verify the determinants that would be the cause of this situation which increasingly weakens the training of learners. The general objective of this research is to determine the factors linked to the low use of educational materials. In view of all of the above, we have made the assumptions that: The determinants of the low use of educational documents by teachers are due: - Low staff motivation and poor working condition - Lack of staff training - The poor follow-up of educational documents by school authorities - The low availability of full-time teachers - Non-compliance with; assignment in relation to the teachers' study profile To address the above concerns, the study resorted to the survey method based on the interview technique and document review. The questionnaire was used as a data collection instrument. The sampling technique is probability. The sample size is 120 distributed in 7 schools, ie a population sample, that is to say by exhaustive choice. The results of the study reveal that of the 100% of our sample, there are 92.5% of the male subjects; 55% of subjects aged 41 - 55; 92.5% of married subjects; 81.6% of graduates; 95% of teachers not trained in keeping educational documents; 63.3% of teachers with seniority of 6 - 12 years. Thus, the results of this study confirmed the first four factors of our hypothesis that means that the low motivation of the staff and bad working condition; lack of staff training; the poor follow-up of educational documents by school authorities; the low availability of full-time teachers are the determinants of the low use of teaching documents in other words if we want to obtain a systematic and correct use we must act on these elements on the other hand the last factor is rejected, which means that the non- respect for the assignment in relation to the study profile of teachers has no relation to the low use of teaching documents.