Introduction: The study was about the mapping of health care Organization in urban areas. It aims is to show the apportionment, appurtenance, and profile of the pharmaceutical pharmacies in the Goma city, in eastern DRC. Goma city is served in medicine by the public and private sector. Methodology: The study is cross-sectional and descriptive. It was carried out by an exhaustive census of pharmacies. Data entry and analysis was done using SPSS version 23 software. Results: The inventory of pharmacies is 723 in the city of Goma, whether one pharmaceutical office for 1.314 habitants. Almost 70% of them have set up in the last 5 years, with 31% in 2017 alone. One third of pharmacies have official authorization minutes from the Ministry of Health. All of the pharmacies are private for profit and are supplied by the private sector. More than 90% of pharmacies operate in non-standard premises and are run in 92.1% of cases by healthcare providers. Conclusion: Private pharmaceutical pharmacies play a major role in the supply of medicines in urban areas of Goma. Their functioning far from the standards, seems to indicate a lack of regulation, which exposes the population to the consumption of drugs of a potentially non-optimal quality.
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.