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Etude des déterminants de l'utilisation des services de santé par les ménages de la zone de santé d'Uvira, province du Sud- Kivu en RDC

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par Magnat KAKULE MUTSINDWA
Université officielle de Bukavu - Licence (BAC +5) en santé publique 2012
  

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SUMMARY

The present research paper is devoted to the determining use of healthy services by managing the healthy center of Uvira. The tackled objective is to denote the main determining usages of the of health services in that health zone.

This servey is carried out in analytical descriptive. Therefore a sample of 400 treatments was randomly selected from 8 AS in a win. The questionnaire was indirectly used in order to collect data from the people who are responsible for treatments. The significant level considered in this dissertation is P equivalent to <0,5 and the OR (Olds Ratio) by excluding the value of 1 with the IC of 95% which was used for measuring the variables association.

It has been highlighted that the basic activities of this investigation is agriculture, with the help of little commerce; therefore, 27,8% of people live on artisanal products or business (commerce), 27,3% of the population are craftes people, they manage to earn living whereas 22% live on agriculture or livestock. 54,8% of people almost use their dispenses out comes and 30% of the population simply use more than a half.

The most of our informants absolutely live in a great poverty (the inhabitant outcome can be in the average of less than one dollar per day). Their monthly dispenses are beyond what they gain, consequently, the healthy treatments take a considerable part of the declared dispenses by workers during the last teron (21%).

Most of workers who have undergone treatment have encountered such financial difficulties in the payment of therefore, 32% of that population could borrow money from their neighbors or relatives and yet, 19,6% could sell some important things. Besides, 19,6% could sell some important things. Besides, 51% of workers did not use any health activity for the latest episode of disease since their main problem was due to te missing of money. As result, the price elasticity of the demand of health treatment was much lower for all the workers who took part in the investigation.

More than two thirds of workers are not aware of any 2 ECO of their avenue. That is, 71,1% are not yet informed about the importance of the RECO. They have never participated in it since they had been in the AS. More over, 82% confirmed that they never get any information from the health center by the RECO. And 92, 3% of workers never visit the health center to be informed about the evolution of activities in the AS.

Beyond what precedes, we therefore noticed that financial difficulties constitute the man blockage that can be noticed in the use of health services. The socio-economical factors of workers are determined through the help of the health treatment and consequently of the early health treatment in the health zone of Uvira is much lower. It needs not aids from health activities.

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LISTE DES FIGURES

Figure 1. Cadre conceptuel de l'étude 9

Figure 2. Part du revenu couramment utilisée pour les dépenses 30

Figure 3. Recours aux soins 33

Figure 4. Lieu de premier recours 33

Figure 5. Raisons du recours en premier lieu à l'automédication 33

Figure 6. Raisons de ne pas recourir aux soins de santé 34

Figure 7. Façon du paiement 34

Figure 8. Habitude d'utiliser en premier lieu le Centre de Santé de l'AS 34

Figure 9. Prix maximum acceptable par les ménages pour le cas de paludisme chez un

enfant 36
Figure 10. Prix maximum acceptable par les ménages pour le cas de paludisme chez un adulte

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