Factors Associated with Inequalities in Access to Health Care to Mbujimayi (Kasai Oriental/DR Congo)

摘要

Objective: Mbujimayi like the other African cities where the environmental, social and economic problems, promote the development of urban pathology, several factors limit or promote access to quality health care services especially for slum dwellers. The objective of this study was to analyze factors associated with seeking care in this city. Material and Methods: This study was conducted in 2010 on the therapeutic use in six health zones of the 10 areas that make up the urban medical district of the city with a cross-sectional survey of 386 households. To study the association of different factors, we relied on cro sstabs and statistical associations: we connected, one by one, the independent variables to those characterizing the use of care; we evaluated the significance of the statistical relationships subjecting the consequences we assume they induced the chi-square test. The degree of significance of the associations has been indicated by the value of p < 0.05. Data processing was carried out using the software Epi-Info 6 version 3.5. 1, 2008, and Excel for tables. Results: The results show that therapeutic routes are as diverse as health care supply is varied. It appears from this study that 94.8% of households had at least one case of disease, 70.5% used modern health care, 17.1% consulted traditional healers, 4.3% practiced self-medication and 8.1% gave up to care. 70.3% have resorted to private structures, 85.7% used private structures. The corresponding description said the gender of the household head, sex and age of the patient, the level of education of the household head, the distance, the supposed cause of the disease and care of financing are factors associated with access to both modern and traditional treatments (p < 0.05).