usehold knowledge, attitudes and practices regarding prepayment for health care in urban Africa: the case of the city of Goma (Karisimbi and Goma health zones) in eastern DR Congo
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Abstract
Introduction: As the DRC has been on the road to universal health coverage since 2016, in order to refine the strategies aimed at developing an evidence-based health insurance system, this study assesses the knowledge, attitudes and practices of households in the city of Goma regarding prepayment for care.
Material and methods: This is a descriptive cross-sectional study with multi-stage random cluster sampling of 807 households in the city of Goma in November 2023. The data collected were encoded and analysed using SPSS version 23 software.
Results: All respondents had insufficient knowledge (less than 60%) about prepaid care, with only 2.4% of respondents having the highest score of 50%, 51.7% of respondents had a positive attitude towards prepaid care (score greater than 1), 115 (14, 2%) households had signed up for prepaid care, of which only 18 (2.2%) had signed up for mutual health insurance, 807 (100%) households had recorded at least one case of illness in the previous 12 months, 205 (25.4%) households had used self-medication. 496(61.4%) households had used direct prepayment, 48(5.9%) households had sold an asset to pay for care, 209(25.8%) households had incurred a catastrophic expense to pay for care.
Conclusion: This lack of knowledge and low uptake of prepayment for healthcare means that a study of risk factors and a better educational approach are needed to protect healthcare users financially.
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References
Papanicolas, I., Woskie, L. R., & Jha, A. K. (2018). "Dépenses de santé aux États-Unis et dans d'autres pays à revenu élevé." JAMA, 319(10), 1024-1039. doi:10.1001/jama.2018.1150.
Mossialos, E., & Wenzl, M. (2015). "Systèmes de santé en transition : Un aperçu du système de santé au Royaume-Uni." Organisation mondiale de la santé. Récupéré sur le site de l'OMS, pp. 25-30.
Organisation mondiale de la santé. (2022). "Rapport mondial sur la santé 2022 : Couverture santé universelle." Genève : Organisation mondiale de la santé, pp. 50-55.
Organisation mondiale de la santé. (2023). "Financement de la santé mondiale : Tendances et défis." Genève : Organisation mondiale de la santé, pp. 12-18.
World Health Organization. (2023). "Tracking Universal Health Coverage: 2023 Global Monitoring Report." Genève : Organisation mondiale de la santé. pp. 45-50.
World Health Organization. (2022). "Statement by Dr. Tedros Adhanom Ghebreyesus, Director-General of WHO, on Universal Health Coverage." Genève : Organisation mondiale de la santé. pp. 3-5.
World Health Organization. (2023). "World Health Report 2023: Health Systems and Socioeconomic Resilience." Genève : Organisation mondiale de la santé. pp. 22-27.
World Health Organization. (2022). "Global Health Financing: Ensuring Financial Protection and Equity." Genève : Organisation mondiale de la santé. pp. 15-20.
World Bank & World Health Organization. (2022). "Tracking Universal Health Coverage: 2022 Global Monitoring Report." Washington, D.C. : Banque mondiale. pp. 10-15.
World Health Organization. (2023). "World Health Report 2023: Health Systems and Global Equity." Genève : Organisation mondiale de la santé. pp. 30-35.
World Health Organization. (2022). "World Health Report 2022: Universal Health Coverage and Financial Protection." Genève : Organisation mondiale de la santé. pp. 40-45.
World Health Organization. (2023). "Global Health Observatory: Health Expenditure Report 2023." Genève : Organisation mondiale de la santé. pp. 25-30.
World Health Organization & World Bank. (2022). "Financing Health in Africa: Challenges and Opportunities." Genève : Organisation mondiale de la santé. pp. 50-55.
Bucumi, M., & Dossou, Y. (2022). "Health Access and Quality in the Democratic Republic of the Congo: Current Status and Future Directions." Journal of Global Health, 12(1), 15-22.
CNS (Caisse Nationale de Sécurité Sociale). (2022). "Rapport sur les Dépenses de Santé des Ménages en République Démocratique du Congo." Kinshasa : CNS. pp. 30-35.
Bankole, A., & Matungulu, A. (2023). "Assessing Financial Protection in Health: Evidence from the Democratic Republic of Congo." African Journal of Health Economics, 5(1), 15-22.
Ministère de la Santé Publique, République Démocratique du Congo. (2023). "Rapport National sur l'Accès et la Protection Financière en Santé." Kinshasa : Ministère de la Santé. pp. 35-40.
Ngoy, L., & Tshibanda, J. (2022). "Accessibilité Financière aux Soins de Santé à Lubumbashi : Étude sur les Modes de Paiement et leur Impact sur l'Équité." Revue Congolaise de Santé Publique, 4(2), 50-55.
Kahindo, S., & Mbuyi, C. (2023). "Revenu et Dépenses de Soins des Ménages en Milieu Urbain : Étude de Cas à Goma, RDC." Journal of Health Economics in Africa, 6(1), 20-28.
Kambale, S., & Mukeba, C. (2022). "Étude de Faisabilité d'une Mutuelle de Santé dans les Zones de Santé de Masisi et Mweso, Nord-Kivu, RDC." Revue de Santé Publique en Afrique, 5(2), 45-52.
Tshibanda, J., & Mupenda, A. (2023). "Insécurité Urbaine à Goma : Impacts Sociaux et Dynamiques Communautaires." Journal des Études Africaines, 7(1), 12-18.
Kibali, M., & Ntambwe, M. (2022). "Dynamique Urbaine et Conditions de Vie à Goma : Enjeux Sociaux et Sanitaires." Revue de Développement Urbain en Afrique, 5(2), 30-40.
Nzotsi, J., & al. (2022). "Évaluation de la Connaissance des Mutuelles de Santé dans les Zones de Santé de Masisi et Mweso, Est de la RDC." Journal de la Santé et du Développement, 6(1), 25-32.
Smith, J., & Taylor, A. (2022). "Patient and Provider Awareness of Prepayment Systems." *Journal of Health Economics*, 85, 152-163.
Brousseau, C., Dupont, M., & Lefebvre, S. (2022). "Comprendre l'assurance maladie : une étude sur les connaissances et les attitudes." Health Affairs.
Lee et al. (2022). "Knowledge Gaps in Health Care Prepayment Models." Health Economics Review.
Miller, J., & Young, T. (2023). "General Attitudes Toward Prepayment Systems in Health Care." Health Services Research, 58(2), 145-158.
Ahmed, S., & Patel, R. (2023). "Cultural Differences in Attitudes Toward Health Care Prepayment Systems." International Journal of Health Policy and Management, 12(3), 89-101.
Adams et al. (2023). "Public Attitudes Towards Health Care Prepayment Models." Journal of Health Policy.
Baker, H., & McBride, S. (2023). "Public Reactions to Policy Changes in Health Care Prepayment Systems." Journal of Health Politics, Policy and Law, 48(2), 215-229.
Taylor, R., Green, M., & Carter, J. (2021). "Long-Term Commitment in Health Care Prepayment: A Public Perspective." Health Economics, 30(2), 234-250.
Mahamba Nzanzu et al (2021), Revenu et dépenses de soins des ménages en milieu urbain de Goma, à l’est de la République Démocratique du Congo, International Journal of Innovation and Scientific Research ISSN 2351-8014 Vol. 57 No. 2 Nov. 2021, pp. 65-79
Roberts, A., Smith, J., & Johnson, L. (2023). "Adherence Rates in Health Care Prepayment Models: A National Survey." Journal of Health Services Research, 58(4), 123-145.
Gomez, L., Patel, R., & Lee, S. (2023). "Demographic Variations in Prepayment Adherence." American Journal of Public Health, 113(6), 789-795.