Impact of the Mutual Health Insurance on the Staff Medical Care of the University of Kisangani

Main Article Content

Joseph Baroani Bikenge
John Panda Lukongo Kitronza

Abstract

Introduction: The creation of the Mutual Health Insurance within the University of Kisangani is justified by the deterioration of the country's socio-economic situation, with unfortunate consequences for the sectors of life, with a view to improving the provision of medical care. To carry out this study successfully, we have set ourselves the following objectives: Check the evolution of the number of members of the mutual during the study period, identify the diseases that have required a lot of resources from the mutual during the four years of study, determine the professional category most assisted by the mutual's coverage and highlight the differences in the contribution of members by professional category.

Methodology: This is a retrospective descriptive study of the various cases of medical coverage of Kisangani University staff by the Mutual Health Insurance during the period 2014 to 2017. For this study, we worked with a comprehensive sample, i.e. the entire study population estimated at 1,432 adherent members, taking into account all their monthly contributions during the period 2014 to 2017. It was carried out thanks to the documentary analysis and the interview.

Results: The number of members of the mutual health insurance scheme was 1,311 in 2017, compared to 1,432 when it was created, i.e. a wastage rate of 8.44%. The Mutual Health Insurance of the University of Kisangani had produced 277,248,600 Congolese francs from membership fees. In addition, the professional category most assisted by the Mutual Health Insurance of the University of Kisangani is mainly composed of Administrative, Technical and Labour Staff with 1,217 cases out of a total of 1,432 expected members, or 84.9%. Finally, malaria was the disease most commonly observed with recurrence during the period studied, with a total of 285 cases or 77.2%.

Keywords:
Impact, mutual health insurance, medical care, staff, University.

Article Details

How to Cite
Bikenge, J. B., & Kitronza, J. P. L. (2020). Impact of the Mutual Health Insurance on the Staff Medical Care of the University of Kisangani. Journal of Scientific Research and Reports, 26(2), 1-12. https://doi.org/10.9734/jsrr/2020/v26i230219
Section
Original Research Article

References

Zett JB, Bationo F. Inventory of social mutuals in the perspective of Universal Health Insurance in Burkina Faso; 2011.

Agbodjan D. The right to Social Security: International principles and social needs in sub-Saharan Africa. Revue Québécoise de Droit International; 2002.

Kagambega M. Health insurance in Burkina Faso: From the therapeutic logic of social actors to the appropriation of systems for sharing health risks. Doctoral thesis. University Bordeaux 2; France; 2010.

Ramanana D, Barthes O. The Funds to purchase Health Services in Western Kasaï on; 2009.
Available:http://www.memoireonline.com, [Accessed on 2 February 2019]

Karafuli K. Investigation of the establishment of a Mutual Health Insurance Company in the Karisimbi Health Zone; 2005.

Kebela P. Health for All: Identification of Factors that explain the accessibility of Health Care in the commune of Ngaba, Kinshasa; 2004.

Maria-Pia W, Bart Criel. Mutual Health Insurance in Sub-Saharan Africa: Status of Places and Reflections on a Research Agenda. Health, Nutrition and Population (HNP) Discussion Paper - The World Bank. Washington; 2004.

Yameogo LJ. Analysis of the Functioning of the Mutual Insurance Company for tax workers (Mutraf): Difficulties and suggestions. Master's thesis in Economics and Management of Social and Solidarity Economy Companies. University of Ouagadougou 2; 2015.

Musango L, Inyarubuga H. Mutual Health Insurance in Kibuye Province: Feasibility study for the implementation. Kigali, Rwanda; 2004.

Stephane. How does a Mutual Health Insurance company work?; 2018.

WHO. Report on World Health, Geneva; 2000.

Minsanté, Rwanda. Improving access to Health Care Services in Rwanda, the role of insurance, Kigali; 2004.

Bayege I. Contribution of Mutual Health Insurance Companies to the population's access to Health Services. National University of Rwanda/School of Public Health. Mastery. Kigali, Rwanda; 2004.

Musango L. Organization and implementation of mutual health insurance: Challenge to the development of health insurance in Rwanda. Université Libre de Bruxelles/ Ecole de Santé Publique, PhD Thesis, Brussels; 2005.

Laurent Musango, Ole Doetinchem, Guy Carrin. From the mutualization of Health Risk to Universal Health Insurance. Rwanda experience. In WHO, Department of Health Systems Financing (HSF); 2009.

Antoine Catinchi. Mutuals, which management to respond to which challenges? In Regards. Consulted on; 2016.
Available:https://www.cairn.info/revue-regards-2016-1-page-173.htm

BIT/STEP, BIT/SEED. Management Guide Mutuals Health In Africa; 2011.
Available:https://www.ilo.org/wcmsp5/groups/public/-ed_protect/-
soc_sec/documents/instructionalmaterial/wcms