Use of curative services at Gombe Matadi

In its second activity package, the consortium’s Public Health Schools (PSUs) are expected to award 3 master’s scholarships to learners to produce evidence in their Learning and Research Health Zones (ZAR) respectively.

Three themes related to RIPSEC’s areas of interest were developed, but the focus was more focused on the priority issues identified in the initial analysis of Gombe Matadi. In the lines that follow, we present the synthesis of a topic exploited in 2016.

Theme 1: Determinants of the use of curative services at the General Reference Hospital of Gombe Matadi Central Kongo Province, by Dr Mozart MABULA

Improving the accessibility of quality health care services to all segments of the population is evidence of improved health status.

It was found that the community of the Gombe Matadi ZAR as in the majority of Health Zones (Sanitary District) in the DR Congo, is unable to access care, especially the low-income population. Attendance to curative care is very low, at 0.05 consultations per year and per capita.

The purpose of this reflection was to determine the factors that would underlie the low utilization of curative care services in HGR Gombe Matadi. To achieve this, an analytical cross-sectional study of a representative probabilistic sample of 450 households in six health areas (AS) out of the 15 health zones and two focus groups. A logistic regression model was constructed using the stepwise stepwise selection method with an input probability of 0.05 and 95% CI.

Only 9.7% of households attended HGR; The burden of care is 84.9% borne by households that are poor.

Logistic regression showed that there was a statistically significant association between low utilization of services and the level of education of the head of household, higher in the bracket of those with no level, primary and secondary level (OR adjusted = 6,73 [1,248 – 36,34] and p = 0,027), the age of the head of household, especially 30 years at the most (adjusted OR = 18,89 [1,697-210,19] , P = 0.017) and monthly income over $ 50: adjusted OR = 0.0871 [0.010-0.53], p = 0.009), whereas the probability of access to curative care at HGR Gombe-Matadi is Significant (90%).

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