Method of Payment and Accessibility to Healthcare in Urban Areas: Case of the Health District of Kisanga in the Democratic Republic of Congo

摘要

Introduction: Improving health conditions in poor countries should be a priority in development policies, not only because health problems are an integral dimension of poverty, but also because there is no access to development without work and no longer to a work without health. Method: We carried out a cross-section on accessibility to care in the Kisanga health zone with the aim of improving access to health care. Our data was collected based on a questionnaire as well as an interview. We used the Epi Info software for analysis and data recording. Results: Regarding the gender of heads of household, we observed a predominance of women (52.7%); the Protestant religion was in the majority (29%); households spent an average of $170 for care; payment for care as well as discrimination were the determinants of access to care (P < 0.0001). Conclusion: It is imperative to organize the health service and institute risk sharing in terms of third-party payment to promote access to health care, which is a condition for the emergence of any nation.