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

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%.