FINANCEMENT DES SOINS PAR APPROCHE MUTUELLE DE SANTE : AVIS DES ENSEIGNANTS D’EPST-RD CONGO SUR LA QUALITE DE SERVICES DE LA MESP.

Abstract

The problem of access to health care poses a problem in our country [Amuli jiwe,2014]. Primary, secondary, and vocational chalk professionals are not excluded. To avoid the uncontrolled ou flow of funds, the means being limited, although the need is enormous, the teachers are affiliated to the mutual health insurance, while it is noted that 9 out of 10 Teachers who attend medical training in partnership with the said mutual health insurance are really disappointed with the quality of care and the management of the mutual, which is why we asked ourselves the question; what are the factors associated with the dissatisfaction of teachers at EPST about their mutual insurance we started from a hypothesis according to the dissatisfaction of MESP members would be linked to the quality of care, which would be less effective. Our scientific study was carried out in the city province of Kinshasa with the MESP. We used the survey method and the structured interview technique guided by the survey questionnaire, which served as an interview of 384 participants obtained using the inclusion and exclusion criteria and Fisher statistical formula [Bura P.2014]. After analysis and interpretation of the data, we found the following results:205 respondents, 53,3% say that members' money is more allocated for the functioning of the administration(salaries of agents and workers of the mutual fund) than health care is members followed by 84 or 21,8%  who say that the money for health is not only implanted in some four cities out of the  26 provinces of the country. On the other hand, 123members or 32,1%  blame the health facilities for the less satisfactory quality of relational care, followed by 103 or 26,8% who attest that the number of health facilities is insufficient for the best care of patients who are members of the mutual insurance company, 13or 3,4 who would say that the hygiene of hospitals is defective.