{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T15:07:55Z","timestamp":1774624075031,"version":"3.50.1"},"reference-count":51,"publisher":"CAIRN","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,4,3]]},"abstract":"<jats:p>Contexte\u00a0: L\u2019Organisation mondiale de la sant\u00e9 estime globalement \u00e0 100\u00a0millions le nombre de personnes qui sont accul\u00e9es \u00e0 la pauvret\u00e9 \u00e0 cause des paiements directs de leurs frais m\u00e9dicaux. Dans le cadre de ce travail, nous avons \u00e9tudi\u00e9 les contraintes et d\u00e9fis pour la mise en place d\u2019une micro-assurance sant\u00e9 dans un\u00a0pays en d\u00e9veloppement, la R\u00e9publique d\u00e9mocratique du Congo (RDC). M\u00e9thodes et mat\u00e9riels\u00a0: Il s\u2019agit d\u2019une \u00e9tude transversale, analytique, quantitative, et d\u2019une enqu\u00eate m\u00e9nages r\u00e9alis\u00e9e suivant l\u2019\u00e9chantillonnage en grappes \u00e0 deux degr\u00e9s, dans la zone de sant\u00e9 de Katako-Kombe. La saisie des donn\u00e9es a \u00e9t\u00e9 faite gr\u00e2ce au logiciel EpiData \u00a9 et l\u2019analyse de ces derni\u00e8res, par le logiciel SPSS \u00a9 . Principaux r\u00e9sultats\u00a0: Le revenu moyen par habitant observ\u00e9 \u00e0 Kata-Kombe s\u2019\u00e9levait \u00e0 119,35\u00a0dollars (USD) par an. Le montant total consenti pour un \u00e9pisode maladie \u00e9tait de 3,87\u00a0USD, le co\u00fbt moyen pay\u00e9 pour les soins de sant\u00e9 au dernier \u00e9pisode de maladie s\u2019\u00e9levant quant \u00e0 lui \u00e0 5,91\u00a0USD. Notre \u00e9tude a montr\u00e9 qu\u2019un peu plus de six m\u00e9nages sur dix (64,43\u00a0%) ont ressenti que les soins de sant\u00e9 \u00e9taient trop chers. Presque neuf m\u00e9nages sur dix seraient pr\u00eats \u00e0 adh\u00e9rer \u00e0 la micro-assurance sant\u00e9 bien que quatre m\u00e9nages sur dix estimaient que la cotisation \u00e9tait exorbitante (6,65\u00a0USD par personne par an). Le montant de la cotisation maximale \u00e0 une mutuelle de sant\u00e9 volontaire \u00e9tait de 5,16\u00a0USD par m\u00e9nage par an, soit 0,71\u00a0USD par personne. Conclusion\u00a0: Nous avons montr\u00e9 que la couverture universelle avec un paquet \u00e9largi des services offerts n\u2019est pas \u00e9conomiquement possible dans la zone de sant\u00e9 de Katako-Kombe via la mise en place d\u2019une micro-assurance sant\u00e9 de qualit\u00e9 si celle-ci repose uniquement sur les cotisations de ses membres.<\/jats:p>","DOI":"10.3917\/spub.187.0887","type":"journal-article","created":{"date-parts":[[2019,4,18]],"date-time":"2019-04-18T09:53:40Z","timestamp":1555581220000},"page":"887-896","source":"Crossref","is-referenced-by-count":5,"title":["Mise en place d\u2019une micro-assurance sant\u00e9 \u00e0 Katako-Kombe, RDC\u00a0: contraintes et d\u00e9fis"],"prefix":"10.3917","volume":"Vol. 30","author":[{"given":"Modeste Ngongo","family":"Shako","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Kokolomami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"Kluyskens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1Organisation mondiale de la sant\u00e9 (OMS). 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