标题：Combining microcredit, microinsurance, and the provision of health care can improve access to quality care in urban areas of Africa: Results of an experiment in the Bandalungwa health zone in Kinshasa, the Congo
摘要：Tables Authors J. Manzambi Kuwekita 12 * C. Gosset 3 M. Guillaume 4 M.-P. Balula Semutsari 5 E. Tshiama Kabongo 6 O. Bruyere 1 J.-Y. Reginster 1 1 Université de Liège, faculté de médecine, département des sciences de la santé publique, quartier Hôpital, 13, avenue Hippocrate, CHU Sart-Tilman B23, tour de pathologie, 4000 Liège, Belgique 2 Institut supérieur des techniques médicales de Kinshasa, route de Kimwenza campus du CNPP, 774 XI Kinshasa, République démocratique du Congo 3 Santé publique, aspects généraux, université de Liège, École de santé publique, Liège, Belgique 4 Santé publique, aspects spécifiques, université de Liège, École de santé publique, Liège, Belgique 5 Santé publique, institut supérieur des techniques médicales d’Ipamu,, Idiofa, République démocratique du Congo 6 Santé communautaire, institut supérieur des techniques médicales, Kinshasa, République démocratique du Congo * Correspondance Key words: microcredit, microinsurance, health care, access to health care, compulsory health insurance, Democratic Republic of the Congo DOI : 10.1684/mst.2015.0520 Page(s) : 381-5 Published in: 2015 This study, based on a survey conducted in 2008, examines how combining microcredit, microinsurance, and health care provision can improve access to quality care in the health zone of Bandalungwa, in Kinshasa. The bivariate analysis showed a significant association between increased purchasing power and earnings (p = 0.001), between earnings and savings (p = 0.000), and between health insurance and improved access to health care. These results show that 68.8% of borrowers reported an increase in their purchasing power, of whom 82% reported profits. Those with savings were 24.7 times more likely to purchase health insurance than those without; and 72% of those who regularly made health insurance payments improved their access to care. Combining microcredit, health microinsurance, and health care can improve access to quality health care at lower cost. This suggests that health insurance could usefully be integrated into the primary health-care system.
关键词：microcredit; microinsurance; health care; access to health care; compulsory health insurance; Democratic Republic of the Congo
