LIST ABBREVIATIONS
HAVE :Surface of Health
BCZS :Central office of Zone of Health
CS :Center Health
FC :Honest Congolais
STI :Infection Sexually Transmissible
K :Capital
L :Work
OMD :Objectives of the Millenia for the Development
WHO :World organization of Health
ONG :Nongovernmental Organization
PEV :Program Elargie Vaccination
GDP :Gross domestic product
PNLP :Program National of fight against Paludism
RDC :Democratic republic of Congo
SPSS :Statistical Pactkage for the social Science
SSP :Care of Primary Health
ZS :Zone of Health
0. INTRODUCTION
0. 1.PROBLEMATIQUE
The socio-economic development of a country depends on several
factors of which health. This last is a fundamental sector which occupies a
place of choice in the development of the nations, insofar as health directly
affects the economic growth while acting on the factor work (L) and capital
(K).
For that, the countries of the whole world are invested to
improve health of their populations by improving their living conditions and
while fighting against the diseases likely to prevent the economic growth and
the durable development in general. Among these diseases, we can quote: the
tuberculosis, the VIH/SIDA and the paludism which are the great diseases to be
fought within the framework of the objectives of the millennium of the
development from here 2015, (4th OMD).
In connection with paludism, of any is not unaware of that
this disease belonged to the tropical and subtropical landscape of the
terrestrial sphere, in particular those of sub-Saharan Africa as well as few
Mediterranean moderate areas. It is the most fatal disease of the world more
than the VIH/SIDA. It permanently threatens 40% of humanity, that is to say two
billion individuals.
According to estimates' of WHO made on 30 countries of Africa,
paludism tackles 96 million people each year and causes 1 to 3 million died in
the children of less than 5 years. Always according to WHO, paludism would be
responsible for 59% of the external reasons for consultation in the children of
less than 5 years, 41% of the reasons for consultation among pregnant women,
54% of the reasons for hospitalization among pregnant women. It would be one
great causes also depopulation and deterioration of the quality of life as well
in urban environment as in rural medium of the RDC and country sub-Saharan in
general.
However the vectors of paludism are known as well as the drugs
to look after this disease.
In RDC, paludism belongs to the three great causes of
morbidity and mortality. Its impact on the reduction in the capacity to work
(invalidation or absenteeism) and on the economy in general is not yet well
evaluated.
In absence of this disease, the request for care of health in
the households will be less. Moreover, we know that in RDC, the cares of health
are primarily financed by the households.
In addition, the RDC, country of the Third World whose income
per capita of inhabitant is difficult to determine because of the natural
character of its economy and the not yet developed monetary reports/ratios; the
yearly consumption by household is estimated at 1735$ in the cities. This
figure hides great disparities according to the types of the households: it is
against 1450$ for the "abstract private households" 2360$ for the "public
households" which are the best affluent ones. The yearly consumption of the
households (including the charged subsistence farming and rents) is 2055 $,
that proves that the population congolaise lives below the poverty line.
Nevertheless the monthly average income could amount to 97,5 USD by household
in 2006, that is to say an income spent per day and anybody of 0,85$ US.
In these incomes, it is not impossible that the expenditure of
care of health related to paludism is an unbearable burden by the
households.
The town of Kinshasa know a rate of paludism very high,
related generally to insalubrity, with the presence of water of tides, stagnant
water everywhere in the city. Many existing medical structures, practise a
discrimination of price to look after this disease, with an unquestionable
incidence on the household expenses in this city. But this incidence was not
the subject yet of an evaluation in the studies which we read. For this reason
we wanted tempted to evaluate some.
Our concern is to analyze or study the impact of the cost of
the care of health relating to paludism in the households kinois of district
MBUKU of the commune of KISENSO.
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