{"id":4476,"date":"2025-06-18T18:56:22","date_gmt":"2025-06-18T18:56:22","guid":{"rendered":"https:\/\/ijssass.com\/journal\/contribution-a-levaluation-du-plan-national-du-developpement-sanitaire-recadre-2019-2022-cas-des-cliniques-universitaires-de-kinshasa-en-2021\/"},"modified":"2025-06-18T19:58:51","modified_gmt":"2025-06-18T19:58:51","slug":"contribution-a-levaluation-du-plan-national-du-developpement-sanitaire-recadre-2019-2022-cas-des-cliniques-universitaires-de-kinshasa-en-2021","status":"publish","type":"post","link":"https:\/\/ijssass.com\/journal\/contribution-a-levaluation-du-plan-national-du-developpement-sanitaire-recadre-2019-2022-cas-des-cliniques-universitaires-de-kinshasa-en-2021\/","title":{"rendered":"Contribution \u00e0 l\u2019\u00e9valuation du Plan National du D\u00e9veloppement Sanitaire recadr\u00e9 2019-2022\u00a0: Cas des Cliniques Universitaires de Kinshasa en 2021"},"content":{"rendered":"<p>This article was originally published as: <strong>Contribution \u00e0 l\u2019\u00e9valuation du Plan National du D\u00e9veloppement Sanitaire recadr\u00e9 2019-2022\u00a0: Cas des Cliniques Universitaires de Kinshasa en 2021<\/strong><\/p>\n<p>Original Article Link: <a href='https:\/\/ijssass.com\/index.php\/ijssass\/article\/view\/295' target='_blank' rel='noopener'>Read Original Article<\/a><\/p>\n<p>Download PDF: <a href='https:\/\/ijssass.com\/index.php\/ijssass\/article\/view\/295\/415' target='_blank' rel='noopener'>Click Here to Download PDF<\/a><\/p>\n<h2>Abstract<\/h2>\n<p>L\u2019objectif du Plan National pour le D\u00e9veloppement Sanitaire recadr\u00e9 de la R\u00e9publique D\u00e9mocratique du Congo (P.N.D.S. 2019-2022) est d\u2019accro\u00eetre la couverture de services et acc\u00e8s aux soins de soins de sant\u00e9 de qualit\u00e9, ainsi que leur utilisation par la population avec \u00e9quit\u00e9 et protection financi\u00e8re. La pr\u00e9sente \u00e9tude a pour objectif g\u00e9n\u00e9ral d\u2019\u00e9valuer si les objectifs de qualit\u00e9, \u00e9quit\u00e9 et protection financi\u00e8re \u00e9taient atteints \u00a0avec efficacit\u00e9. Apr\u00e8s analyses, les r\u00e9sultats ont montr\u00e9 que le Plan est efficace pour la qualit\u00e9 de soins mais non pour l\u2019\u00e9quit\u00e9 et protection sociale de la population de la mani\u00e8re suivante\u00a0: (1)\u00a0Qualit\u00e9 de soins\u00a0: le s\u00e9jour moyen de patients aux Cliniques Universitaires de Kinshasa est de 11 jours, ce qui traduit une bonne qualit\u00e9 de soins, la moyenne normale \u00e9tant de 15 \u00e0 20 jours. (2)\u00a0Protection financi\u00e8re\u00a0: La charge financi\u00e8re reste encore trop lourde sur les revenus des payants-directs, soit 31, 9794 fois plus que leur capacit\u00e9 contributive. En lieu et place d\u2019une r\u00e9duction de la charge de 41% \u00e0 35% de 2016 \u00e0 2022 telle que pr\u00e9vue par le Plan, l\u2019\u00e9tude d\u00e9couvre une charge \u00e9lev\u00e9e de 3\u00a01979% au-del\u00e0 de la capacit\u00e9 contributive des congolais. En d\u2019autres termes, le congolais moyen doit consacrer 20% de son revenu mensuel repr\u00e9sentant sa capacit\u00e9 contributive pendant 31,9794 mois, soit deux ans, 3 mois et 29 jours pour r\u00e9ussir \u00e0 payer compl\u00e8tement ses dettes de soins de sant\u00e9 sans que cette charge perturbe son mode normal de vie. Comme dans la pratique, cette possibilit\u00e9 d\u2019\u00e9chelonnement de dettes n\u2019est pas offerte aux payants-direct, trois alternatives se pr\u00e9sentent \u00e0 eux pour r\u00e9soudre leurs probl\u00e8mes\u00a0: soit ils recourent aux emprunts appauvrissants, soit ils d\u00e9cident la vente de leurs biens immobiliers, soit encore c\u2019est la fuite ou l\u2019\u00e9vasion. (3)\u00a0Equit\u00e9 sociale\u00a0: Parmi les patients payants-direct en difficult\u00e9 de paiement, c\u2019est-\u00e0-dire, inqui\u00e9t\u00e9s par les services de recouvrement pour leurs dettes, 70,3% \u00e9taient les vuln\u00e9rables sociaux, notamment les enfants de 0-5ans (38,1%), les accouch\u00e9es et parturientes post-accouchement (24,3%), les vieillards de plus de 65 ans (7,5%). En revanche, les non-vuln\u00e9rables n\u2019\u00e9taient que 29,7%. Donc, les vuln\u00e9rables payants-direct sont ceux qui sont les plus compt\u00e9s parmi les patients en difficult\u00e9 de paiement de soins de sant\u00e9 par rapport aux non-vuln\u00e9rables (29,7%<70,3%).<\/p>\n<h2>Authors<\/h2>\n<ul>\n<li>Cyriaque-Exauc\u00e9 KPAGBOMA LOTSNA (Chefs de Travaux \u00e0 l\u2019ISTM[ Institut Sup\u00e9rieure des techniques M\u00e9dicales ]-KINSHASA, Congo R.D.)<\/li>\n<li>Justin BASHIATIWE YENGA (Chefs de Travaux \u00e0 l\u2019ISTM[ Institut Sup\u00e9rieure des techniques M\u00e9dicales ]-KINSHASA, Congo R.D.)<\/li>\n<li>Bertin MBENGA TAMPWO (Chefs de Travaux \u00e0 l\u2019ISTM[ Institut Sup\u00e9rieure des techniques M\u00e9dicales ]-KINSHASA, Congo R.D)<\/li>\n<li>Alexis TOHEMO LUKAMBA (Assistant de recherche \u00e0 l\u2019ISTM Marie Reine de la Paix de Kenge, Congo R.D.)<\/li>\n<li>KALAU KAUMB GABIN (Assistant \u00e0 l&#8217;istm de KOLWEZI\/RDC)<\/li>\n<li>AMISI  IMANI (DG et Chef de travaux \u00e0 l&#8217;istm LIKASI\/RDC)<\/li>\n<\/ul>\n<h2>Keywords<\/h2>\n<p>P.N.S.D. 2019-2022, \u00e9valuation, Cliniques Universitaires de Kinshasa<\/p>\n<h2>References<\/h2>\n<ol>\n<li>\uf0b7CORINNE L.; Assurance-sant\u00e9 : la t\u00e9nacit\u00e9 de BARACK OBAMA, in journal Le Monde, Paris, 2010, 38 pages<\/li>\n<li>\uf0b7GILLES D. ; L\u2019Assurance maladie en Afrique francophone : Am\u00e9liorer l\u2019acc\u00e8s aux soins et lutter contre la pauvret\u00e9, Banque Mondiale, Washington D.C., 2006, 560 p.<\/li>\n<li>\uf0b7 INS ; Annuaire statistique RDC 2020 ; Minist\u00e8re du Plan, Kinshasa, 2020, 398 pages<\/li>\n<li>\uf0b7LAURIE D.; Outil d\u2019\u00e9valuation de projets potentiels de d\u00e9veloppement des ressources naturelles et du territoire des r\u00e9gions ressources du Qu\u00e9bec, Qu\u00e9bec, 2014<\/li>\n<li>\uf0b7MARIE P. et al. Sant\u00e9 publique, Ed. Ellipse, Paris, 2000, p.35<\/li>\n<li>\uf0b7MARTINE A. et al. (2003) ; Le financement de la sant\u00e9 dans les pays d\u2019Afrique et d\u2019Asie \u00e0 faible revenu, \u00e9d. KARTHALA, Paris, 497 pages<\/li>\n<li>\uf0b7MINISTERE DE LA SANTE MINISTERE DE LA SANTE ; Strat\u00e9gie de renforcement du syst\u00e8me de sant\u00e9, Secr\u00e9tariat g\u00e9n\u00e9ral \u00e0 la Sant\u00e9, Kinshasa, 2006.<\/li>\n<li>\uf0b7MINISTERE DE LA SANTE, Le Plan de d\u00e9veloppement de D\u00e9veloppement sanitaire recadr\u00e9 2019-2022, M.S.P, Kinshasa, 2019,<\/li>\n<li>\uf0b7MINISTERE DE LA SANTE; Etude sur l\u2019accessibilit\u00e9 financi\u00e8re des communaut\u00e9s aux soins de sant\u00e9, M.S.P., Kinshasa, 2004, 65 page<\/li>\n<li>\uf0b7M.BALA D. et al, Statistique et sant\u00e9, B.E.P.RS, Kangu-Mayumbe, 1991, 200 pages<\/li>\n<li>\uf0b7NYANDWE KYLOKA ; Mesure de la perception de la qualit\u00e9 des soins et de la satisfaction des malades \u00e0 Kinshasa : Adaptation du SERVQUAL, Ecole de Sant\u00e9 Publique de Kinshasa, 2019<\/li>\n<li>\uf0b7O.M.S.; L\u2019\u00e9valuation des programmes de sant\u00e9, OMS, Gen\u00e8ve, 1988<\/li>\n<li>\uf0b7PIERRE R.; L&#8217;histoire du Congo lue dans les cartes g\u00e9ographiques, Ed. OKSTOM, Pointe Noire, 1993<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>This article was originally published as: Contribution \u00e0 l\u2019\u00e9valuation du Plan National du D\u00e9veloppement Sanitaire recadr\u00e9 2019-2022\u00a0: Cas des Cliniques&#8230;<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124],"tags":[738,737,736],"class_list":["post-4476","post","type-post","status-publish","format-standard","hentry","category-articles","tag-cliniques-universitaires-de-kinshasa","tag-evaluation","tag-p-n-s-d-2019-2022","wpcat-124-id"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Contribution \u00e0 l\u2019\u00e9valuation du Plan National du D\u00e9veloppement Sanitaire recadr\u00e9 2019-2022\u00a0: Cas des Cliniques Universitaires de Kinshasa en 2021 - 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