Article (Scientific journals)
Risk of death and the economic accessibility at the dialysis therapy for the renal insufficient patients in Lubumbashi city, Democratic Republic of Congo
Mundongo Thamba, Henri; Van Caillie, Didier; Mutach Kapend, Francis et al.
2014In Pan African Medical Journal, 19:61, p. 1-8
Peer reviewed
 

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Keywords :
accessibilité aux soins; dialyse; risque de décès; economic access; dialysis; death risk
Abstract :
[en] The last five years, Lubumbashi records the emergence centers of dialysis. We achieved this study to evaluate the risk factors of death for the renal insufficient patients and the economic accessibility to this peak therapy. A cross sectional study based on a random sample of 53 patients has been completed in 2012. The data is analyzed using the SPSS 19.0 software. A significance level of p < 0.05 and Confidence interval fixed to 95%. The Fischer exact test and the odds ratio have been used. The participation rate was 65.4%. The mean age was 49.49 ± 13.30 years old and 60.4 % were aged > 50 years old. The sex ratio 0.3 women by men was noted. 83% of patients was private versus other category (p<0.05). 66 % are renal insufficient chronic patients versus 34 % of recent renal insufficient patients. 90% of patients were diabetic hypertensive. The patients' monthly income declared was US$ 205 for 52.8% of patients, US $ 525 for 34% patients and US $ 750 for 13.2% of patients versus US $ 1, 270 monthly mean care cost. The deaths are associated statistically with an interruption of the treatment (χ²=9.30, p=0.0022, OR= 8.5) and with the irregularity of treatment (χ²=8.65, p=0.0032, OR=6). Africa in comparison with countries of other continents, to invest in advanced medical equipment is a salutary measure, but the majority of patients are not able to pay the costs of health care. Our results shown that, the dialysis became an ultimate recourse for the renal insufficient patients at Lubumbashi city but the economic accessibility remains a major obstacle. Consequently, it's important to subsidize the health care of these patients.
Research center :
CEPE - Centre d'Études de la Performance des Entreprises - ULiège
Disciplines :
Public health, health care sciences & services
Author, co-author :
Mundongo Thamba, Henri;  Université de Lubumbashi > Faculté de Médecine
Van Caillie, Didier  ;  Université de Liège > HEC-Ecole de gestion : UER > Diagnostic et contrôle de l'entreprise
Mutach Kapend, Francis;  Centre Médical du Centre Ville - Lubumbashi
Kaj Malonga, Françoise;  Université de Lubumbashi > Faculté de Médecine
Ditend Yav, Grévisse;  Faculté d'Economie et de Gestion > Université de Lubumbashi
Tshimwang Nawej, Pascal;  Centre Médical du Centre-Ville - Lubumbashi
Language :
English
Title :
Risk of death and the economic accessibility at the dialysis therapy for the renal insufficient patients in Lubumbashi city, Democratic Republic of Congo
Alternative titles :
[fr] Risque de décès et accessibilité économique à la thérapie par dyalise pour les patients de la ville de Lubumbashi souffrant d'insuffisance rénale
Publication date :
23 September 2014
Journal title :
Pan African Medical Journal
eISSN :
1937-8688
Publisher :
Pan African Medical Journal, Kampala, Uganda
Volume :
19:61
Pages :
1-8
Peer reviewed :
Peer reviewed
Available on ORBi :
since 07 April 2015

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