Volume 7, Issue 5, September 2019, Page: 174-180
Oral Status and Financial Accessibility to the Care of the Beneficiaries of the General Mutual of Officials and Agents of Côte d'Ivoire
Sangare Abou Dramane, Department of Public Health, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire; Laboratory of Public Health and Medicinal Plants, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire
Samba Mamadou, Department of Public Health, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire; Laboratory of Public Health and Medicinal Plants, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire
Meless Guanga David, Department of Public Health, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire; Laboratory of Public Health and Medicinal Plants, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire
Akossi Claude Marcel, Dental Office, Bongouanou General Hospital, Côte d’Ivoire
Datte Atta Sébastien, Laboratory of Public Health and Medicinal Plants, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire
Nouaman Nzebo Marcellin, Laboratory of Public Health and Medicinal Plants, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire
Nzore Kangah Serge, Laboratory of Public Health and Medicinal Plants, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire
Da-danho Viviane, Department of Public Health, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire; Laboratory of Public Health and Medicinal Plants, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire
Guinan Jean Claude, Department of Public Health, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire; Laboratory of Public Health and Medicinal Plants, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire
Bakayoko-Ly Ramata, Department of Public Health, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire; Laboratory of Public Health and Medicinal Plants, University Felix Houphouet-Boigny, Abidjan, Côte d’Ivoire
Received: Sep. 4, 2019;       Accepted: Oct. 5, 2019;       Published: Oct. 28, 2019
DOI: 10.11648/j.sjph.20190705.17      View  53      Downloads  6
Abstract
In many developing countries, the establishment of insurance mechanisms is recommended to remove the financial barrier related to access to care. In Côte d'Ivoire, the General Mutual of State Employees and Agents (Mugefci) pursues this objective. However, concerns remain about the ability of this prepayment mechanism alone to ensure effective consumption of oral health care. The purpose of this paper, which is to contribute to the optimal use of insurance mechanisms, was to assess the accessibility of the oral health care of Mugefci beneficiaries. The cross-sectional study, which was conducted by the Medical Service for Civil Servants, concerned Mugefci beneficiaries who had come for medical consultation. The data collected included decayed tooth indices, absent due to caries or obturated, the DMF index, the time of the recourse and the reasons for giving up dental care as well as the willingness to pay for the care. The numbers and frequencies related to these variables have been calculated. 216 Mugefci beneficiaries participated in the study. The prevalence of caries was 50.9%, with a DMF index of 4.2. Self-medication was the first therapeutic remedy (47.7%) and 18.1% of beneficiaries reported that they had given up care due to lack of money. 47.2% of beneficiaries had a poor perception of dental care. The study showed that the existence of health insurance does not guarantee effective access to care. The availability of a quality care offer, the improvement of insurance coverage and the information of the beneficiaries about the services offered are factors to be taken into account to ensure effective consumption of oral health care.
Keywords
Accessibility, Health Insurance, Oral Health, Satisfaction, Côte d'Ivoire
To cite this article
Sangare Abou Dramane, Samba Mamadou, Meless Guanga David, Akossi Claude Marcel, Datte Atta Sébastien, Nouaman Nzebo Marcellin, Nzore Kangah Serge, Da-danho Viviane, Guinan Jean Claude, Bakayoko-Ly Ramata, Oral Status and Financial Accessibility to the Care of the Beneficiaries of the General Mutual of Officials and Agents of Côte d'Ivoire, Science Journal of Public Health. Vol. 7, No. 5, 2019, pp. 174-180. doi: 10.11648/j.sjph.20190705.17
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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