TY - JOUR AU - Bop, Martial Coly AU - Akoetey, Kossivi AU - Gueye, Boubacar AU - Diop, Cheikh Tacko AU - Sow, Papa Gallo AU - Ka, Ouseynou AU - Diop, Abdoulaye AU - Sow, Fatou Sarr PY - 2023/01/24 Y2 - 2024/03/29 TI - Evaluation of determinants of the use of health mutuals by the population of the Ziguinchor region in Senegal JF - South Eastern European Journal of Public Health JA - SEEJPH VL - IS - SE - Original Research DO - 10.56801/seejph.vi.202 UR - http://seejph.com/index.php/seejph/article/view/202 SP - AB - <p>Access to health services is a concern around the world.&nbsp;Different strategies were developed, but&nbsp;Africa’s rate remains the lowest.&nbsp;This article aims to contribute to the population's access to healthcare,&nbsp;and to assess the determinants of the use of mutual health insurance by the population of the Ziguinchor region in Senegal.&nbsp;</p><p>&nbsp;</p><p><strong>Methods:</strong>&nbsp;The study is transversal and descriptive, carried out from July to August 2018.&nbsp;Through the quota method we defined the number of patients to be interviewed. Thus, by a geographic stratification according to the departments and a second-degree stratification taking into account the staff of the different hospital departments,&nbsp;392 patients were selected.</p><p>&nbsp;</p><p><strong>Results:&nbsp;</strong>73% at the Regional Hospital Center and 27% at the Regional Peace Hospital.&nbsp;Response rate: 97%, women 60% and men 40%.&nbsp;The enrollment for women (24%) is slightly higher than that for men (21%).&nbsp;Socio-economic factors. The rate of adherence is the highest of for patients with university level,&nbsp;followed by high school; income:&nbsp; the highest rate for patients with a monthly income between 200,000 and 500,000 FCFA,&nbsp;followed by patients with an income&nbsp;monthly between 100,000 and 200,000 FCFA.&nbsp;Factors linked to the provision of care: the rate of Mutual Health Insurance adherence follows distances from patients' homes.&nbsp;Concerning the relation to satisfaction, education,&nbsp;distance and information are more determining than adherence rate.&nbsp;</p><p>&nbsp;</p><p><strong>Recommendations</strong>: 1) State:&nbsp;actions on education and distance; 2) Sensitizing the population on mutual health insurance; 3) Urging healthcare providers&nbsp;to reduce waiting times and&nbsp;respect schedules as well as appointments.&nbsp;</p> ER -