Improving financial access to health care in the Kisantu district in the Democratic Republic of Congo: acting upon complexity

Figures & data

Fig. 1 A map of Kisantu district (health zone), Bas Congo, DRC.

Fig. 2 The health district as a complex system.

Fig. 3 Timeline.

Source: Project data, 2008–2011.

Fig. 4 Evolution of the inpatients: Kisantu GH 2008–2011.

Fig. 5 Evolution of the outpatients: Kisantu GH 2008–2011.

Fig. 6 Evolution of admissions among referred outpatients: Kisantu GH 2008–2011.

Fig. 7 Evolution of the cost recovery rates for hospital bills.

Table 1 Evolution of indicators

	2008	2009	2010	2011
General hospital bed occupancy rate (270 beds)	53.3%	69.3%	74.9%	85.1%
First-level curative care utilization rate (new cases/inhabitant/year)	0.41	0.51	0.56	0.50
Hospitalization rate (inpatients/population×1,000)	21.2‰	27.5‰	34.4‰	32.7‰
Average length of stay (without orthopedics)	8.8 days	8.1 days	8.1 days	7.6 days
Total of new cases at the hospital outpatient department	14,529	12,468	12,424	12,282
Outpatients from the district, %	77.1	78.7	81.3	82.9
Referred outpatients, %	7.8	36.8	79.6	89.8
Hospitalization among referred outpatients, %	21.7	39.9	50.5	53.3
Inpatients coming from the district, %	74.0	78.3	85.4	86.8
Referred inpatients coming from the district, %	6.1	35.0	76.1	93.9
Proportion of recovery of patient bills	42.8%	83.9%	87.2%	87.8%
Autonomous staff incentives at independent health centers (USD)	86,601	90,874	105,581	127,843

Source: Kisantu District Hospital and Kisantu district records and monthly statistics.