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Oral Status and Financial Accessibility to the Care of the Beneficiaries of the General Mutual of Officials and Agents of Côte d'Ivoire

Received: 4 September 2019     Accepted: 5 October 2019     Published: 28 October 2019
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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.

Published in Science Journal of Public Health (Volume 7, Issue 5)
DOI 10.11648/j.sjph.20190705.17
Page(s) 174-180
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Accessibility, Health Insurance, Oral Health, Satisfaction, Côte d'Ivoire

References
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  • APA Style

    Sangare Abou Dramane, Samba Mamadou, Meless Guanga David, Akossi Claude Marcel, Datte Atta Sébastien, et al. (2019). 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, 7(5), 174-180. https://doi.org/10.11648/j.sjph.20190705.17

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    ACS Style

    Sangare Abou Dramane; Samba Mamadou; Meless Guanga David; Akossi Claude Marcel; Datte Atta Sébastien, et al. Oral Status and Financial Accessibility to the Care of the Beneficiaries of the General Mutual of Officials and Agents of Côte d'Ivoire. Sci. J. Public Health 2019, 7(5), 174-180. doi: 10.11648/j.sjph.20190705.17

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    AMA Style

    Sangare Abou Dramane, Samba Mamadou, Meless Guanga David, Akossi Claude Marcel, Datte Atta Sébastien, et al. Oral Status and Financial Accessibility to the Care of the Beneficiaries of the General Mutual of Officials and Agents of Côte d'Ivoire. Sci J Public Health. 2019;7(5):174-180. doi: 10.11648/j.sjph.20190705.17

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  • @article{10.11648/j.sjph.20190705.17,
      author = {Sangare Abou Dramane and Samba Mamadou and Meless Guanga David and Akossi Claude Marcel and Datte Atta Sébastien and Nouaman Nzebo Marcellin and Nzore Kangah Serge and Da-danho Viviane and Guinan Jean Claude and Bakayoko-Ly Ramata},
      title = {Oral Status and Financial Accessibility to the Care of the Beneficiaries of the General Mutual of Officials and Agents of Côte d'Ivoire},
      journal = {Science Journal of Public Health},
      volume = {7},
      number = {5},
      pages = {174-180},
      doi = {10.11648/j.sjph.20190705.17},
      url = {https://doi.org/10.11648/j.sjph.20190705.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20190705.17},
      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.},
     year = {2019}
    }
    

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    T1  - Oral Status and Financial Accessibility to the Care of the Beneficiaries of the General Mutual of Officials and Agents of Côte d'Ivoire
    AU  - Sangare Abou Dramane
    AU  - Samba Mamadou
    AU  - Meless Guanga David
    AU  - Akossi Claude Marcel
    AU  - Datte Atta Sébastien
    AU  - Nouaman Nzebo Marcellin
    AU  - Nzore Kangah Serge
    AU  - Da-danho Viviane
    AU  - Guinan Jean Claude
    AU  - Bakayoko-Ly Ramata
    Y1  - 2019/10/28
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    N1  - https://doi.org/10.11648/j.sjph.20190705.17
    DO  - 10.11648/j.sjph.20190705.17
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 174
    EP  - 180
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20190705.17
    AB  - 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.
    VL  - 7
    IS  - 5
    ER  - 

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Author Information
  • Department of Public Health, University Felix Houphouet-Boigny, Abidjan, C?te d’Ivoire

  • Department of Public Health, University Felix Houphouet-Boigny, Abidjan, C?te d’Ivoire

  • Department of Public Health, University Felix Houphouet-Boigny, Abidjan, C?te d’Ivoire

  • Dental Office, Bongouanou General Hospital, C?te d’Ivoire

  • Laboratory of Public Health and Medicinal Plants, University Felix Houphouet-Boigny, Abidjan, C?te d’Ivoire

  • Laboratory of Public Health and Medicinal Plants, University Felix Houphouet-Boigny, Abidjan, C?te d’Ivoire

  • Laboratory of Public Health and Medicinal Plants, University Felix Houphouet-Boigny, Abidjan, C?te d’Ivoire

  • Department of Public Health, University Felix Houphouet-Boigny, Abidjan, C?te d’Ivoire

  • Department of Public Health, University Felix Houphouet-Boigny, Abidjan, C?te d’Ivoire

  • Department of Public Health, University Felix Houphouet-Boigny, Abidjan, C?te d’Ivoire

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