Health Financing and Household Financial Protection in D.R. Congo: A Vector Autoregressive Model (VaR) Analysis

  • Emmanuel BINENE SABWE Quantitative Economics Research Unit, Institute of Economic and Social Research, Faculty of Economics and Management, University of Kinshasa, D.R. Congo
  • Logas LOWENGA KOYAMODJA Quantitative Economics Research Unit, Institute of Economic and Social Research, Faculty of Economics and Management, University of Kinshasa, D.R. Congo
  • Yannick LUBONGO MBILU Public Economics Research Unit, Institute of Economic and Social Research, Faculty of Economics and Management, University of Kinshasa, D.R. Congo
  • Floribert NTUNGILA NKAMA Public Economics Research Unit, Institute of Economic and Social Research, Faculty of Economics and Management, University of Kinshasa, D.R. Congo
DOI: https://doi.org/10.14505/tpref.v14.1(27).05

Abstract

This paper examines the health-related expenditures of economic agents in the Democratic Republic of Congo (households, government and its external technical and financial partners). Given health care high costs of health care in the DRC, access to appropriate health care is hindered due to low income. As a result, government and its external technical and financial partners indispensably step in to ensure that vulnerable households are protected from ruinous expenses.    


At the same time, the paper provides an overview of public finances in the DRC health sector using a theoretical approach and analyzes government intervention effects and their external technical and financial partners intervention effects using a vector autoregressive model (VaR) through random shock simulations and variance decomposition. This analysis is carried out assuming that socioeconomic environment is constant "all things being equal".


The result is that household health-related expenditure per capita forecasts can be significantly improved at 0.05 threshold by public health-related expenditure per capita and by health-related expenditure per capita forecasts engaged by external technical and financial partners.

References

[1] Bosonga, J-P. 2021. Manuel d'Économétrie. Terabyte edition, Kinshasa, p.352.
[2] Gallais, J.L. 2009. Santé et Économie: principes et indicateurs généraux, documentation SFMG.
[3] Haurie, A. 1973. La théorie des systèmes et l'analyse des dépenses publiques, L'Actualité économique, 49(1): 68-92. DOI: https://doi.org/10.7202/802980ar
[4] Iyeti, M.A. 2013. Éditorial le financement des systèmes de la santé dans les pays à faible revenus: réflexions inspirées de la situation de la RDC, p.2.
[5] Lututala, M.B. et al. 2004. Les coûts annexes des soins d’hospitalisation des malades dans le réseau BDOM-Kinshasa, Ires, Unikin, p.14.
[6] Nicolas, T. 1994. Économie de la santé. Armand Colin, Paris-France, p.5
[7] Ntungila, F. 2023. Introduction à l’économie de la santé. Student’s handbook, Unikin, Faseg, p.6
[8] Ntungila, N.F, and Lubongo, Y.L. 2017. Assurance santé et accès aux soins en R.D. Congo: pour un meilleur soutien à ceux qui en ont le plus besoin, Cahiers Economiques et sociaux, Numéro spécial «60ème Année», Presse universitaire de Kinshasa-IRES, FASEG Unikin, p.8-12.
[9] Phelps, C. 1995. Fondement de l’économie de la santé, Publi-Union, p.14.
[10] Philippe, U. 1999. Les relations entre santé et croissance dans les pays développés. Les Cahiers du Gratice, 15, p.9.
[11] Uctum, R. 2007. Économétrie des modèles à changement de régimes: un essai de synthèse. L'Actualité économique, p.1 et 4. DOI: https://doi.org/10.7202/019389ar
[12] ***Assurance complémentaire, "Mutuelle complémentaire, Guide de mutuelle Available at: http://www.lecomparateurassurance.com
[13] *** Enabel. 2015. Accès aux soins de santé en RDC. ENABEL. Available at: https://www.enabel.be/fr/nos-actions/offrir-une-expertise/sante/
[14] *** Tableau de bord de l’Afrique sur les financements nationaux pour la santé. 2019. Available at: https://www.theglobalfund.org/media/8496/oig_gf-oig-19-013_report_fr.pdf
[15] *** International Labor Office. 2003. Guide des mutuelles de santé en Afrique, Geneva STEP, p.7.
[16] *** Ministry of Planning-RDC. 2014, Enquête 1-2-3, p.18.
[17] *** Ministry of Public Health-DRC. 2019, Étude sur l’espace budgétaire du secteur de la santé en RDC, elle peut si elle le veut réaliser la Couverture Santé Universelle, letter n°1, p.2-3.
[18] *** Ministry of Public Health-DRC. 2021. Rapport narratif des comptes nationaux de la Santé, p.2 and 4.
[19] *** Ministry of Public Health-DRC. 2022. Rapport sur régime de financement de la Sante et les indicateurs de Protection financière dans le cadre la CSU, RDC, p.2.
[20] *** OMS et Banque Mondiale, 2022. Rapport mondial de suivi sur la protection financière en santé 2021: résumé d’orientation [Global monitoring report on Financial protection in health 2021].
[21] *** OMS-RDC. 2017. Stratégie de coopération de l’OMS avec la RDC 2017-2021,
[22] *** World Bank. 2015. Revue des Dépenses Publiques de la RDC, (Volume I), p.17.
[23] *** http://www.iniaina.com/2015/03/23/emploi-et-finance/les-differents-types-de-mutuelle/
[24] *** http://www.mataf/edu.net/fr/edu/glossaire/financement
[25] *** https://www.who.int/fr/news-room/fact-sheets/detail/universal-health-coverage-(uhc)
Published
2023-06-26
How to Cite
BINENE SABWE, Emmanuel et al. Health Financing and Household Financial Protection in D.R. Congo: A Vector Autoregressive Model (VaR) Analysis. Theoretical and Practical Research in Economic Fields, [S.l.], v. 14, n. 1, p. 51 - 59, june 2023. ISSN 2068-7710. Available at: <https://journals.aserspublishing.eu/tpref/article/view/7862>. Date accessed: 10 may 2024. doi: https://doi.org/10.14505/tpref.v14.1(27).05.
Citation Formats
Issue
Vol 14 No 1 (2023): TPREF, Volume XIV, Issue 1(27), Summer 2023
Section
Articles

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