Browsing by Author "Sous la direction de : Dr Soeur Rosette Minani"

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    Inégalités sociales en matière d'accès aux soins de santé au Burundi: une étude sur l'accessibilité à la carte d’assurance maladie pour les groupes vulnérables de la commune Gisagara en province Buhumuza
    (UB, FLSH, 2025-11) Bimenyimana, Louis; Sous la direction de : Dr Soeur Rosette Minani
    This study examines social inequalities in access to hearthcare in Burundi ,focusing on the accessibility of hearth insurance cards for vulnerable groupes in commune Gisagara at BUHUMUZA province. The main research question explored why inequalities persist despite the legal obligation for every citizen to subscribe to health insurance.The results confirm that health insurance card significantly facilitates access to healthcare for vulnerable populations,validating the central hypothesis .However ,structural and socio- economic barriers sach as registration fees ,distance to health centers ,and administrations delays limit the effectiviness of this policy .Local health institutions play a crucial role in guiding and assisting beneficiaries ,yet their capacity is constrained by limitedlimited resources and staf shortages.Contraly to initial expectations ,discrimination based on residency and lack of information are not major obstacles ,as these minor hyopheses were disproved .Health policies theoretically address inequalities, but their implementation remains uneven and poorly adapted to local realities . The findind indicate that health insurance is an effective tool improving access to healthcare, but alone it con not eliminate disparities . The stady recommends strengthening local institutions, decentralizing services, and implementing targeted support measures to insure truly equitable access for vulnerable populations .