Author(s)

Buhendwa Wendo M. Victor^1,2, Bédan Mokakando Alonga³, Léandre Simbananiye⁴, Philippe Awezaye Mwilarhe⁵, Ildephonse Sindayigaya¹

¹Ecole Doctorale, Université du Burundi, Bujumbura, Burundi.
²Researcher and Psycho-Clinical, ISDT, Bukavu, DR-Congo.
³Department of Psychology, Faculty of Psychology and Educational Sciences, University of Kisangani, Kisangani, DR-Congo.
⁴Faculty of Psychology and Education Sciences, University of Burundi, Bujumbura, Burundi.
⁵Depaerment of Educational Engineering, University of Kwazulu Natal, Durban, South Africa.

This study aims to analyse the health status and transformative potential of community health mutualism (Musaco) to ensure support for inclusive access to healthcare. In dealing with this, it analyses the psychological, physiological, behavioural, systemic and absorptive factors of the mutual health organisations in question. On the basis of the untypicalities, deficits, gaps and disturbances in operation, it diagnoses the organisational structure, in towns compared to the countryside; describes the structure and functionality, the evolution of membership, penetration and the recovery of contributions and care. The data collected provided the necessary inputs. The Integrated Organisation Model (IOM) was used as an organisational diagnostic tool. Data processing was carried out using Stata and Excel software. Qualitative analysis of the reports and the results of the interviews enriched the quantitative data. Discussion of the results generally reveals obstacles, with or without significant differences between towns and villages. The differences appear in the “Inputs-Processing-Outputs” process and the reuse of outputs. Similarly, the strong influence of the technostructure and the lack of managerial compassion somewhat delay the weaning and emergence of Musaco. However, assets such as the commitment and optimism of the managers and the attachment of the members, as well as opportunities such as the support and backing of the local authorities, are all essential to the success of Musaco.

Health, Organisational Health, Psychological and Physiological State of Health, Living Organisation-Organism, Community Health Mutuality (Musaco), Organisational Therapy

Victor, B. , Alonga, B. , Simbananiye, L. , Mwilarhe, P. and Sindayigaya, I. (2023) Organisational Health and Resilience of Community Health Insurance Schemes in Bukavu Eastern DRC. Open Journal of Social Sciences, 11, 378-398. doi: 10.4236/jss.2023.119025.