While all CASOP members and their families may use the polyclinic, Table D.2 shows that UNTZA staff and families account for a large fraction of utilization (34 to 47% of new cases in 1988 to 89). UNTZA is a company member', and is billed for the wco-payments' of employees treated.

**Table 0.2 UtIlization,** CASO **P** olyclinic, **Kirnshasa,** 1988-1989

||...............................|....<br>**198**||||...............................|...........................<br>**189**||||
|---|---|---|---|---|---|---|---|---|---|---|
|PATOR<br>CATEGOR|**VPE**<br>OFInumber<br>Y**VISIT**<br>I<br>**()**|**2 aIL**<br> Inew<br>Ic<br>e|**2lOtL**<br>ifolLowi<br>se,<br>**icaes**<br>|**2ltlt**<br>total<br>lass$|IVisitin<br>lper<br>Ispi|ruber<br>1(9 mo.)l<br>a.**(C)**|1I<br>total<br>|util|1<br> <br>Inww<br> <br>**cases**|1%<br>Ifollowip<br> Icases|IVisitl<br>er<br>I<br>**Iepia.1**|
||||IIIII<br>I1|I<br>11|||I1|I|II--<br>|-----I------<br>II1|
|**ILUITZA**|**.**<br>.--..<br>**INew**<br>110,548|| 47.5X|........<br>--------<br>1<br>---|.<br>-------<br>I--|----<br>I|| 3,628|------<br>1 33.7X|---<br>1<br>---<br>|.<br>-----<br>I---|.<br>----<br>I<br>I|
||staff|<br>IFoltow-upl16,269|<br>I<br>---|<br>I55.8X1|<br>---<br>|I||<br>8,987|<br>1---|<br>I48.821|<br>---|I<br>I|
|..........|ITotal<br>126,8171<br>||I---<br> <br>|1**52.2X**<br> <br>|**1 2.5**<br>|112,615<br>|1 --<br>|I<br>--<br> <br>|1 43.2X<br>|1 3.5 1<br>|
||<br>|<br>||-<br>|<br>|<br>|<br>||||
||. ......<br>----<br>---|<br>|- ------<br> <br>|----<br> <br>|--<br>|----<br>-|---<br>----|-----<br><br>|---------<br>|--<br> <br>|
|**IIndiv.**|INew<br>1 5,325|1 24.02|1<br>---|I<br>--|I|1 2,456|1 22.82|1<br>---|I---|I<br>I|
|Ins'bers|IFoltow-upi6,793|1<br>-.|1 23.321|<br>---||1 3,591|1<br>--|1 19.521|<br>---|I<br>I|
||<br>|<br>iTotal<br>112,118 <br>|1---<br>|I---<br> <br>|1 23.6X1|2.3|1 6,047||<br>---|I<br>--<br> <br> <br>|1 20.7X<br>|1 2.5i<br>|
|1-- --------<br>IColany|I--------1-I------1-I-----1-I-----1-I<br>INsW<br>14,079|-----1--------<br>1 18.42|---1I------<br>1<br>---|I---<br>I||12,988|1 27.72|1I------<br> <br>1<br>---|I----1-<br>I---|I...<br>I<br>I|
|<br>lbilted|IFollow-upI<br>4,434|1<br>--|1 15.221|<br>---<br>|I|1 4,102|1<br>---|**1**22.3XI|<br>---|I<br>I|
|lm.&<br>non|iTotuL<br>| 8,513||<br>---|I<br>--- 1|16.6X||2.1|1 7,090 1|<br>---|I<br>---1|24.3X|| 2.41|
|1----------1|I--------1I-------1|-----|1------1-<br>|------<br>|I<br>-|------|I-1-----1|I-----1I------|I-----I||
|<br>Nmon-|<br>INew<br>1 2,264|<br>1 10.22|<br> <br>1<br>---I|<br> <br> <br>---<br>I|<br> <br>|<br>1 1,707|<br>1 15.82|1<br>---I|<br>---|I<br>I|
|Ibers|IFotlow-upl<br>1,648<br>|1 ---<br>|1 5.7X1|<br>---<br>I||1 1,751|1 ---|I9.52|1---|I<br>I|
||<br>.Total<br>| 3,912||<br>---|I---|7.6X||1.7|| 3,458||<br>---|I---|I11.8X|1 2.0 1|
||I-----------1I-------1------||I-----<br>-1-|----1-----1--|--|---<br>|1------1|I-----1-I-----|-I-----1||
|........<br>ITOTAL|<br>**INew**<br>122,216|<br>1100.021|<br> <br> <br>---<br>|<br>I<br>---<br>|<br>I|<br>110,779|<br> 1100.021|<br>---<br>|I---|I<br>I|
|**IALL**<br>PAYOR|SIFollow-UP129,1"<br>|I---<br>|1100.0X1|<br>---<br>|I|118.431|1 *--|1100.0|21<br>---|I<br>I|
|I<br>.<br>......**...**......|ITOTAL<br>151,360<br>................|1 --- <br>....<br>.....|I<br>---<br> <br>.<br>..<br>..|1100.02<br>....<br>.....|1 2.3<br>....|129,210<br>.......|1---<br>.............|I<br>---<br> <br>.|1100.02<br>............|1 2.7 1|

Jan. to Sept., *xcluding April (no data avail. **for** April) **Foatlow-p** visits **are** calculated by dividing totaL receipts by price per follow-up visit.

The monthly contribution to CASOP is 100 Z ($0.28) for the average worker. Honorary members (people with large incomes--self-identified) pay 200 Z ($0.56) per month, while farmers ('paysans') are charged 50 Z ($0.!4). In fact, the latter tariff is not used, since most people are able to afford 100 Z in the urban area of Kinshasa.

Upon joining CASOP, members must pay a one-time fee for the membership booklet (100 Z), and six months of contributions in advance, or a total of 700 Z ($1.98). People who fall in arrears of their monthly dues are given three months to pay up the full amount. If they cannot pay back dues by the end of three months, their membership is suspended. Companies (e.g. UNTZA) which join the plan for their employees pay for the membership booklets, ard use payroll deduction to collect the monthly contribution from the employees.

Individual members are subject to a co-payment. Since the end of 1987, their co-payment has been 450 Z ($1.27) for one day of care. (See Table D.l) A price change is planned very soon. Companies are billed at the individual member's 'co-payment' price for the services provided to their employees. Laboratory, x-ray, minor surgery and some drugs are charged separately. There are no caps on spending.

45