{"id":4347,"date":"2021-09-15T09:29:00","date_gmt":"2021-09-15T07:29:00","guid":{"rendered":"https:\/\/fhu-premimpact.org\/?p=4347"},"modified":"2022-01-03T14:25:09","modified_gmt":"2022-01-03T13:25:09","slug":"la-fhu-prema-au-benin","status":"publish","type":"post","link":"https:\/\/fhu-premimpact.org\/en\/actus\/la-fhu-prema-au-benin\/","title":{"rendered":"La FHU PREMA au B\u00e9nin"},"content":{"rendered":"\n

Du 1er au 5 septembre 2021, la direction de la FHU PREMA et de l\u2019\u00e9quipe MERIT (IRD) a effectu\u00e9 une mission au B\u00e9nin pour mieux appr\u00e9hender la r\u00e9alit\u00e9 de la recherche en p\u00e9rinatalit\u00e9 et les pratiques de soins et dans le but de d\u00e9velopper la collaboration. Ainsi nous avons rencontr\u00e9 les \u00e9quipes de l\u2019IRCB, du CERPAGE (laboratoires de MERIT au B\u00e9nin) ainsi que les \u00e9quipes cliniques du CHU M\u00e8re-Enfant de la Lagune (CHUMEL), du CNHU, de l\u2019h\u00f4pital de zone d\u2019Abomay-Calavi et de deux centres de sant\u00e9\/maternit\u00e9s \u00e0 Akassato et Soava.<\/p>\n\n\n\n

Le syst\u00e8me de soins au B\u00e9nin<\/strong><\/h4>\n\n\n\n

Le B\u00e9nin a mis en place une offre de soins publics organis\u00e9e en pyramide dite sanitaire :<\/p>\n\n\n\n

\n
\n

– 1er<\/sup> niveau<\/strong> : des centres de sant\u00e9 dirig\u00e9s par un m\u00e9decin avec un dispensaire et un infirmier-major \/ une maternit\u00e9 avec des sages-femmes (consultations pr\u00e9natales, accouchements, hospitalisation en suites de couches), voire des \u00e9chographies \/ un centre de vaccination \/ un laboratoire de biologie \/ une pharmacie.<\/p>\n\n\n\n

– 2\u00e8me<\/sup> niveau<\/strong> : des h\u00f4pitaux de zones avec maternit\u00e9 avec gyn\u00e9cologues obst\u00e9triciens, urgences p\u00e9diatriques et n\u00e9onatalogie, diff\u00e9rents service de sp\u00e9cialit\u00e9s adultes (consultations, hospitalisations), laboratoires, pharmacie, enseignement.<\/p>\n\n\n\n

– 3\u00e8me<\/sup> niveau<\/strong> : l\u2019h\u00f4pital de r\u00e9f\u00e9rence qui peut \u00eatre adulte et\/ou p\u00e9diatrique, m\u00e8re-enfant, psychiatrique. C\u2019est le cas du CNHU (610 lits, adultes et p\u00e9diatrie) et du CHUMEL (maternit\u00e9, gyn\u00e9cologie, p\u00e9diatrie et n\u00e9onatalogie).<\/p>\n<\/div>\n\n\n\n

\n
\"\"<\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\n

Les soins de base peuvent \u00eatre pris en charge pour les personnes ayant un emploi fixe notamment dans l\u2019administration. Mais l\u2019\u00e9conomie \u00e9tant essentiellement informelle, une grande partie de la population ne b\u00e9n\u00e9ficie pas de couverture sociale : les soins sont donc payants. Parall\u00e8lement, il existe une offre de soins priv\u00e9e et payante.<\/p>\n\n\n\n

Les relais communautaires<\/strong> ont un r\u00f4le important dans la prise en charge sanitaire de la population au niveau des centres de sant\u00e9. Ils appartiennent \u00e0 la communaut\u00e9 dont ils ont la charge. Ils sont \u00e9lus ou d\u00e9sign\u00e9s sur proposition. Ils re\u00e7oivent une formation en mati\u00e8re de sant\u00e9 de la m\u00e8re et de l\u2019enfant. Ils disposent de m\u00e9dicaments mis \u00e0 leur disposition selon un cahier des charges. Ils sont des vecteurs d\u2019information des m\u00e8res et des familles en sant\u00e9 sur le paludisme, les diarrh\u00e9es, le suivi de grossesse, les vaccinations, \u2026<\/p>\n\n\n\n

\n
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Centre de sant\u00e9 Akassato<\/figcaption><\/figure>\n<\/div>\n\n\n\n
\n

Ce voyage nous a permis de visiter les trois niveaux de soins de la pyramide sanitaire : la maternit\u00e9 et la n\u00e9onatalogie du CHU M\u00e8re-Enfant de la Lagune (CHUMEL), l\u2019h\u00f4pital de zone d\u2019Abomey-Calavi et deux centres de sant\u00e9 Akassato et Soava. Les \u00e9quipes cliniques ont eu \u00e0 c\u0153ur de nous pr\u00e9senter leurs modes d\u2019exercice, les prises en charge auxquelles ils sont confront\u00e9s et ce qu\u2019ils aimeraient am\u00e9liorer. Nous les en remercions.<\/p>\n\n\n\n

Nous avons \u00e9galement rencontr\u00e9 les acteurs de la recherche, chercheurs b\u00e9ninois et chercheurs en mission au B\u00e9nin qui nous ont pr\u00e9sent\u00e9 un panel de d\u2019essais cliniques r\u00e9cents et en cours. Ces pr\u00e9sentations nous ont d\u00e9montr\u00e9 la forte capacit\u00e9 de l\u2019IRCB en termes d\u2019inclusions dans les essais cliniques.<\/p>\n<\/div>\n<\/div>\n\n\n\n

La mission est revenue avec de nombreux th\u00e8mes de collaborations potentielles. Des sujets d\u2019\u00e9tudes collaboratives entre la FHU PREMA et les \u00e9quipes de recherche au B\u00e9nin ont \u00e9t\u00e9 mis en lumi\u00e8re. Ces projets qu\u2019ils soient de formation aux soins ou de recherche, sont en cours d\u2019instruction et nous ferons en sorte qu\u2019ils aboutissent.<\/p>\n\n\n\n

Merci \u00e0 Nadine Fievet, C\u00e9lia Dechavanne et Andr\u00e9 Garcia qui nous ont accompagn\u00e9 tout au long de ces 5 jours et nous ont fait partag\u00e9 leur passion pour ce pays.<\/p>\n","protected":false},"excerpt":{"rendered":"

Du 1er au 5 septembre 2021, la direction de la FHU PREMA et de l\u2019\u00e9quipe MERIT (IRD) a effectu\u00e9 une mission au B\u00e9nin pour mieux appr\u00e9hender la r\u00e9alit\u00e9 de la recherche en p\u00e9rinatalit\u00e9 et les pratiques de soins et dans le but de d\u00e9velopper la collaboration. <\/p>\n","protected":false},"author":87,"featured_media":4366,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_editorskit_title_hidden":false,"_editorskit_reading_time":2,"_editorskit_is_block_options_detached":false,"_editorskit_block_options_position":"{}","_uag_custom_page_level_css":"","footnotes":""},"categories":[1],"theme":[21],"class_list":["post-4347","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actus","theme-recherche"],"yoast_head":"\nLa FHU PREMA au B\u00e9nin - FHU Prem'IMPACT<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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