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UNICEF, OMS, FNUAP et ONUFEMMES unissent leurs efforts pour la réduction du taux de mortalité maternelle, néonatale et infantile au Tchad, un défi relevé grâce au Fonds Français Muskoka

N’Djaména, 22 Décembre 2017 – En partenariat avec le Ministère de la Santé Publique et l’Ambassade de France au Tchad, l’UNICEF, l’OMS, le FNUAP et l’ONUFEMMES ont organisé ce vendredi 22 Décembre, un nouveau rendez-vous des medias consacré à l’impact des interventions en santé sous Fonds Français Muskoka ; un fonds destiné au renforcement des systèmes de santé dans 11 pays de l’Afrique francophone, dont le Tchad.

Depuis 2012, la France a accordé 24.8 millions d’euros au Tchad pour lutter contre la mortalité maternelle, néonatale et infantile. Des fonds qui ont servi à l’UNICEF, l’OMS et le FNUAP pour appuyer le Ministère de la Sante Publique dans la mise en œuvre d’activités à haut impact en matière notamment de planification familiale, sante de la reproduction chez les adolescents mais également de santé maternelle, néonatale et infantile.

« Le taux de mortalité maternelle, néonatale et infantile au Tchad reste l’un des plus élevés en Afrique sub-saharienne et dans le monde et le financement du Fonds Français Muskoka est une opportunité pour contribuer à la réduction de celui-ci.», a souligné Dr. Jean Bosco HULUTE, Health Manager a.i. à l’UNICEF Tchad.

Selon le rapport mondial de « Interagency Group on Mortality Estimates (IGME) » 2017, le Tchad figure parmi les 10 premiers pays dans le monde en matière de réduction du taux de décès des enfants de moins de 5 ans. Toutefois, la proportion des décès parmi les nouveau-nés reste élevée, à 35/1000 naissances vivantes. Près de 87% de décès de nouveau-nés arrivent dans les 24 premières heures résultent ainsi des complications pendant l’accouchement.

« Le FFM œuvre sans relâche à relever ce défi à travers des solutions durables telles que le renforcement des capacités du personnel de santé qui grâce aux expertises nouvelles acquises, offre un meilleur service de santé pour les mères et enfants » reconnait Dr. Abatcha KADAI, Conseiller Chargé des Politiques et Système de Sante à l’OMS Tchad.

Le FFM a poursuit en 2017 la mise en œuvre des activités préventives, curatives et promotionnelles en faveur de la santé de la mère, du nouveau-né, de l’enfant, en se focalisant plus particulièrement sur la région du Kanem comme zone de convergence pour les interventions des 3 agences des Nations Unies.

« Le Fonds Français Muskoka rend possible  la mise en œuvre des interventions à haut impact, à savoir l’accès à des personnels de santé compétents, les SONU soins obstétricaux neonals d’urgence (SONU), la revue des décès maternels  qui permet de  sauver la vie des mères et des enfants et de ce fait améliorer les indicateurs de santé maternelle. », Dr. Olivier M. TARDA, Chargé de Programme – Santé Maternelle au FNUAP Tchad.

Selon les résultats de l’Enquête Démographique et de Santé et à Indicateurs Multiples (EDS-MICS) de 2014-2015, le taux de mortalité maternelle est passé de 1099 décès pour 100 000 naissances vivantes en 2004 à 860 décès pour 100 000 naissances vivantes en 2014, le taux de mortalité infantile est passé de 102 pour 1000 naissances vivantes en 2004 à 72 décès pour 1000 naissances vivantes en 2014.

Lancée en 2010 lors du sommet G8, l’initiative Muskoka est mise en œuvre à la fois via le canal bilatéral, géré par l’AFD, et le canal multilatéral, avec notamment le Fonds Français Muskoka mis en œuvre conjointement par l’UNICEF, l’OMS, l’UNFPA et ONUFEMMES dans 11 pays francophones dont le Tchad.

En savoir plus sur le Fonds Français Muskoka : http://ffmuskoka.org/

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Pour plus d’informations, veuillez contacter :

Achta Abderamane, Chef de la Communication a.i. UNICEF, Tel : +235 63 85 64 36, aabderamane@unicef.org

Tchouafene Matchoke, Chargé de Programme – Population et Développement, UNFPA, Tel: +235 66 27 56 75, matchoke@unfpa.org

Jonas Naissem, Chargé de l’Information et Promotion de la Santé, OMS, Tel. : +235 66 29 47 20, naissemj@who.int

Sarah Mokri, Attachée de Coopération, Ambassade de France au Tchad, +235 62 69 38 33, sarah.mokri@diplomatie.gouv.fr

Dr. Grace Dangothe Kodindo, Directrice de la Sante de Reproduction, Ministère de la Santee Publique, Tel: +235 66 29 50 74, gdkodindo@gmail.com

Présentation PowerPoint

Publicités

Measles vaccination: reaching every child

With only 22% of children fully vaccinated before their first birthday, Chad has one of the lowest immunization coverage in the world. In a context marked by difficult access to health care and enduring beliefs preventing vaccination, the work of community leaders and mobilizers is key to changing behaviors and improving survival of children.

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Vaccination against measles is an injectable vaccine and its organization requires time, human resources, substantial material and funds. In addition, Chad is a vast country (1,284,000km2) with many logistical challenges. So for better quality and to maximize coverage of the campaign, Chad was divided into two blocks. In November 2016, the first block of the campaign was organized in 14 regions comprising 73 most-at-risk health districts. In March 2017, the second block of the campaign was organized in 30 health districts troughout 9 regions.

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“When planning for a mass vaccination campaign against Measles, we make sure that the message about the day and time of vaccination is disseminated through several channels: at the mosque, on markets…wherever women are, because we know that they will be the ones bringing their children to get vaccinated. We try to involve as many people as possible.” Mahmat Abali, Mani’s “Chef de carré” (chief of a section) of the village, comprised of several houses.

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“We organize educative talks every month in our community. So when a mass Measles vaccination campaign is planned, we make sure that it is part of those talks. In parallel to the actions of Imams, “chefs de carrés” (chief of a section in a village, comprised of several houses) and “crieurs”, us, community mobilizers, also go to each and every house to talk to mothers and count children.” Mathieu Guigabe, community mobilizers in Mani for the past 4 years.

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“The Guité Health Center is always full. Inhabitants of the village come here for their regular health-related problems such as infants having fever or tooth aches. But when a mass vaccination campaign is planned, it gets even busier here.” Mahamat Idriss, in charge of the Guité Health Center.

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“The Guité Health Center is always full. Inhabitants of the village come here for their regular health-related problems such as infants having fever or tooth aches. But when a mass vaccination campaign is planned, it gets even busier here.” Mahamat Idriss, in charge of the Guité Health Center.

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Measles has been one of the leading causes of death among young children in Chad. Since 2016 thanks to Gavi’s support, UNICEF has been able to organized two measles campaigns in Chad. Through the last 2 campaigns of November 2016 and March 2017, 3,044,638 children aged 9 to 59 months were vaccinated, helping improving collective immunity of children. Two measles campaigns have already been scheduled in January and February 2018.

A woman’s voice against cholera

In Chad, women are discrete except when it comes to raising awareness.

Ababa Abakhar is a well-known preacher in the community of Am-Timan, in the East of Chad. She decided to use her notoriety to raise awareness on the cholera outbreak and good hygiene practices to stop the propagation of this disease.

In the confine of her house, Ababa talked intensely of her commitment in fighting cholera. “I want to tell my sisters to take their courage with both hands and start cleaning their house and the street in front of their house so that we can leave free from diseases like cholera.

Ababa Abakhar, 45, is a highly-regarded figure in Am-Timan. Teaching women Koran, she is followed by more than 400 women who attend her sermons each Sunday. “Am-Timan is my home, and people know me” she reminds us naturally.

When the outbreak was declared, Ababa was already in great position to take part in the efforts to combat the spread of cholera. A position she endorsed quite early at the onset of the outbreak.

I went to see and visit the women who were sick in both the Cholera Treatment Unit (CTU) and their home. It helped me realize the urgency of the situation and I decided to include this issue in my sermons to women.”

With the trust of women in her community, Ababa supported health workers to pass the right messages to families, and more particularly change at-risk attitudes and behaviors which at first could appear to clash with ancient traditions.

It was hard for families to understand that they could not get the body back right away, like we are supposed to in our religion” explains Ababa. “I talked to the families to help them understand the risks of contamination. After talking to them, they understood that the body needed to be treated first and then it would be given back for burial without any risk of contamination.”

But for Ababa the main challenge lies in a much deeper issue, the one of hygiene. “You don’t need to wear glasses to see the hygiene issue in Am-Timan. Cholera is also due to this lack of hygiene. I really want to use my notoriety to make women change their ways so that this disease never comes back to Am-Timan again. The only solution is for the community to realize the situation so that they can act on it.”

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In getting communities mobilized and effectively improving hygiene behaviors, women are key. “The health of a child depends on his mother” explains Djiwerie Oussmane, president of ANNASSOUR, a women organization working in the district of Am-Timan. “If she understands how to prevent cholera she can have the tools necessary to assure the well-being of her child. Mothers are the core of a family.

Ababa was one of the 100 women trained by UNICEF’s partner ANNASSOUR to raise awareness of women in the community on children’s rights, and in relation to the seriousness of the cholera outbreak.

In our tradition, woman like Abbaba are very respected by our community because of their religious education and knowledge” continues Djiwerie. “When they speak out, everybody listen. If we want to get our message across we need to go through these canals.

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The support of Annasour helped Ababa to go beyond her sermons, and record a prevention message at the community radio “Darbadja”, explaining cholera transmission and prevention.

I want women to be aware that cholera is caused by bad hygiene practices and that we can easily avoid it if we take some measures like washing our hands with soap, sweeping our house, sanitizing the space where we sleep and treating the water before drinking it.

In the hand of a well-known women as Ababa, radio became an even more powerful mean to reach out to those other women in more remote and rural places who do not always have access to water points that can be found in the city.

Using the radio is a good way to reach women, especially the ones who are leaving the city to work in the fields. They need to treat the water they get from the pond or the river. It is important for those women to bring water purifier packets with them.”

Ababa’s commitment towards the well-being of her community is inspirational and shows the significance of religious leaders’ mobilization in the interest of reaching everyone, especially every woman.

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Since the beginning of the epidemic in the Sila and Salamat region, on August 14th 2017, more than 1,200 cases have been identified and 71 death registered. Thanks to the Humanitarian Aid and Civil Protection department of the European Commission (ECHO), UNICEF has supported community radios, religious leaders and women organization to raise awareness on cholera contamination and prevention, and prevent further escalation of the epidemic.