{"id":1950,"date":"2026-05-20T13:21:47","date_gmt":"2026-05-20T13:21:47","guid":{"rendered":"https:\/\/www.africascoop.net\/?p=1950"},"modified":"2026-05-20T13:22:03","modified_gmt":"2026-05-20T13:22:03","slug":"sous-la-pression-securitaire-les-centres-de-sante-du-nord-resistent","status":"publish","type":"post","link":"https:\/\/www.africascoop.net\/index.php\/2026\/05\/20\/sous-la-pression-securitaire-les-centres-de-sante-du-nord-resistent\/","title":{"rendered":"SOUS LA PRESSION S\u00c9CURITAIRE\u00a0: Les centres de sant\u00e9 du nord r\u00e9sistent"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

Entre p\u00e9nurie, enclavement et peur, les structures sanitaires de Labbezanga, Tintachorie (Talataye) et Tadjalalt (Tessit) tentent de maintenir les soins gr\u00e2ce \u00e0 la r\u00e9silience des agents de sant\u00e9, des communaut\u00e9s et des partenaires humanitaires.<\/em><\/strong><\/p>\n\n\n\n

Dans plusieurs localit\u00e9s du nord du Mali, se soigner est devenu un parcours sem\u00e9 d\u2019emb\u00fbches. \u00c0 Labbezanga, Tintachorie (Talataye) et Tadjalalt (Tessit), les centres de sant\u00e9 continuent de fonctionner malgr\u00e9 un environnement marqu\u00e9 par l\u2019ins\u00e9curit\u00e9, les ruptures de m\u00e9dicaments, le manque de personnel et l\u2019isolement g\u00e9ographique.<\/p>\n\n\n\n

Sur le terrain, les t\u00e9moignages des Directeurs techniques de centres (DTC) dressent le portrait d\u2019un syst\u00e8me sanitaire sous tension permanente, mais qui refuse de s\u2019effondrer.<\/p>\n\n\n\n

Des centres de sant\u00e9 sous la menace permanente<\/p>\n\n\n\n

\u00c0 Labbezanga, le Directeur technique du centre (DTC) Abdoulaye Ma\u00efga, d\u00e9crit un quotidien o\u00f9 les difficult\u00e9s logistiques se m\u00ealent aux urgences sanitaires. Le faible niveau de recouvrement de l\u2019ASACO emp\u00eache le paiement r\u00e9gulier du personnel soignant. Certains agents travaillent plusieurs mois sans salaire, tandis que le centre fait face \u00e0 des p\u00e9nuries d\u2019\u00e9quipements essentiels, notamment des tables d\u2019accouchement.<\/p>\n\n\n\n

L\u2019acc\u00e8s \u00e0 certaines zones du Gourma reste particuli\u00e8rement compliqu\u00e9. L\u2019ins\u00e9curit\u00e9 limite les d\u00e9placements des relais communautaires et perturbe les strat\u00e9gies avanc\u00e9es de vaccination et de sensibilisation. \u00c0 cela s\u2019ajoutent les difficult\u00e9s d\u2019approvisionnement en m\u00e9dicaments dans les sites accueillant des d\u00e9plac\u00e9s internes.<\/p>\n\n\n\n

Le centre fonctionne \u00e9galement avec une alimentation \u00e9lectrique tr\u00e8s limit\u00e9e et un ch\u00e2teau d\u2019eau en panne depuis plus d\u2019un an.<\/p>\n\n\n\n

\u00c0 Tintachorie (Talataye), les d\u00e9fis s\u00e9curitaires affectent directement la fr\u00e9quentation des structures sanitaires. \u00ab Les patients ont peur de venir la nuit \u00bb, explique le DTC Abasse Ma\u00efga. Les routes d\u00e9grad\u00e9es et l\u2019ins\u00e9curit\u00e9 compliquent les d\u00e9placements des \u00e9quipes m\u00e9dicales et retardent l\u2019acheminement des m\u00e9dicaments.<\/p>\n\n\n\n

Dans ces localit\u00e9s, les agents de sant\u00e9 disent travailler \u201cpar attachement \u00e0 la communaut\u00e9\u201d, malgr\u00e9 l\u2019absence de partenaires financiers et les conditions de travail extr\u00eamement pr\u00e9caires.<\/p>\n\n\n\n

La situation appara\u00eet encore plus critique \u00e0 Tadjalalt (Tessit). Les \u00e9vacuations sanitaires y deviennent parfois impossibles. Selon le DTC Abdoulmoumini Issiaka, certaines ambulances sont bloqu\u00e9es ou cibl\u00e9es sur les axes routiers. Les ruptures d\u2019intrants sont fr\u00e9quentes, les difficult\u00e9s de communication compliquent la gestion des urgences et le flux croissant de d\u00e9plac\u00e9s accentue la pression sur un personnel d\u00e9j\u00e0 insuffisant.<\/p>\n\n\n\n

Une r\u00e9alit\u00e9 confirm\u00e9e par la recherche scientifique<\/p>\n\n\n\n

Les difficult\u00e9s observ\u00e9es dans ces localit\u00e9s rejoignent les conclusions de la recherche scientifique intitul\u00e9e \u00ab D\u00e9fis et strat\u00e9gies pour la mise en \u0153uvre d\u2019une intervention sur le syst\u00e8me de sant\u00e9 dans une situation de crise humanitaire au Mali \u00bb, men\u00e9e par Moctar Tounkara, Lancina Doumbia, Samba Diarra, Ibrahima Berth\u00e9, Oumar Sangho et Sory I. Diawara.<\/p>\n\n\n\n

R\u00e9alis\u00e9e par des chercheurs de l\u2019USTTB, du Centre Universitaire et de Recherche Clinique de Bamako et de la Direction G\u00e9n\u00e9rale de la Sant\u00e9 et de l\u2019Hygi\u00e8ne Publique, l\u2019\u00e9tude souligne que depuis 2012, les conflits arm\u00e9s, les violences terroristes et les affrontements intercommunautaires ont profond\u00e9ment fragilis\u00e9 le syst\u00e8me sanitaire malien.<\/p>\n\n\n\n

Les chercheurs mettent notamment en avant :<\/p>\n\n\n\n

l\u2019ins\u00e9curit\u00e9 g\u00e9n\u00e9ralis\u00e9e ;<\/p>\n\n\n\n

l\u2019existence d\u2019engins explosifs improvis\u00e9s ;<\/p>\n\n\n\n

les restrictions de circulation ;<\/p>\n\n\n\n

l\u2019inaccessibilit\u00e9 de certaines localit\u00e9s ;<\/p>\n\n\n\n

les difficult\u00e9s logistiques des interventions sanitaires.<\/p>\n\n\n\n

Autant de r\u00e9alit\u00e9s qui r\u00e9sonnent avec les t\u00e9moignages recueillis dans les centres de sant\u00e9 du nord.<\/p>\n\n\n\n

La r\u00e9silience comme dernier rempart<\/p>\n\n\n\n

Malgr\u00e9 l\u2019ampleur des difficult\u00e9s, les structures sanitaires continuent n\u00e9anmoins d\u2019assurer un minimum de services gr\u00e2ce \u00e0 une forte mobilisation communautaire.<\/p>\n\n\n\n

\u00c0 Labbezanga comme \u00e0 Tadjalalt (Tessit), les ASACO, les relais communautaires et les Agents de Sant\u00e9 Communautaire demeurent les principaux piliers du syst\u00e8me local de sant\u00e9. Les strat\u00e9gies avanc\u00e9es, les campagnes de sensibilisation et l\u2019engagement des chefs communautaires permettent encore d\u2019atteindre certaines populations isol\u00e9es.<\/p>\n\n\n\n

Cette r\u00e9silience produit parfois des r\u00e9sultats encourageants. \u00c0 Labbezanga, les campagnes de sensibilisation ont contribu\u00e9 \u00e0 ma\u00eetriser une \u00e9pid\u00e9mie de chol\u00e9ra survenue en 2021. Dans plusieurs localit\u00e9s, les accouchements \u00e0 domicile ont diminu\u00e9 gr\u00e2ce aux actions des relais communautaires.<\/p>\n\n\n\n

\u00c0 Tadjalalt (Tessit), des \u00e9quipes mobiles ont \u00e9t\u00e9 mises en place et des syst\u00e8mes solaires install\u00e9s afin de r\u00e9duire la d\u00e9pendance \u00e9nerg\u00e9tique du centre.<\/p>\n\n\n\n

Les populations elles-m\u00eames participent \u00e0 cet effort collectif. Malgr\u00e9 l\u2019ins\u00e9curit\u00e9 et les longues distances, de nombreuses familles continuent de parcourir plusieurs kilom\u00e8tres pour acc\u00e9der aux soins.<\/p>\n\n\n\n

Des alertes relay\u00e9es au sommet de l\u2019\u00c9tat<\/p>\n\n\n\n

Les pr\u00e9occupations exprim\u00e9es dans ces centres de sant\u00e9 rejoignent plusieurs d\u00e9clarations de Assa Badiallo Tour\u00e9.<\/p>\n\n\n\n

\u00c0 travers diff\u00e9rentes interventions publiques, notamment \u00e0 Kidal et lors de rencontres avec les acteurs humanitaires, la ministre de la sant\u00e9 et du d\u00e9veloppement social a reconnu que les structures sanitaires des zones de crise \u00e9voluent dans un environnement marqu\u00e9 par :<\/p>\n\n\n\n

l\u2019ins\u00e9curit\u00e9 persistante ;<\/p>\n\n\n\n

les difficult\u00e9s d\u2019acc\u00e8s ;<\/p>\n\n\n\n

les ruptures de m\u00e9dicaments ;<\/p>\n\n\n\n

le manque de personnel qualifi\u00e9 ;<\/p>\n\n\n\n

les insuffisances en \u00e9quipements ;<\/p>\n\n\n\n

la pression li\u00e9e aux d\u00e9plac\u00e9s internes.<\/p>\n\n\n\n

Elle a \u00e9galement insist\u00e9 sur la n\u00e9cessit\u00e9 de renforcer la collaboration entre l\u2019\u00c9tat, les communaut\u00e9s locales et les partenaires humanitaires afin de maintenir l\u2019acc\u00e8s aux soins dans les zones les plus expos\u00e9es.<\/p>\n\n\n\n

Le d\u00e9fi de la survie sanitaire<\/p>\n\n\n\n

Derri\u00e8re les statistiques et les rapports techniques, les centres de sant\u00e9 de Labbezanga, Tintachorie (Talataye) et Tadjalalt (Tessit) incarnent aujourd\u2019hui la fragilit\u00e9 mais aussi la capacit\u00e9 de r\u00e9sistance du syst\u00e8me sanitaire malien.<\/p>\n\n\n\n

Les agents de sant\u00e9 y travaillent souvent sans salaire r\u00e9gulier, avec peu de moyens et sous la menace permanente de l\u2019ins\u00e9curit\u00e9. Pourtant, ils continuent d\u2019assurer consultations, accouchements, campagnes de vaccination et \u00e9vacuations sanitaires.<\/p>\n\n\n\n

Dans ces zones o\u00f9 l\u2019\u00c9tat peine parfois \u00e0 maintenir sa pr\u00e9sence, la survie du syst\u00e8me de sant\u00e9 repose d\u00e9sormais sur un \u00e9quilibre fragile entre engagement communautaire, soutien humanitaire et capacit\u00e9 d\u2019adaptation locale.<\/p>\n\n\n\n

Et dans les couloirs de ces centres souvent d\u00e9pourvus du strict minimum, une r\u00e9alit\u00e9 demeure : malgr\u00e9 la crise, les soignants refusent encore d\u2019abandonner leurs communaut\u00e9s.<\/p>\n\n\n\n

Par Abdrahamane Baba Kouyat\u00e9<\/p>\n","protected":false},"excerpt":{"rendered":"

Entre p\u00e9nurie, enclavement et peur, les structures sanitaires de Labbezanga, Tintachorie (Talataye) et Tadjalalt (Tessit) tentent de maintenir<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[36,10],"tags":[],"class_list":["post-1950","post","type-post","status-publish","format-standard","hentry","category-exclusif","category-sante"],"yoast_head":"\nSOUS LA PRESSION S\u00c9CURITAIRE\u00a0: Les centres de sant\u00e9 du nord r\u00e9sistent - Actualit\u00e9s Africaines<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.africascoop.net\/index.php\/2026\/05\/20\/sous-la-pression-securitaire-les-centres-de-sante-du-nord-resistent\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SOUS LA PRESSION S\u00c9CURITAIRE\u00a0: Les centres de sant\u00e9 du nord r\u00e9sistent - 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