{"id":27384,"date":"2022-05-29T16:51:18","date_gmt":"2022-05-29T16:51:18","guid":{"rendered":"https:\/\/www.africa-press.net\/senegal\/politique\/drame-a-tivaouane-nos-hopitaux-ont-un-mal-de-management-ismaila-madior-fall-2"},"modified":"2022-05-29T17:13:18","modified_gmt":"2022-05-29T17:13:18","slug":"drame-a-tivaouane-nos-hopitaux-ont-un-mal-de-management-ismaila-madior-fall-2","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/senegal\/culture-et-art\/drame-a-tivaouane-nos-hopitaux-ont-un-mal-de-management-ismaila-madior-fall-2","title":{"rendered":"Drame \u00e0 Tivaouane \u2013 \u00ab\u00a0Nos h\u00f4pitaux ont un mal de management\u00a0\u00bb, Isma\u00efla Madior Fall"},"content":{"rendered":"

Africa-Press – Senegal. <\/strong><\/span>\u00ab Le probl\u00e8me, c\u2019est le management des infrastructures sanitaires\u00ab .<\/b><\/p>\n

Une remarque du Pr Ismaila Madior Fall, ce dimanche, dans l\u2019\u00e9mission J.<\/p>\n

D. D sur i-radio. Le ministre d\u2019\u00c9tat aupr\u00e8s du pr\u00e9sident de la R\u00e9publique \u00e9tait interpell\u00e9 sur les drames not\u00e9s dans le secteur de la Sant\u00e9, particuli\u00e8rement celui not\u00e9 \u00e0 la p\u00e9diatrie de l\u2019h\u00f4pital Mame Abdou Aziz SY Dabakh, emportant 11 nouveau-n\u00e9s, morts calcin\u00e9s.<\/p>\n

Vieillissement de l\u2019infrastructure sanitaire\u2026<\/b><\/p>\n

\u00ab D\u00e8s son accession au pouvoir, en 2012, le pr\u00e9sident Macky Sall avait lanc\u00e9 beaucoup d\u2019Assises y compris les Assises de la Sant\u00e9. Quand on a fini les Assises de la Sant\u00e9, on avait d\u00e9j\u00e0 une id\u00e9e des probl\u00e8mes.<\/p>\n

On ne peut pas tous les \u00e9voquer ici, mais il est clair que d\u00e9j\u00e0 on savait qu\u2019il y avait un probl\u00e8me de vieillissement de l\u2019infrastructure sanitaire. Je pense \u00e0 toute la pyramide sanitaire, qui va des postes de sant\u00e9, \u00e0 l\u2019h\u00f4pital de niveau 3. On savait qu\u2019il n\u2019y avait pas assez d\u2019infrastructures sanitaires\u00ab , a reconnu Ismaila Madior Fall.<\/p>\n

Sur les alertes de Serigne Mbaye Sy Mansour\u2026<\/b><\/p>\n

Et pourtant, devant Diouf Sarr, le Khalife g\u00e9n\u00e9ral des Tidianes avait alert\u00e9. Sur la question, le ministre conseiller de pr\u00e9ciser : \u00ab Je voudrais aussi qu\u2019on \u00e9vite de faire croire qu\u2019il n\u2019y a rien eu.<\/p>\n

Le pr\u00e9sident, entre 2012 et maintenant, a construit neuf h\u00f4pitaux. Ce n\u2019est pas rien, si on connait le co\u00fbt d\u2019un h\u00f4pital. Il a construit dix-huit centres de sant\u00e9 et une centaine de postes de sant\u00e9.<\/p>\n

Donc, du c\u00f4t\u00e9 de l\u2019infrastructure sanitaire, l\u2019\u00c9tat a agi. Ce n\u2019est pas suffisant, j\u2019en conviens, mais il a agi notamment en am\u00e9liorant la carte sanitaire et en rapprochant les patients des infrastructures sanitaires \u00bb.<\/p>\n

Probl\u00e8me de personnel\u2026<\/b><\/p>\n

\u00ab Ensuite, le pr\u00e9sident a recrut\u00e9 beaucoup de m\u00e9decins parce qu\u2019on savait aussi qu\u2019il y avait un probl\u00e8me de personnel.<\/p>\n

C\u2019est 6 mille agents de sant\u00e9 qui ont \u00e9t\u00e9 recrut\u00e9s, 1200 m\u00e9decins, 125 pharmaciens, 130 chirurgiens-dentistes, \u00e0 peu pr\u00e8s 2 mille param\u00e9dicaux. Autrement dit, il a dot\u00e9 les infrastructures de ressources humaines.<\/p>\n

On a financ\u00e9 la formation des sp\u00e9cialistes \u00e0 hauteur de cinq milliards F CFA. On a augment\u00e9 de fa\u00e7on substantielle les salaires des m\u00e9decins et des param\u00e9dicaux, ce qui a fait qu\u2019apr\u00e8s, il y a eu des probl\u00e8mes.<\/p>\n

Parce que \u00e7a fait un effet d\u2019entra\u00eenement. Les enseignants et d\u2019autres r\u00e9clament, mais l\u2019\u00c9tat l\u2019a assum\u00e9, m\u00eame si aujourd\u2019hui, cela cr\u00e9e un budget\u00ab , a-t-il rench\u00e9ri.<\/p>\n

\u00ab Il y a des choses qui ont \u00e9t\u00e9 faites\u2026\u00ab<\/b><\/p>\n

Non sans souligner que \u00ab parmi les probl\u00e8mes \u00e0 r\u00e9gler, figure la s\u00e9curit\u00e9\u2026 C\u2019est pour cela que j\u2019\u00e9tais en train de dire qu\u2019on a identifi\u00e9 les probl\u00e8mes.<\/p>\n

On est en train de les r\u00e9gler, \u00e9videmment, tout ne se r\u00e8gle pas d\u2019un coup de baguette magique du jour au lendemain, c\u2019est un processus. Le syst\u00e8me de sant\u00e9 \u00e9tait v\u00e9tuste, il y avait des probl\u00e8mes.<\/p>\n

L\u2019\u00c9tat a agi sur l\u2019infrastructure sanitaire, incontestablement m\u00eame si on a tous conscience que ce n\u2019est pas suffisant. Le pr\u00e9sident aussi a agi sur l\u2019offre, construire des infrastructures sanitaires, am\u00e9lior\u00e9 le plateau technique, apr\u00e8s il faut agir sur la demande.<\/p>\n

Parce que si tu fais tous ces efforts en construisant des infrastructures et que les gens n\u2019ont pas les moyens d\u2019acc\u00e9der aux soins, de payer les frais, \u00e7a pose probl\u00e8me.<\/p>\n

D\u2019o\u00f9 la couverture maladie universelle, qui a am\u00e9lior\u00e9 le taux de couverture \u00e0 peu pr\u00e8s de 10-12% \u00e0 aujourd\u2019hui presque 50%. Il y a des choses qui ont \u00e9t\u00e9 faites. Maintenant, il y a des probl\u00e8mes\u00ab .<\/p>\n

Management des infrastructures sanitaires\u2026<\/b><\/p>\n

Pour l\u2019ancien ministre de la Justice, \u00ab il n\u2019y a pas que la s\u00e9curit\u00e9. Aujourd\u2019hui, quand on pose le probl\u00e8me de l\u2019accueil, dans les h\u00f4pitaux, c\u2019est le management des infrastructures sanitaires.<\/p>\n

Quand on parle de continuit\u00e9 du service public, c\u2019est le management. Quand on parle de la fr\u00e9quence des gr\u00e8ves, c\u2019est le management. Quand on parle de n\u00e9gligence, c\u2019est le management.<\/p>\n

Quand une bonne partie des revenus va \u00e0 la motivation des agents et non \u00e0 la maintenance et \u00e0 l\u2019entretien des infrastructures sanitaires\u2026 Aujourd\u2019hui, il y a, \u00e0 mon avis une urgence.<\/p>\n

C\u2019est une r\u00e9flexion et une prise en charge du management des infrastructures sanitaires. Il faut une meilleure qualit\u00e9 de prise en charge, l\u2019accueil, la s\u00e9curit\u00e9, l\u2019entretien, la maintenance, \u00e7a c\u2019est des probl\u00e8mes.<\/p>\n

Pour moi, ce n\u2019est pas les h\u00f4pitaux. On a assez d\u2019h\u00f4pitaux. Des personnes quittent des pays de la sous-r\u00e9gion (Mauritanie, les deux Guin\u00e9es, Mali), qui viennent se soigner au S\u00e9n\u00e9gal\u00ab .<\/p>\n

Probl\u00e8me de maintenance\u2026<\/b>
\n\u00ab En l\u2019\u00e9tat, il faut d\u2019abord qu\u2019on sache exactement ce qui s\u2019est pass\u00e9 \u00e0 Tivaouane.<\/b><\/p>\n

Parce que si on sait ce qui s\u2019est pass\u00e9, on peut avoir une id\u00e9e de ce qui se passe dans d\u2019autres infrastructures.<\/p>\n

Les probl\u00e8mes \u00e0 peu pr\u00e8s sont les m\u00eames. Je pense fondamentalement si on veut simplifier les choses, au-del\u00e0 du management qui est g\u00e9n\u00e9ral, que l\u2019urgence, c\u2019est sur l\u2019infrastructure.<\/p>\n

Nos installations sont v\u00e9tustes et surtout ne sont pas maintenues. Parce que l\u2019infrastructure sanitaire va avec la maintenance. Il faut qu\u2019une partie du budget soit affect\u00e9e \u00e0 la maintenance.<\/p>\n

Nos infrastructures sanitaires ne sont pas maintenues, d\u2019o\u00f9 l\u2019explosion. Parce que c\u2019est une explosion qui a caus\u00e9 un court-circuit qui a caus\u00e9 l\u2019incendie.<\/p>\n

Cela veut dire qu\u2019il y a un probl\u00e8me de maintenance fondamentalement. Et la maintenance sanitaire, c\u2019est du s\u00e9rieux. C\u2019est des sp\u00e9cialistes, des outils, des m\u00e9thodes, c\u2019est un agenda qu\u2019il faut administrer de fa\u00e7on r\u00e9guli\u00e8re<\/p>\n

\u00ab , pr\u00e9cise Ismaila Madior Fall.<\/p>\n

Probl\u00e8me de professionnalisme et de n\u00e9gligence\u2026<\/b><\/p>\n

Il poursuit : \u00ab par ailleurs, il y a un probl\u00e8me qui n\u2019est pas un probl\u00e8me de comp\u00e9tence des ressources humaines, pas du tout, mais de professionnalisme des ressources humaines.<\/p>\n

Parce que vous pouvez avoir des m\u00e9decins, des infirmiers, des aides-infirmiers qui sont comp\u00e9tents mais qui ne sont pas suffisamment professionnels. Parfois, dans ce qui s\u2019est pass\u00e9, en attendant que les enqu\u00eates l\u2019attestent, l\u2019illustrent davantage une dimension de n\u00e9gligence\u00ab .<\/p>\n

Pour plus d’informations et d’analyses sur la Senegal<\/a>, suivez Africa-Press<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – Senegal. \u00ab Le probl\u00e8me, c\u2019est le management des infrastructures sanitaires\u00ab . Une remarque du Pr Ismaila Madior Fall, ce dimanche, dans l\u2019\u00e9mission J. D. D sur i-radio. Le ministre d\u2019\u00c9tat aupr\u00e8s du pr\u00e9sident de la R\u00e9publique \u00e9tait interpell\u00e9 sur les drames not\u00e9s dans le secteur de la Sant\u00e9, particuli\u00e8rement celui not\u00e9 \u00e0 la […]<\/p>\n","protected":false},"author":82,"featured_media":27383,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,11,10],"tags":[43,47,44],"class_list":["post-27384","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-culture-et-art","category-homepage-french","category-toutes-les-actualites","tag-africa-press-2","tag-africa-press-senegal","tag-senegal-2"],"yoast_head":"\nDrame \u00e0 Tivaouane \u2013 \u00ab\u00a0Nos h\u00f4pitaux ont un mal de management\u00a0\u00bb, Isma\u00efla Madior Fall - Senegal<\/title>\n<meta name=\"description\" content=\"\u00ab Le probl\u00e8me, c\u2019est le management des infrastructures sanitaires\u00ab . 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