{"id":3549,"date":"2022-10-11T12:38:05","date_gmt":"2022-10-11T12:38:05","guid":{"rendered":"http:\/\/afiyafrica.com\/?p=3549"},"modified":"2022-10-11T12:38:21","modified_gmt":"2022-10-11T12:38:21","slug":"ameliorer-lacces-aux-services-de-sante-mentale-au-ghana","status":"publish","type":"post","link":"https:\/\/afiyafrica.com\/index.php\/actualite\/ameliorer-lacces-aux-services-de-sante-mentale-au-ghana\/","title":{"rendered":"Am\u00e9liorer l\u2019acc\u00e8s aux services de sant\u00e9 mentale au Ghana"},"content":{"rendered":"
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\n \t<\/i> Read Time:<\/span>5 Minute, 53 Second <\/div>\n\n <\/div>
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Un dramatique accident de la circulation a marqu\u00e9 un tournant pour Mariama Issifu. C\u2019est lors du traitement de ses blessures que l\u2019enseignante de 37\u00a0ans a \u00e9t\u00e9 diagnostiqu\u00e9e pour la premi\u00e8re fois avec un trouble bipolaire. <\/p>\n

Mais au lieu de l\u2019informer de son \u00e9tat, le personnel soignant lui a fait subir un mauvais traitement.<\/p>\n

\u00ab\u00a0J\u2019\u00e9tais d\u00e9j\u00e0 dans une situation peu commode parce que j\u2019essayais encore de comprendre ce qui m\u2019arrivait\u00a0\u00bb, se souvient Mariama, une habitante du district de Bongo, dans la r\u00e9gion d\u2019Upper East, au Ghana. \u00ab\u00a0Compte tenu de ma faible estime de moi et du manque d\u2019information, les travailleurs de la sant\u00e9 en ont profit\u00e9 pour me traiter de mani\u00e8re inhumaine, chose que j\u2019ai du mal \u00e0 oublier.\u00a0\u00bb<\/p>\n

\u00ab\u00a0L\u2019exp\u00e9rience que j\u2019ai v\u00e9cue dans ma qu\u00eate d\u2019acc\u00e8s aux soins de sant\u00e9 m\u2019a fait me poser la question de savoir si je n\u2019aurais pas fait mieux de rester chez moi sans aller \u00e0 l\u2019h\u00f4pital\u00a0\u00bb, ajoute-t-elle.<\/p>\n

Des cas de violations des droits humains \u00e0 l\u2019encontre de personnes souffrant de troubles mentaux ont \u00e9t\u00e9 signal\u00e9s. Certains utilisateurs des services de sant\u00e9 mentale subissent m\u00eame des pressions et un traitement forc\u00e9. Pour \u00e9viter les mauvais traitements, nombre de personnes choisissent de se faire traiter par des religieux et\/ou par des gu\u00e9risseurs traditionnels.<\/p>\n

En outre, le syst\u00e8me de services de sant\u00e9 mentale au Ghana p\u00e2tit d\u2019un manque de professionnels qualifi\u00e9s dans le domaine. En effet, on ne compte que 39\u00a0psychiatres pour l\u2019ensemble de la population (soit 0,13\u00a0psychiatre pour 100\u00a0000\u00a0personnes). Or, on estime que 2,3\u00a0millions de personnes souffrent de troubles mentaux et ont besoin de soins dans le pays.<\/p>\n

Cela signifie que l\u2019acc\u00e8s aux soins est limit\u00e9 pour des personnes comme Mariama, qui vivent avec des probl\u00e8mes de sant\u00e9 mentale dans les zones rurales o\u00f9 seulement 2\u00a0% de ces personnes re\u00e7oivent un traitement et un soutien psychiatriques. Un sous-financement important a limit\u00e9 la prestation de services de sant\u00e9 mentale.<\/p>\n

En r\u00e9ponse, le Gouvernement du Ghana s\u2019efforce d\u2019am\u00e9liorer la prestation de services de sant\u00e9 mentale dans le cadre de sa politique nationale de sant\u00e9 mentale pour la p\u00e9riode\u00a02019-2030.<\/p>\n

Conform\u00e9ment \u00e0 cette politique, l\u2019Organisation mondiale de la Sant\u00e9 (OMS), gr\u00e2ce \u00e0 un financement du\u00a0Foreign, Commonwealth & Development Office<\/em>\u00a0du Royaume-Uni (FCDO), a lanc\u00e9 en 2019 une initiative triennale, d\u00e9nomm\u00e9e\u00a0QualityRights<\/em>, dont la vocation est de relever la qualit\u00e9 des soins et de promouvoir le respect des droits fondamentaux des personnes vivant avec des troubles mentaux.<\/p>\n

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L\u2019Initiative QualityRights de l\u2019OMS est un programme v\u00e9ritablement novateur qui vise \u00e0 transformer la vie des personnes souffrant de troubles mentaux<\/p><\/blockquote>\n<\/div>\n

\u00ab\u00a0Pour bien r\u00e9pondre aux besoins des patients, nous avons besoin de services de soins de sant\u00e9 mentale qui soient non seulement accessibles, mais qui respectent aussi les droits humains\u00a0\u00bb, d\u00e9clare la Dre\u00a0Joana Ansong, Administratrice technique de l\u2019OMS charg\u00e9e des facteurs de risque de maladies non transmissibles au Ghana.<\/p>\n

D\u00e9ploy\u00e9e \u00e0 l\u2019\u00e9chelle nationale, l\u2019initiative\u00a0QualityRights\u00a0<\/em>pr\u00e9voit notamment, dans ses activit\u00e9s, l\u2019organisation d\u2019une formation en pr\u00e9sentiel et en ligne ciblant des prestataires de services de sant\u00e9 mentale, des soignants, des enseignants, du personnel de police, des responsables de la protection sociale, des responsables du corps judiciaire et des personnes ayant v\u00e9cu l\u2019exp\u00e9rience d\u2019un trouble mental. En juin\u00a02022, plus de 21\u00a0000\u00a0personnes avaient \u00e9t\u00e9 form\u00e9es sur une cible fix\u00e9e \u00e0 50\u00a0000\u00a0personnes.<\/p>\n

L\u2019initiative permet d\u2019aborder la question des droits et de l\u2019acc\u00e8s \u00e0 un traitement digne des personnes souffrant de troubles mentaux en mettant \u00e0 disposition le programme de formation en ligne \u2013 coupl\u00e9 \u00e0 un accompagnement en ligne dans le domaine de la sant\u00e9 mentale et portant sur les droits humains et le r\u00e9tablissement \u2013 et en garantissant parall\u00e8lement la prestation de services complets conformes aux principes de r\u00e9tablissement et aux normes internationales en mati\u00e8re de droits humains.<\/p>\n

La formation en ligne est d\u00e9sormais un cours semestriel sur les droits humains et la sant\u00e9 mentale destin\u00e9 aux sp\u00e9cialistes de la sant\u00e9 mentale et de la r\u00e9adaptation communautaires du\u00a0Ghana College of Nurses and Midwives<\/em>. Depuis l\u2019inclusion de ce cours dans le programme d\u2019enseignement, 26\u00a0\u00e9tudiants ont termin\u00e9 avec succ\u00e8s cette formation certifiante et obtenu un dipl\u00f4me en droits humains.<\/p>\n

\u00ab\u00a0L\u2019Initiative\u00a0QualityRights<\/em>\u00a0de l\u2019OMS est un programme v\u00e9ritablement novateur qui vise \u00e0 transformer la vie des personnes souffrant de troubles mentaux\u00a0\u00bb, indique Susan Adwoa Mensah, conseill\u00e8re pour le d\u00e9veloppement social au FCDO. \u00ab\u00a0Le Royaume-Uni est honor\u00e9 d\u2019avoir agi en partenariat avec l\u2019OMS pour promouvoir des attitudes et des pratiques qui respectent la dignit\u00e9 et les droits, ainsi que des soins et un soutien holistiques centr\u00e9s sur la personne\u00a0\u00bb, a-t-elle ajout\u00e9.<\/p>\n

Pour des prestataires de services comme la Dre\u00a0Ramata Seidu, psychiatre, l\u2019initiative\u00a0QualityRights<\/em>\u00a0est en train d\u2019aider les psychiatres \u00e0 relever la qualit\u00e9 de leurs prestations.<\/p>\n

\u00ab\u00a0Il y avait tellement de formes subtiles d\u2019utilisation inappropri\u00e9e de mon autorit\u00e9 de m\u00e9decin dont je ne me rendais pas compte\u00a0\u00bb, admet-elle. \u00ab\u00a0J\u2019en suis venue \u00e0 appr\u00e9cier la fa\u00e7on dont je peux exercer mon autorit\u00e9 avec respect et dignit\u00e9.\u00a0\u00bb<\/p>\n

David Naboare, pr\u00e9sident de la\u00a0Ghana National Association of Community Mental Health Officers<\/em>, abonde dans le m\u00eame sens.<\/p>\n

\u00ab\u00a0Le probl\u00e8me avec bon nombre d\u2019entre nous, c\u2019est que nous pensons que nous devons utiliser tous les moyens n\u00e9cessaires pour traiter les patients atteints de troubles mentaux, et c\u2019est pourquoi nous constatons au quotidien l\u2019agression et la coercition des usagers de ces services dans nos \u00e9tablissements. Ce qui pousse les patients \u00e0 ne plus chercher \u00e0 se faire soigner\u00a0\u00bb, souligne-t-il. \u00ab\u00a0Ma pratique en tant que professionnel de la sant\u00e9 mentale a \u00e9norm\u00e9ment chang\u00e9. Gr\u00e2ce aux forums de discussion en ligne, \u00e0 l\u2019apprentissage par les pairs et au \u00ab\u00a0coaching\u00a0\u00bb, j\u2019ai d\u00e9sormais appris \u00e0 impliquer mes clients dans la prise des d\u00e9cisions qui concernent leur sant\u00e9.\u00a0\u00bb<\/p>\n

Il a \u00e9galement partag\u00e9 sa nouvelle fa\u00e7on de voir les choses avec ses coll\u00e8gues. \u00ab\u00a0Ensemble, nous commen\u00e7ons \u00e0 \u00e9tablir de meilleures relations avec les usagers de nos services\u00a0\u00bb, dit-il.<\/p>\n

L\u2019impact de l\u2019initiative n\u2019a gu\u00e8re \u00e9chapp\u00e9 aux usagers tels que Mariama. \u00ab\u00a0L\u2019accueil et le traitement se sont consid\u00e9rablement am\u00e9lior\u00e9s\u00a0\u00bb, se r\u00e9jouit-elle, \u00ab\u00a0et les formations m\u2019ont permis de faire valoir mes droits \u00e0 des soins de qualit\u00e9\u00a0\u00bb.<\/p>\n

En plus de l\u2019Initiative\u00a0QualityRights<\/em>, l\u2019OMS et les partenaires devraient commencer \u00e0 mettre en \u0153uvre une\u00a0Initiative sp\u00e9ciale de l\u2019OMS pour la sant\u00e9 mentale<\/a>\u00a0au troisi\u00e8me trimestre de\u00a02022, apr\u00e8s son lancement officiel en juillet dernier. Il s\u2019agit d\u2019un projet quinquennal qui vise \u00e0 \u00e9largir l\u2019acc\u00e8s de 5,2\u00a0millions de Ghan\u00e9ens suppl\u00e9mentaires \u00e0 des soins de sant\u00e9 mentale int\u00e9gr\u00e9s et de qualit\u00e9 centr\u00e9s sur la personne en faisant progresser la politique de sant\u00e9 mentale, le plaidoyer et les droits humains.<\/p>\n<\/div>\n<\/div>\n

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Distribu\u00e9 par APO Group pour World Health Organization (WHO), Ghana.<\/i><\/p>\n<\/div>\n

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