{"id":7293,"date":"2025-07-02T14:56:53","date_gmt":"2025-07-02T14:56:53","guid":{"rendered":"https:\/\/afiyafrica.com\/?p=7293"},"modified":"2025-07-02T14:56:53","modified_gmt":"2025-07-02T14:56:53","slug":"le-monde-est-confronte-a-une-urgence-en-matiere-de-financement-de-la-sante-alerte-loms","status":"publish","type":"post","link":"https:\/\/afiyafrica.com\/index.php\/healthcare-access\/le-monde-est-confronte-a-une-urgence-en-matiere-de-financement-de-la-sante-alerte-loms\/","title":{"rendered":"Le monde est confront\u00e9 \u00e0 une urgence en mati\u00e8re de financement de la sant\u00e9, alerte l\u2019OMS"},"content":{"rendered":"
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L\u2019Organisation mondiale de la sant\u00e9 (OMS) a tir\u00e9 la sonnette d\u2019alarme vendredi : l\u2019aide \u00e0 la sant\u00e9 devrait chuter de 35 \u00e0 40 % cette ann\u00e9e par rapport \u00e0 2023, soit 10 milliards de dollars en moins sur les 25 milliards allou\u00e9s l\u2019an dernier. Un recul massif, alors m\u00eame que le monde fait face \u00e0 une urgence majeure de financement sanitaire.<\/p>\n

Selon l\u2019agence onusienne, la d\u00e9cision du gouvernement des \u00c9tats-Unis de geler ou d\u2019interrompre les programmes d\u2019aide, associ\u00e9e \u00e0 plusieurs annonces publiques de gouvernements europ\u00e9ens de r\u00e9duire l\u2019aide, a entra\u00een\u00e9 \u00ab une perturbation importante de l\u2019\u00e9cosyst\u00e8me de l\u2019aide et des syst\u00e8mes de sant\u00e9 nationaux \u00bb.<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Outre Washington, l\u2019Australie, Belgique, Canada, France, Allemagne, Pays-Bas, Espagne, Su\u00e8de, Suisse, Royaume-Uni et des institutions de l\u2019Union Europ\u00e9enne ont annonc\u00e9 des baisses des budgets li\u00e9s \u00e0 l\u2019aide pour cette ann\u00e9e.<\/p>\n

Des niveaux jamais vus depuis le pic de la Covid-19<\/strong><\/h3>\n

Le gel ou baisse de l\u2019aide a d\u00e9j\u00e0 un impact sur le financement des syst\u00e8mes de sant\u00e9 dans plusieurs pays d\u2019Afrique subsaharienne. \u00ab Des pays ont signal\u00e9 des perturbations des services \u00e0 des niveaux jamais vus depuis le pic de la pand\u00e9mie de Covid-19 \u00bb<\/strong>, a d\u00e9clar\u00e9 lors d\u2019un point de presse \u00e0 Gen\u00e8ve, la Dre Kalipso Chalkidou, Directrice de l\u2019\u00e9conomie de la sant\u00e9 \u00e0 l\u2019OMS<\/a>.<\/p>\n

Dans la plupart de ces pays, l\u2019aide am\u00e9ricaine \u00e9tait la principale source d\u2019aide ext\u00e9rieure. Elle repr\u00e9sentait jusqu\u2019au tiers des d\u00e9penses sanitaires courantes dans des pays comme le Malawi ou du quart au Mozambique et au Zimbabwe.<\/p>\n

L\u2019OMS souligne que cette baisse de l\u2019aide intervient apr\u00e8s \u00ab des d\u00e9cennies de sous-investissement \u00bb dans la sant\u00e9 par les gouvernements nationaux, ce qui a fait du financement par les donateurs une composante essentielle du financement de la sant\u00e9. Depuis 2006, l\u2019aide ext\u00e9rieure par habitant dans les pays \u00e0 faible revenu (12,8 USD en 2022) a toujours d\u00e9pass\u00e9 les d\u00e9penses publiques nationales en mati\u00e8re de sant\u00e9, oscillant autour de 8 USD par personne.<\/p>\n

Appauvrissement des m\u00e9nages<\/strong><\/h3>\n

Seule une poign\u00e9e de pays d\u2019Afrique subsaharienne ont respect\u00e9 l\u2019engagement pris \u00e0 Abuja en 2001 d\u2019allouer 15 % de leur budget national au secteur de la sant\u00e9. Dans la plupart des cas, les pays sont loin d\u2019avoir atteint cet objectif.\u00a0En moyenne, 7 % des d\u00e9penses publiques ont \u00e9t\u00e9 consacr\u00e9es \u00e0 la sant\u00e9 dans les pays de la branche africaine de l\u2019OMS.<\/p>\n

Selon l\u2019agence onusienne bas\u00e9e \u00e0 Gen\u00e8ve, en l\u2019absence d\u2019une action rapide pour r\u00e9affecter les budgets \u00e0 la sant\u00e9, la baisse du financement des donateurs pourrait entra\u00eener une nouvelle hausse des d\u00e9penses directes.<\/p>\n

Cela affaiblirait la protection financi\u00e8re et aggraverait l\u2019appauvrissement des m\u00e9nages.<\/p>\n

\u00ab Ainsi, non seulement les pays les plus pauvres sont les plus touch\u00e9s par les r\u00e9ductions de l\u2019aide, mais les plus pauvres \u00e0 l\u2019int\u00e9rieur des pays sont \u00e9galement susceptibles de souffrir le plus \u00bb<\/strong>, a ajout\u00e9 la Dre. Chalkidou.<\/p>\n

Mobilisation \u00ab de nouvelles recettes \u00bb<\/strong><\/h3>\n

Or en raison de \u00ab l\u2019explosion de la dette \u00bb dans de nombreux pays d\u2019Afrique subsaharienne, il sera plus difficile de faire de la sant\u00e9, \u00ab une plus grande priorit\u00e9 dans les budgets gouvernementaux, m\u00eame si elle le devrait \u00bb.\u00a0<\/strong><\/p>\n

\u00ab Les gouvernements africains, au niveau continental, d\u00e9pensent deux fois plus pour le service de leur dette (14 % de leur PIB combin\u00e9) que pour la sant\u00e9 \u00bb<\/strong>, a d\u00e9taill\u00e9 le responsable de l\u2019OMS.<\/p>\n

Afin d\u2019accorder la priorit\u00e9 \u00e0 la sant\u00e9 dans les budgets, les pays en d\u00e9veloppement doivent financer leur propre syst\u00e8me de sant\u00e9 pour parvenir \u00e0 l\u2019autosuffisance. Cela passe par la mobilisation \u00ab de nouvelles recettes \u00bb.<\/strong><\/p>\n

\u00ab Une meilleure fiscalit\u00e9, y compris des taxes sur la sant\u00e9, est b\u00e9n\u00e9fique pour les finances et la sant\u00e9 publique \u00bb<\/strong>, a dit la Dre. Chalkidou, conseillant aux pays en d\u00e9veloppement \u00ab d\u2019exploiter des sources inexploit\u00e9es telles que les fonds souverains, les fonds de pension et les banques publiques de d\u00e9veloppement \u00bb.<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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