La Côte d’Ivoire vit sous l’état d’urgence sanitaire depuis le premier cas de covid-19 découvert le 11 mars dernier. Les autorités ivoiriennes ont pris des mesures de privation des libertés de circulation avec des couvre-feux et l’isolement du grand Abidjan, l’interdiction des rassemblements pour limiter la propagation de la covid-19.
Le mot d’ordre est de rester le maximum possible chez soi. Conséquence, l’administration publique est au ralenti avec tout ce qui est établissement sanitaire public. C’est le cas au centre de santé urbain de la Riviera palmeraie. La sage-femme, dame Fatou (c’est un prénom d’emprunt), n’est pas du tout occupée. Elle a très peu de clientes contrairement « à la période avant la covid-19 ». « Avant, cette allée était pleine de femme venus pour des consultations pour des grossesses ou pour bénéficier d’une méthode contraceptive », a-t-elle témoigné. Le décor est pareil dans cet autre centre de santé dans le quartier d’à côté à Angré. Ici aussi, la fréquentation n’est pas extraordinaire.
Selon cette autre sage-femme qui comme la première refuse de se faire nommer par son nom propre, « les femmes ont peur de venir parce qu’elles pensent qu’elles vont se faire contaminer à l’hôpital. Nous-mêmes, les pratiquantes, nous avons peur. Car, toutes les conditions de mesures barrières ne sont pas respectées ici à l’hôpital ».
Une reprise timide des activités PF
Toutefois, la situation tend à la décrispation. C’est ce qu’on a vu avec The Challenge Initiative (TCI). A Abobo où cette initiative se déploie, on note que les femmes reviennent. TCI a en effet, organisé des journées spéciales gratuites de planning familial en mai et juin derniers pour les femmes en âge de procréer avec l’appui de l’Union des villes et communes de Côte d’Ivoire (UVICOCI) dans le Centres de santé urbaine de la communauté d’Assomin, la maternité Saint-Paul, la clinique médicale de Djibi et la Formation de santé urbaine de Hinneh.
Pour autant, certains acteurs de la société civile craignent une flambée de grossesses dans les prochains mois en Côte d’Ivoire. C’est le cas de Dr. Dougrou Sosthène, directeur régional Afrique Francophone de IPAS. Selon lui, l’impact de la pandémie de la Covid-19 sur la santé sexuelle et reproductive, bien qu’il n’y ait pas encore d’étude poussée, montre par expérience, que les taux de fréquentation des structures sanitaires baissent drastiquement.
« Il est à craindre que les grossesses non désirées explosent avec son lot d’avortements clandestins pendant et après cette période de la Covid-19 », a affirmé Dr. Dougrou. Pourquoi ? « Parce qu’il n’y a, selon lui, plus de planification familiale ou parce que l’accès aux services de santé sexuelle et reproductive est difficile ».
Le directeur régional Afrique Francophone de IPAS se référant à l’étude PMA 2020 rendue publique en 2018, a rappelé qu’en « Côte d’Ivoire 20 % des femmes décèdent, par suite d’avortements non sécurisés. Et chaque année, c’est entre 210 000 femmes et 290 000 femmes qui pratiquent les avortements et parmi lesquelles beaucoup décèdent».
On attend des études plus poussées sur l’impact de la covid-19 sur la planification familiale en Côte d’Ivoire.
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