{"id":11856,"date":"2025-08-05T18:27:38","date_gmt":"2025-08-05T15:27:38","guid":{"rendered":"https:\/\/ths.or.tz\/?page_id=11856"},"modified":"2025-10-24T15:29:17","modified_gmt":"2025-10-24T12:29:17","slug":"its-not-just-about-access","status":"publish","type":"page","link":"https:\/\/ths.or.tz\/fr\/its-not-just-about-access\/","title":{"rendered":"Ce n'est pas seulement une question d'acc\u00e8s"},"content":{"rendered":"
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Nos histoires<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Ce n'est pas seulement une question d'acc\u00e8s. C'est une question de compr\u00e9hension : L'utilisation de la contraception d'urgence en Tanzanie sous le microscope<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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THS 2024 : Forum MarieStopes<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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26th<\/sup> Juin 2025<\/span><\/span> | <\/span><\/span>Sant\u00e9 et acc\u00e8s \u00e0 la procr\u00e9ation<\/span><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Lors du forum Marie Stopes, les experts ont appel\u00e9 \u00e0 une action nationale pour combler les lacunes en mati\u00e8re de connaissances, am\u00e9liorer la formation des prestataires et rendre la CU abordable et exempte de stigmatisation, afin que l'augmentation de son utilisation se traduise par des choix de procr\u00e9ation \u00e9clair\u00e9s et autonomes pour toutes les femmes tanzaniennes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\"Pour que chaque femme ait acc\u00e8s aux m\u00e9thodes contraceptives dont elle a besoin, nous devons nous attaquer de front \u00e0 la d\u00e9sinformation et \u00e0 la stigmatisation\", a d\u00e9clar\u00e9 le commissaire europ\u00e9en \u00e0 l'\u00e9galit\u00e9 des chances pour les femmes et les hommes.\u00a0Dr. Kijakazi Mashoto<\/strong>\u00a0de l'Institut national de la recherche m\u00e9dicale, lors de son discours d'ouverture \u00e0 l'occasion de la Journ\u00e9e mondiale de la sant\u00e9.\u00a0Forum Marie Stopes<\/strong>, convoqu\u00e9 lors de l'assembl\u00e9e g\u00e9n\u00e9rale de l\u00a011e sommet de la sant\u00e9 en Tanzanie<\/strong>. L'utilisation de la contraception d'urgence (CU) a augment\u00e9 de fa\u00e7on remarquable - de\u00a01,9 % en 2019 \u00e0 60 % en 2023<\/strong>-le forum s'est concentr\u00e9 non seulement sur l'augmentation de l'acc\u00e8s, mais aussi sur les implications en termes de qualit\u00e9, d'\u00e9ducation, de politique et d'\u00e9quit\u00e9 li\u00e9es \u00e0 une adoption aussi rapide. Cette d\u00e9claration d'ouverture a encadr\u00e9 les conversations urgentes de la matin\u00e9e.<\/p>

La principale pr\u00e9occupation r\u00e9side dans un manque de connaissances frappant : une r\u00e9cente enqu\u00eate nationale a montr\u00e9 que\u00a083 % des utilisateurs de la CU ne connaissent pas le d\u00e9lai de 72 heures n\u00e9cessaire \u00e0 son efficacit\u00e9<\/strong>ce qui compromet la fiabilit\u00e9 de la m\u00e9thode et risque de provoquer des grossesses non d\u00e9sir\u00e9es. Les participants au forum se sont accord\u00e9s pour r\u00e9clamer des solutions.<\/p>

Mod\u00e9r\u00e9 par\u00a0Oscar Kimaro<\/strong>La session a r\u00e9uni des acteurs du minist\u00e8re de la sant\u00e9, de l'institut national de recherche m\u00e9dicale, de Marie Stopes Tanzanie et du r\u00e9seau d'influence Fides, qui ont tous pr\u00e9sent\u00e9 des points de vue exploitables.<\/p>

Tout d'abord, les intervenants ont mis l'accent sur\u00a0des campagnes d'\u00e9ducation cibl\u00e9es<\/strong>. Malgr\u00e9 l'augmentation des chiffres, les jeunes et de nombreuses femmes re\u00e7oivent encore la CU de mani\u00e8re informelle - souvent dans les pharmacies ou sur les conseils de leurs pairs - sans aucune pr\u00e9cision. Les pan\u00e9listes ont soulign\u00e9 l'importance d'atteindre non seulement les femmes, mais aussi les hommes et les personnes influentes dans les relations et les foyers. Les strat\u00e9gies propos\u00e9es comprennent l'utilisation de\u00a0campagnes dans les m\u00e9dias sociaux<\/strong>,\u00a0pi\u00e8ces radiophoniques communautaires<\/strong>,\u00a0programmes de sensibilisation dans les \u00e9coles<\/strong>et\u00a0plates-formes de narration num\u00e9rique<\/strong>\u00a0d'int\u00e9grer des informations pr\u00e9cises et de r\u00e9duire la stigmatisation li\u00e9e \u00e0 la CU.<\/p>

Donn\u00e9es r\u00e9elles Placeholder :<\/strong>\u00a0X pour cent des jeunes femmes interrog\u00e9es ont d\u00e9clar\u00e9 n'avoir jamais re\u00e7u d'instructions pr\u00e9cises sur l'utilisation de la CU.<\/em><\/p>

Deuxi\u00e8mement, le forum s'est pench\u00e9 sur la n\u00e9cessit\u00e9 urgente de\u00a0former les prestataires de soins de sant\u00e9<\/strong>\u00a0de mani\u00e8re exhaustive. Les pr\u00e9sentateurs ont indiqu\u00e9 que seuls\u00a0Y pourcentage d'agents de sant\u00e9 reproductive<\/strong>\u00a0ont re\u00e7u une formation formelle sur le conseil en mati\u00e8re de CU sans jugement et adapt\u00e9 aux jeunes au cours des trois derni\u00e8res ann\u00e9es. Sans une formation coh\u00e9rente, les attitudes et les conseils peuvent varier consid\u00e9rablement et d\u00e9courager une utilisation correcte.<\/p>

Troisi\u00e8mement, les orateurs ont abord\u00e9\u00a0clart\u00e9 et uniformit\u00e9 des politiques<\/strong>. L'Autorit\u00e9 tanzanienne des m\u00e9dicaments et des dispositifs m\u00e9dicaux (TMDA) a \u00e9t\u00e9 invit\u00e9e \u00e0\u00a0publier des lignes directrices normalis\u00e9es et des bo\u00eetes \u00e0 outils pour les prestataires<\/strong>\u00a0afin de garantir que les prestataires de services des secteurs public et priv\u00e9 fournissent des conseils coh\u00e9rents et fond\u00e9s sur des donn\u00e9es probantes. Ces bo\u00eetes \u00e0 outils devraient comprendre des instructions sur la posologie, des explications sur les effets secondaires et des voies d'orientation.<\/p>

Une autre question cruciale a \u00e9t\u00e9 soulev\u00e9e\u00a0fiabilit\u00e9 de la cha\u00eene d'approvisionnement<\/strong>. Face \u00e0 l'explosion de la demande, plusieurs r\u00e9gions ont signal\u00e9 des\u00a0Ruptures de stock dans la CE<\/strong>en particulier dans les cliniques \u00e9loign\u00e9es. Les experts du forum ont insist\u00e9 sur l'adoption de\u00a0des syst\u00e8mes de passation de march\u00e9s fond\u00e9s sur des donn\u00e9es<\/strong>\u00a0et\u00a0partenariats public-priv\u00e9<\/strong>\u00a0pour garantir une disponibilit\u00e9 fiable, en particulier dans les communaut\u00e9s rurales mal desservies.<\/p>

En plus de la disponibilit\u00e9,\u00a0l'accessibilit\u00e9 financi\u00e8re reste un obstacle majeur<\/strong>. Les rapports montrent que les prix de la CE dans les zones rurales peuvent \u00eatre\u00a0trois \u00e0 quatre fois plus \u00e9lev\u00e9<\/strong>\u00a0que dans les pharmacies de Dar es Salaam, ce qui le rend inaccessible \u00e0 de nombreuses personnes. Les pan\u00e9listes ont discut\u00e9 de solutions telles que\u00a0bons de subvention<\/strong>,\u00a0mod\u00e8les de marketing social<\/strong>et\u00a0programmes de distribution communautaires<\/strong>\u00a0pour garantir un acc\u00e8s \u00e9quitable, quels que soient le lieu et les revenus.<\/p>

Les dimensions sociales de l'utilisation de la CU sont tout aussi importantes. La stigmatisation et la d\u00e9sinformation persistantes - en particulier chez les femmes c\u00e9libataires ou jeunes - dissuadent de nombreuses personnes de chercher ouvertement \u00e0 utiliser la CU. Les id\u00e9es fausses selon lesquelles la CU provoquerait la st\u00e9rilit\u00e9 ou serait une m\u00e9thode d'avortement restent tr\u00e8s r\u00e9pandues. Les intervenants ont insist\u00e9 sur la n\u00e9cessit\u00e9 d'engager\u00a0les personnes influentes au sein de la communaut\u00e9, les chefs religieux et culturels<\/strong>et les d\u00e9cideurs familiaux dans les efforts de d\u00e9stigmatisation.<\/p>

Lors de son discours de cl\u00f4ture,\u00a0Dr. Mashoto<\/strong>\u00a0a r\u00e9it\u00e9r\u00e9 :<\/p>

\"La contraception, c'est la sant\u00e9. C'est la dignit\u00e9. C'est l'autonomie - et elle doit \u00eatre accompagn\u00e9e d'informations pr\u00e9cises et de services de soutien\".<\/p>

Le forum s'est conclu par un appel \u00e0 l'action consensuel ancr\u00e9 dans une collaboration intersectorielle :<\/p>

  1. Lancer des initiatives globales d'\u00e9ducation du public<\/strong>pour diffuser des messages clairs sur l'utilisation de la contraception d'urgence, les fen\u00eatres d'efficacit\u00e9 et les effets secondaires sur les plates-formes qui touchent les jeunes et les m\u00e9nages.<\/li>
  2. Renforcer la formation du personnel de sant\u00e9<\/strong>en int\u00e9grant les protocoles de CU dans les programmes de base, et veiller \u00e0 ce que Y pour cent des prestataires soient certifi\u00e9s en mati\u00e8re de conseils pr\u00e9cis et empathiques en mati\u00e8re de CU au cours des deux prochaines ann\u00e9es.<\/li>
  3. Soutenir les am\u00e9liorations de la cha\u00eene d'approvisionnement<\/strong>gr\u00e2ce \u00e0 une technologie de pr\u00e9vision en temps r\u00e9el et \u00e0 des partenariats permettant d'\u00e9viter les ruptures de stock, m\u00eame dans les cliniques \u00e9loign\u00e9es.<\/li>
  4. R\u00e9duire les co\u00fbts gr\u00e2ce \u00e0 des interventions fond\u00e9es sur l'\u00e9quit\u00e9<\/strong>La CE est donc abordable partout, gr\u00e2ce aux bons et aux mod\u00e8les de distribution ruraux.<\/li>
  5. \u00c9tablir et diffuser des lignes directrices et des outils officiels de la CE<\/strong>par l'interm\u00e9diaire de la TMDA afin de normaliser les pratiques des prestataires au niveau national.<\/li><\/ol>

    Combin\u00e9es, ces recommandations forment une feuille de route nationale soutenant non seulement une utilisation accrue des contraceptifs d'urgence, mais aussi une utilisation plus s\u00fbre, mieux inform\u00e9e et plus digne, ce qui \u00e9tait l'objectif ultime du forum.<\/p>

    En passant d'une consommation r\u00e9active de la CU \u00e0 une sant\u00e9 reproductive proactive et fond\u00e9e sur les droits, la Tanzanie est en mesure d'am\u00e9liorer l'autonomie, les r\u00e9sultats et la responsabilisation des femmes de toutes les g\u00e9n\u00e9rations. Le message \u00e9tait clair, fort et inclusif : l'acc\u00e8s seul ne suffit pas - la compr\u00e9hension et l'action doivent aller de pair.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Our Stories It\u2019s Not Just About Access. It\u2019s About Understanding: Emergency Contraceptive Use in Tanzania Under the Microscope THS 2024: MarieStopes Forum 26th June 2025 | Reproductive Health & Access At the Marie Stopes Forum, experts called for nationwide action to close knowledge gaps, improve provider training, and make EC affordable and stigma-free\u2014ensuring that rising […]<\/p>\n","protected":false},"author":1,"featured_media":11836,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"unboxed","site-sidebar-style":"unboxed","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"enabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-11856","page","type-page","status-publish","has-post-thumbnail","hentry"],"aioseo_notices":[],"yoast_head":"\nIt\u2019s Not Just About Access - Ths<\/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:\/\/ths.or.tz\/fr\/its-not-just-about-access\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"It\u2019s Not Just About Access - Ths\" \/>\n<meta property=\"og:description\" content=\"Our Stories It\u2019s Not Just About Access. 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