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Deprecated: Function ereg() is deprecated in /home/medecine/www/ophtalmission/ecrire/inc_logos.php on line 23

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Deprecated: Function eregi() is deprecated in /home/medecine/www/ophtalmission/ecrire/inc_filtres.php on line 294

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Deprecated: Function ereg() is deprecated in /home/medecine/www/ophtalmission/ecrire/inc_filtres.php on line 383

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Deprecated: Function ereg() is deprecated in /home/medecine/www/ophtalmission/ecrire/inc_filtres.php on line 383

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Deprecated: Function ereg() is deprecated in /home/medecine/www/ophtalmission/ecrire/inc_filtres.php on line 383

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Deprecated: Function ereg() is deprecated in /home/medecine/www/ophtalmission/ecrire/inc_filtres.php on line 383

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Ophtalmologie-Optique Jeremi 2008 - [OphtalMission]
          























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Aide et formation

Ophtalmologie-Optique Jeremi 2008
Missions au Burkina Faso

par Pierre Pichon
30 décembre 2008



L’association Jeremi dispose de deux centres d’action au Burkina Faso à travers lesquels elle gère des missions médico-chirurgicales en ophtalmologie.


-  Ouahigouya, capitale du Yatenga à 180 km au nord de Ouagadougou ;
-  Dori, capitale du Seno, à 260 km au nord-est de Ouagadougou [1].

OUAHIGOUYA

Notre activité ophtalmologique y a démarré dès 1985 à l’hôpital, qui ne disposait alors que d’un infirmier spécialisé, Salam Ouedraogo, démuni de tout, avec comme principal instrument d’examen une lampe électrique, son ophtalmoscope étant depuis longtemps hors d’usage...

(JPEG)
Ouahigouya.
DR Jeremi.

Un service d’ophtalmologie autonome

En quelques années nous avons entièrement équipé un service d’ophtalmologie tout en assurant consultations et interventions chirurgicales grâce à des missions régulières sur la base d’un projet intitulé « Lutte contre la cécité et la malvoyance dans la province du Yatenga » ayant reçu l’approbation du ministère de la santé du Burkina-Faso et le soutien du Ministère de la coopération française :
-  salle de consultation avec tous les instruments nécessaires aux examens ;
-  salle d’opérations avec un microscope opératoire et boîtes chirurgicales pour assurer les consultations, élargies à la région par des tournées dites de dépistage en brousse, et des opérations, qui ont rapidement attiré de nombreux patients venant d’au-delà du Burkina-Faso : Mali, Niger et même Côte d’Ivoire, permettant conjointement la formation médicale et chirurgicale des infirmiers spécialisés qui ont rapidement été nommés par le Ministère de la santé au vu de notre action ;
-  bourse à un médecin burkinabé, Aimé Ouedraogo, pour obtenir son diplôme d’ophtalmologie au CHU de Besançon. Il a pu, à son retour, être nommé chef du service d’ophtalmologie de l’hôpital de Ouahigouya, où il est resté les cinq ans de son engagement. Il est maintenant remplacé par le Dr Lougoussé.

(JPEG)
Atelier Optic 2000 à Ouahigouya.
DR Jeremi.

Le service d’ophtalmologie est donc maintenant autonome tant sur le plan humain que matériel.

L’apport des opticiens

Parallèlement, à partir de 1988, les opticiens d’Optic 2000, à l’initiative de Jean-Bernard Padieu, sont venus nous prêter main-forte pour fournir des lunettes, tant aux opérés qu’à la population locale :

(JPEG)
Formation d’ouvriers-monteurs en optique.
DR Jeremi.

-  création d’un atelier d’optique démarré par Didier Papaz. Désormais bien équipé, avec des bâtiments neufs subventionnés par Optic 2000, il fait la fierté de l’hôpital et lui assure des revenus substantiels ;
-  formation d’ouvriers-monteurs en optique locaux, capables d’assurer tous les équipements ;
-  assistance permanente pour la bonne marche du centre et la modernisation des locaux :
*collection d’anciennes lunettes rééquipées à la vue des patients ;
*fourniture de lunettes neuves à prix très bas avec le soutien de fournisseurs.

Un programme de dépistage des malvoyances dans les écoles

(JPEG)
DR Jeremi.
(JPEG)
Dépistage scolaire.
DR Jeremi.

Le depistage de la malvoyance à l’école est assuré conjointement par les opticiens d’Optic 2000, les ophtalmologistes de Jeremi [2] et le personnel du service d’ophtalmologie et du centre d’optique de Ouahigouya.

(JPEG)
Dépistage scolaire.
DR Jeremi.

Les enfants malvoyants du fait d’un défaut de réfraction sont équipés gratuitement de lunettes tandis que ceux qui ont un problème médical ou chirurgical sont confiés au service d’ophtalmologie.
Près de 5 000 enfants ont ainsi déjà été examinés. Ce programme de santé publique a bien sûr vocation à se poursuivre, permettant à de nombreux enfants de pouvoir poursuivre leur scolarisation.

DORI

Les autorités locales ayant apprécié notre action à Ouahigouya nous ont ensuite sollicités pour lancer un nouveau projet de même type à Dori. Dori, capitale du Seno, est située en plein Sahel, à proximité du Niger, à 300 km de Ouagadougou.
La population y est multi-ethnique, à forte proportion de nomadisme. C’est l’une des plus pauvre du pays, dans un environnement ingrat qui n’attire guère les médecins et les infirmiers du pays.
Après nous être rendu compte des immenses besoins de cette population pauvre, majoritairement incapable d’assurer le coût des soins et encore moins celui d’interventions chirurgicales à la capitale, nous avons lancé en 1993 le projet « Lutte contre la cécité et la malvoyance dans les provinces du Seno, Soum et Oudalan ». Ce projet a lui aussi bénéficié de subventions du Ministère de la coopération et de l’Unicef.

(JPEG)
Hôpital de Dori.
DR Jeremi.

Nous avons démarré dans un hôpital vétuste, en 1994, qui a heureusement depuis été remplacé par un hôpital

(JPEG)
Consultation ophtalmologique.
DR Jeremi.

neuf construit avec la coopération chinoise.
Une salle de consultation a été équipée ainsi qu’une salle d’opération avec tout le matériel permettant de répondre à

(JPEG)
Chirurgie ophtalmologique.
DR Jeremi.

la majorité des maladies et chirurgie locales.

La formation du personnel infirmier

Le personnel infirmier que nous formons est malheureusement un peu instable car souvent désireux de travailler dans un environnement moins austère, bien que les gens de cette région soient eux aussi très sympathiques.
Le service dispose cependant désormais en permanence de trois infirmiers spécialisés dont nous complétons la

(JPEG)
Dori : personnel infirmier.
DR Jeremi.

formation tant médicale que chirurgicale, dans l’espoir de pouvoir en former à la chirurgie de la cataracte. Notre espoir est en effet de pouvoir, comme à Ouahigouya, conduire ce service à l’autonomie. Mais la tâche s’avère plus longue et plus ardue.
Un homme au second plan, Ibrahim Tagalif, sage illettré, s’est vite révélé indispensable : traducteur génial d’au moins sept langues parlées dans cette zone multi-ethnique, homme à tout faire : assistant, réparateur, capable avec des mots simples d’expliquer et de convaincre les patients de l’importance des soins proposés,

(JPEG)
Ibrahim Tagalif.
DR Jeremi.

il n’est malheureusement pas assez instruit pour obtenir un poste officiel à l’hôpital, et nous devons encore assurer sa rémunération, sachant que sans lui, le service aurait le plus grand mal à tourner. Nous faisons tout notre possible pour tenter de le faire intégrer.

Une demande ophtalmologique énorme

Nous poursuivons donc nos missions bien que nos fonds pour cette action soient épuisés, grâce au soutien d’Optic 2000 et parfois de laboratoires, et dans bien des cas, grâce à la participation financière des ophtalmologistes de Jeremi. En notre absence, l’un des infirmiers que nous avions formé à Ouahigouya, devenu excellent chirurgien, accepte d’aller, à la demande, à Dori pour y opérer les aveugles par cataracte.

(JPEG)
Après chirurgie du premier oeil dans le cadre d’une cécité par cataracte totale bilatérale.
DR Jeremi.

La demande de soins ophtalmologiques dans cette région démunie est énorme, tandis que les aveugles n’ont pas les moyens d’aller se faire opérer à Ouaga. Nous y opérons de nombreux aveugles par cataracte, souvent depuis des années et chez des jeunes devenus incapables de subvenir à leurs besoins vitaux, alors qu’une opération peut dès le lendemain leur redonner et la vue et la vie...

La salle d’attente est encore pleine

(JPEG)

La salle d’attente est encore pleine quand les missions se terminent, malgré un travail intense de deux missions successives durant lesquelles les ophtalmologistes de Jeremi ont opéré 160 aveugles de cataracte et examiné des centaines de patients. Ceux-ci vont devoir attendre plusieurs mois une mission suivante. En attendant, les infirmiers spécialisés, que nous essayons de former à la chirurgie pourrons assurer les soins médicaux.
Mais les besoins restent immenses, et nous espérons qu’un ophtalmologiste pourra un jour être affecté à Dori pour pérenniser cette action. En attendant, il nous faut trouver des volontaires et encore plus des fonds pour poursuivre cette tâche.

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