{"id":1436,"date":"2023-08-16T11:43:45","date_gmt":"2023-08-16T11:43:45","guid":{"rendered":"https:\/\/blog.uantwerpen.be\/global-pen-friends\/?p=1436"},"modified":"2023-08-29T13:46:43","modified_gmt":"2023-08-29T13:46:43","slug":"the-fight-against-infectious-diseases-and-access-to-primary-healthcare-for-vulnarable-populations-2","status":"publish","type":"post","link":"https:\/\/blog.uantwerpen.be\/global-pen-friends\/the-fight-against-infectious-diseases-and-access-to-primary-healthcare-for-vulnarable-populations-2\/","title":{"rendered":"The fight against infectious diseases and access to primary healthcare for vulnarable populations"},"content":{"rendered":"\n<p>This is an exchange between Kornelio Kabagale from the RDC and J from Nicaragua. For security reasons, the name of the student from Nicaragua was anonymised.<\/p>\n\n\n\n<p class=\"has-luminous-vivid-amber-background-color has-background\">Letter 1<\/p>\n\n\n\n<p>Kornelio KABAGALE Le 02 mars 2023<\/p>\n\n\n\n<p>Facult\u00e9 de M\u00e9decine<\/p>\n\n\n\n<p>Universit\u00e9 Catholique de Bukavu<\/p>\n\n\n\n<p>Ch\u00e8re J,&nbsp;<\/p>\n\n\n\n<p>Je suis tr\u00e8s heureux de t\u2019avoir comme correspondante pour ma deuxi\u00e8me ann\u00e9e d\u2019aventure dans le projet Global Pen Friend. J\u2019esp\u00e8re de tout c\u0153ur que ce moment sera enrichissant pour nous deux.&nbsp;<\/p>\n\n\n\n<p>Je vis \u00e0 Bukavu, une ville \u00e0 plus de 2000km de Kinshasa, la capitale de la R\u00e9publique D\u00e9mocratique du Congo. Au XXI<sup>\u00e8me<\/sup> si\u00e8cle dans ma ville, les gens peinent encore \u00e0 acc\u00e9der aux soins de sant\u00e9 primaire et pire, des femmes et enfants continuent de mourir de maladies de mains sales.&nbsp;<\/p>\n\n\n\n<p>Pour moi, ce th\u00e8me est tr\u00e8s important&nbsp;: en effet, c\u2019\u00e9tait mon th\u00e8me l\u2019ann\u00e9e pass\u00e9e et pour cette ann\u00e9e je l\u2019ai encore choisi, parce que je pense qu\u2019en le prenant pour th\u00e8me et en discutant de ce sujet, c\u2019est l\u2019une des voies pour faire entendre les voix de toutes ces personnes de mon pays et du monde qui n\u2019acc\u00e8dent pas encore aux soins de sant\u00e9 primaire, tel que pr\u00f4n\u00e9 par les ODD.<\/p>\n\n\n\n<p>La R\u00e9publique D\u00e9mocratique du Congo, mon Pays, subit des guerres d\u2019agression par des voisins \u00e0 vell\u00e9it\u00e9s expansionnistes et qui causent des d\u00e9placements des populations et la constitution des camps des r\u00e9fugi\u00e9s qui se transforment tr\u00e8s vite en \u00e9picentre de plusieurs maladies comme le chol\u00e9ra.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Les guerres \u00e0 r\u00e9p\u00e9tition dont la partie du pays dans laquelle je vis est sujette sont aussi \u00e0 la base de traumatisme grave et de stress post-traumatique chez une grande partie de la population. Des jeunes de mon \u00e2ge, y compris moi-m\u00eame, sommes n\u00e9s en p\u00e9riode de guerre et jusqu\u2019\u00e0 aujourd\u2019hui, la guerre n\u2019a pas cess\u00e9 alors que la plupart d\u2019entre nous d\u00e9cident d\u00e9j\u00e0, en d\u00e9pit de ce contexte de stress et sans accompagnement psychologique au sens formel, de fonder une famille et d\u2019avoir eux-m\u00eames des enfants.<\/p>\n\n\n\n<p>Les probl\u00e8mes d\u2019assainissement conduisent indubitablement au d\u00e9veloppement des g\u00eetes de divers parasites dont le plus dangereux et qui continue de faire des ravages est le moustique anoph\u00e8le, vecteur du paludisme.&nbsp;<\/p>\n\n\n\n<p>Si des efforts non n\u00e9gligeables continuent d\u2019\u00eatre fournis par le gouvernement et se partenaires en mati\u00e8re de sant\u00e9 pour que, m\u00eame les populations les plus vuln\u00e9rables acc\u00e8dent aux soins de sant\u00e9, il reste cependant beaucoup de probl\u00e8mes \u00e0 r\u00e9soudre dans ce domaine.&nbsp;<\/p>\n\n\n\n<p>Ch\u00e8re J,&nbsp;<\/p>\n\n\n\n<p>Le domaine de la sant\u00e9 est complexe, et je pr\u00e9sume que dans ton pays, des efforts sont fournis tous les jours pour l\u2019am\u00e9lioration de ce secteur important qui est l\u2019un des piliers de la souverainet\u00e9 d\u2019un Etat. Voil\u00e0 pourquoi je tenais \u00e0 savoir comment s\u2019organise le syst\u00e8me de sant\u00e9 pour permettre, m\u00eame aux populations vuln\u00e9rables d\u2019y acc\u00e9der&nbsp;? La sant\u00e9 de la m\u00e8re et de l\u2019enfant occupe quelle place&nbsp;? De quelle mani\u00e8re sont prises en charge de grandes \u00e9pid\u00e9mies&nbsp;? La sant\u00e9 mentale des jeunes est-elle une priorit\u00e9&nbsp;?&nbsp;<\/p>\n\n\n\n<p>La th\u00e9matique est vaste, mais nous sommes limit\u00e9s par plusieurs facteurs pour la d\u00e9velopper en d\u00e9tail, mais j\u2019esp\u00e8re que la lecture de ma correspondance et les r\u00e9ponses que tu r\u00e9serves \u00e0 mes questions pourront nous donner un aper\u00e7u sur la sant\u00e9 dans nos pays respectifs.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Dans l\u2019espoir de te lire bient\u00f4t, porte-toi bien ch\u00e8re J.<\/p>\n\n\n\n<p>Ton ami<\/p>\n\n\n\n<p>&nbsp;Kornelio&nbsp;<\/p>\n\n\n\n<p class=\"has-pale-cyan-blue-background-color has-background\">Letter 2<\/p>\n\n\n\n<p>Universidad Centroamericana (UCA)<\/p>\n\n\n\n<p>Estimado Kornelio,<\/p>\n\n\n\n<p>Es un gusto para mi saludarte a trav\u00e9s de este medio, y que seas mi amigo por correspondencia en el proyecto Global Pen Friend, me dio mucho gusto recibir tu carta y estoy emocionada de compartir con vos acerca de este tema, espero ambos podamos aprender al m\u00e1ximo y que sea de mucho provecho esta metodolog\u00eda.<\/p>\n\n\n\n<p>Me presento, soy J, tengo 25 a\u00f1os, soy licenciada en administraci\u00f3n de empresas, vivo en Managua, Nicaragua, la capital del pa\u00eds y ha sido una traves\u00eda el poder llegar hasta donde estoy debido a los diferentes retos y limitantes que vivimos en nuestro pa\u00eds.<\/p>\n\n\n\n<p>Expreso que comparto el sentimiento acerca de lo que mencionabas en relaci\u00f3n a las dificultades para acceder a la atenci\u00f3n primaria de salud, puesto que en mi pa\u00eds, si se recibe sin embargo es precaria, puesto que es pagada por el estado, pero no se le da la atenci\u00f3n debida a los pacientes, causando que las enfermedades no se puedan detectar a tiempo en el caso de las personas que acuden a estos centros porque no cuentan con los recursos para pagar una cl\u00ednica privada, por ello, tambi\u00e9n es de suma importancia e inter\u00e9s abordar este tema contigo.<\/p>\n\n\n\n<p>Por otro lado, no me imagino lo complicado que debi\u00f3 y debe ser para ti, crecer y vivir en medio de repetidas guerras a como me mencionabas en tu escrito, sin embargo, admiro la valent\u00eda y coraje con la que han decidido seguir adelante siendo factores de cambio por un futuro mejor, y deseo que todos los j\u00f3venes de tu pa\u00eds puedan lograr cumplir sus sue\u00f1os y metas a\u00fan en medio de las dificultades.<\/p>\n\n\n\n<p>Kornelio, confieso que me parece bastante preocupante la situaci\u00f3n que atraviesan especialmente acerca del cultivo de diversos par\u00e1sitos, y me gustar\u00eda saber, desde tu punto de vista, cual consideras son los mayores retos que dificultan nuevas estrategias o medidas sanitarias para contrarrestar la situaci\u00f3n de la malaria en tu pa\u00eds? Se que mencionaste que el gobierno y sus socios sanitarios siguen haciendo grandes esfuerzos para garantizar que las poblaciones m\u00e1s vulnerables tengan acceso a la atenci\u00f3n sanitaria, pero, que podr\u00edan hacer las nuevas generaciones para crear, \u00bfaunque sea un peque\u00f1o impacto positivo en la situaci\u00f3n de tu pa\u00eds?&nbsp;<\/p>\n\n\n\n<p>Cambiando de tema y dando contestaci\u00f3n a tus preguntas, en nuestro pa\u00eds, el sistema se organiza con voluntariado ya sea nacional o extranjero para visitar las poblaciones mas vulnerables para que los servicios de salud lleguen aunque sea de poca concurrencia a los lugares mas remotos de nuestro pa\u00eds, acerca de la salud materno-infantil, no es un tema que se vea muy desarrollado o con la debida importancia, puesto que el enfoque de los \u00faltimos a\u00f1os ha sido m\u00e1s relacionado al proceso de maternidad, es decir todas las etapas que deben enfrentar y saber vivir las madres j\u00f3venes para que no tengan dificultades durante la labor de parto entre otras cosas de suma importancia en el proceso de una madre prematura. Por otro lado, las grandes epidemias e incluso la pandemia no ha sido tratada de la mejor manera, me da mucha pena compartir esto contigo, sin embargo debido a que el fin de nuestra comunicaci\u00f3n es meramente acad\u00e9mico me siento con la confianza de comentarte que los centros m\u00e9dicos ocultan las grandes amenazas que atraviesa nuestro pa\u00eds, desconozco la raz\u00f3n, pero al tratar de ocultar la realidad que se vive, no se trata con la importancia debida, que hemos aprendido a vivir con ello como parte de nuestro entorno, incluso mayormente hemos logrado inmunizar muchas enfermedades.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Acerca de la salud mental de los j\u00f3venes, si es una prioridad porque es un tema que no se debe descuidar y es una de las maneras mas eficaces de mitigar cualquier causa que ponga en riesgo el bienestar de nuestras nuevas generaciones quienes son el futuro de nuestro pa\u00eds, sin embargo, no se han realizados proyectos, campa\u00f1as o cualquier otra acci\u00f3n en pro de la salud mental de nuestros j\u00f3venes, por el contrario gran parte de nuestros j\u00f3venes esta mas concentrado en procurar sobrevivir ante la situaci\u00f3n sociopol\u00edtica y econ\u00f3mica que ha atravesado nuestro pa\u00eds por los \u00faltimos 5 a\u00f1os.<\/p>\n\n\n\n<p>Me despido con saludos cordiales, esperando ansiosamente tu respuesta nuevamente, \u00a1bendiciones!<\/p>\n\n\n\n<p>J<\/p>\n\n\n\n<p class=\"has-luminous-vivid-amber-background-color has-background\">Letter 3<\/p>\n\n\n\n<p>Kornelio KABAGALE Le 14 avril 2023<\/p>\n\n\n\n<p>Facult\u00e9 de M\u00e9decine<\/p>\n\n\n\n<p>Universit\u00e9 Catholique de Bukavu<\/p>\n\n\n\n<p>Ch\u00e8re J,&nbsp;<\/p>\n\n\n\n<p>Un plaisir pour moi de lire ta lettre et d\u2019y r\u00e9pondre. En la lisant, il ne nous est pas difficile d\u2019imaginer l\u2019\u00e9tendue de responsabilit\u00e9 qui incombe actuellement aux jeunes des Pays qualifi\u00e9s de \u00ab&nbsp;tiers-monde&nbsp;\u00bb pour tirer leurs Pays de la situation d\u00e9plorable dans laquelle ils sont actuellement.<\/p>\n\n\n\n<p>Le monde est maintenant un village et l\u2019Universit\u00e9 d\u2019Anvers \u00e0 travers ce projet Global Pen Friends nous permet de nous connecter \u00e0 d\u2019autres jeunes du monde, de communiquer et d\u2019\u00e9changer des id\u00e9es.&nbsp;<\/p>\n\n\n\n<p>En effet, la nouvelle g\u00e9n\u00e9ration, notre g\u00e9n\u00e9ration, dans mon pays et comme dans le tien (je m\u2019imagine), a opt\u00e9 pour la r\u00e9silience. Et c\u2019est dans cet \u00e9tat de r\u00e9silience que nous sommes en train de surmonter tant soit peu les difficult\u00e9s auxquelles la vie nous confronte.&nbsp;<\/p>\n\n\n\n<p>Pour ce qui nous concerne en RDC, nous faisons de notre mieux pour nous former, et nous armer de savoir pour pouvoir \u00eatre en mesure de relever le d\u00e9fi.&nbsp;<\/p>\n\n\n\n<p>Au niveau sanitaire, les grands d\u00e9fis sont entre autres la guerre qui perdure depuis plus de trois d\u00e9cennies maintenant et \u00e0 laquelle sont confront\u00e9es les populations de la partie Est du Pays. Cette situation cr\u00e9e des d\u00e9plac\u00e9s internes et que les maladies comme le paludisme, les maladies des mains sales et autres n\u2019\u00e9pargnent pas. Le gouvernement fait de son mieux pour distribuer des moustiquaires impr\u00e9gn\u00e9s d\u2019insecticide \u00e0 longue dur\u00e9e d\u2019action aux populations, mais les femmes, surtout celles enceintes ainsi que les enfants restent vuln\u00e9rables et sont les premi\u00e8res victimes.&nbsp;<\/p>\n\n\n\n<p>Sans minimiser les efforts d\u00e9j\u00e0 consentis, le gouvernement devra fournir des efforts pour que les populations qui vivent dans des endroits tr\u00e8s recul\u00e9s puissent aussi acc\u00e9der aux soins de sant\u00e9 primaire et que la couverture sanitaire soit efficace.&nbsp;<\/p>\n\n\n\n<p>En lisant ta lettre, j\u2019ai \u00e9t\u00e9 ravi d\u2019entendre que tu es dipl\u00f4m\u00e9e en gestion des affaires. Et en tant que leader des jeunes au Sud-Kivu, ma province d\u2019origine, je voudrais te partager la situation des jeunes entrepreneurs et apprendre aussi de l\u2019exp\u00e9rience des jeunes entrepreneurs de ton pays. Dans mon pays, les jeunes apprennent \u00e0 devenir entrepreneurs, je dis bien \u00ab&nbsp;apprendre&nbsp;\u00bb. Notre syst\u00e8me \u00e9ducatif nous forme pour \u00eatre salari\u00e9, fonctionnaires.&nbsp; Cependant, de plus en plus d\u2019experts pensent que non seulement le syst\u00e8me salarial fait obstacle \u00e0 l\u2019\u00e9panouissement, mais aussi, le syst\u00e8me salarial peine \u00e0 embaucher tous les jeunes (les jeunes repr\u00e9sentent plus de 75% de la population active).&nbsp;<\/p>\n\n\n\n<p>Face \u00e0 cette situation, nous d\u00e9veloppons des id\u00e9es d\u2019entreprises, dont certaines commencent et prosp\u00e8rent non sans difficult\u00e9s, d\u2019autres commencent et ne survivent pas notamment au climat des affaires (taxes et imp\u00f4ts) et manque d\u2019exp\u00e9rience des jeunes entrepreneurs et manque d\u2019accompagnateurs, d\u2019autre part manque de financement s\u2019\u00e9touffent dans l\u2019\u0153uf.&nbsp;<\/p>\n\n\n\n<p>Ch\u00e8re J,<\/p>\n\n\n\n<p>Il est des efforts \u00e7\u00e0 et l\u00e0 pour tant soit peu assainir le climat des affaires, accompagner les jeunes entrepreneurs \u00e0 travers des incubateurs avant d\u2019acc\u00e9der \u00e0 des financements remboursables \u00e0 taux d\u2019int\u00e9r\u00eat parfois exorbitants, mais cela ne suffit pas encore.&nbsp;<\/p>\n\n\n\n<p>En tant qu\u2019experte en gestions des affaires, quels conseils donnerais-tu aux jeunes entrepreneurs de la province du Sud-Kivu&nbsp;? Quelle exp\u00e9rience partages-tu avec nous&nbsp;?&nbsp;<\/p>\n\n\n\n<p>Une seule ou deux lettres ne suffiront jamais pour nous permettre d\u2019\u00e9changer tout ce que nous avons comme exp\u00e9rience, ni de nous partager les id\u00e9es&nbsp;; heureusement le projet USOS Global Pen Friend nous donne l\u2019opportunit\u00e9 de garder contacts, m\u00eame apr\u00e8s le projet.&nbsp;<\/p>\n\n\n\n<p>Tout en esp\u00e9rant te lire tr\u00e8s bient\u00f4t, je te souhaite de te porter bien.&nbsp;<\/p>\n\n\n\n<p>Kornelio&nbsp;<\/p>\n\n\n\n<p class=\"has-pale-cyan-blue-background-color has-background\">Letter 4<\/p>\n\n\n\n<p>Universidad Centroamericana (UCA)<\/p>\n\n\n\n<p>Estimado Kornelio,<\/p>\n\n\n\n<p>Es un gusto para mi saludarte una vez m\u00e1s, me dio mucho gusto recibir tu respuesta y me complace compartir que estoy totalmente de acuerdo, creo que estas nuevas generaciones han aprendido y me incluyo, a ser inmunes a la triste realidad que se vive en la actualidad, hemos aprendido a evolucionar positivamente nuestro entorno, de manera superflua somos fuertes y aceptamos nuevos retos sin embargo lo que las grandes potencias no conocen es que existe otra cara detr\u00e1s de escenas acerca de la situaci\u00f3n precaria que se vive en nuestros pa\u00edses y esa es la realidad que me gustar\u00eda que muchos conocieran a trav\u00e9s de nuestro compartir de experiencias.&nbsp;<\/p>\n\n\n\n<p>Kornelio, me gustar\u00eda compartir que mi mejor consejo para los j\u00f3venes de Kivu del Sur que sean autodidactas, que sigan con hambre de aprender, aunque no sea en un campo de estudio, porque muchas veces las oportunidades llegan disfrazadas y si no somos lo suficientemente sabios y al mismo tiempo no tomamos retos, no sabremos de lo que somos capaces, por ejemplo yo empec\u00e9 hace seis a\u00f1os en la industria del Call center porque la situaci\u00f3n laboral en mi pa\u00eds tampoco permit\u00eda la oportunidad de un empleo relacionado a mi carrera, sin embargo no tuve miedo de aprender cosas nuevas y ahora estoy desempe\u00f1ando el puesto de Gerente de operaciones en la misma empresa, por lo tanto si hubiese rechazado esta oportunidad quiz\u00e1s no hubiese adquirido el conocimiento que ahora tengo y no habr\u00eda logrado muchas de mis metas, espero mi testimonio sea de motivaci\u00f3n para muchos j\u00f3venes y resalto que ha sido un gusto compartir contigo.&nbsp;<\/p>\n\n\n\n<p>Me despido con saludos cordiales, esperando ansiosamente tu respuesta nuevamente si el programa lo permite, \u00a1bendiciones!<\/p>\n\n\n\n<p>J<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This is an exchange between Kornelio Kabagale from the RDC and J from Nicaragua. For security reasons, &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/blog.uantwerpen.be\/global-pen-friends\/the-fight-against-infectious-diseases-and-access-to-primary-healthcare-for-vulnarable-populations-2\/\" class=\"more-link\"><span class=\"screen-reader-text\"> &#8220;The fight against infectious diseases and access to primary healthcare for vulnarable populations&#8221;<\/span><\/a><\/p>\n","protected":false},"author":68,"featured_media":1520,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[67,70],"tags":[121,159],"coauthors":[160],"class_list":["post-1436","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dr-congo","category-nicaragua","tag-health","tag-infectious-diseases"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The fight against infectious diseases and access to primary healthcare for vulnarable populations - USOS<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The fight against infectious diseases and access to primary healthcare for vulnarable populations - USOS\" \/>\n<meta property=\"og:description\" content=\"This is an exchange between Kornelio Kabagale from the RDC and J from Nicaragua. 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