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Annuaire Statistique Sanitaire 2017 », Constitue Une Référence Statistique Parmi Celles Du Système National D’Information Sanitaire

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Annuaire Statistique Sanitaire 2017 », Constitue Une Référence Statistique Parmi Celles Du Système National D’Information Sanitaire REPUBLIQUE DE GUINEE MINISTERE DE LA SANTE ======= BUREAU DE STRATEGIE ET DE DEVELOPPEMENT ======= Division Information Sanitaire et Recherche ======= Section Statistique et Information Sanitaire (SSIS) ANNUAIRE STATISTIQUE SANITAIRE 2017 PREFACE Le Ministère de la Santé, pour assurer le suivi des indicateurs de performances de son système de santé, a mis en place un système National d’information sanitaire (SNIS). Ce dispositif comporte les aspects en rapport avec la capacité du système de santé, les ressources, le processus, les produits, les résultats de santé (couverture des prestations de service essentielles) et l’impact de la charge de morbidité des principales pathologies. La présente édition de l’annuaire statistique sanitaire montre le portrait de notre système de santé au cours de l’année 2017 à travers les différents indicateurs retenus pour le suivi de la politique nationale de santé. Il donne le niveau des indicateurs par structure de santé (DPS, DRS, CMC, hôpital préfectoral, régional et national). Les résultats montrent des insuffisances à prendre en compte dans la mise en place des reformes sur le plan de l’équité d’accès et les résultats des interventions en général. Je saisis cette occasion pour remercier les partenaires techniques et financiers qui ont contribué de façon substantielle à la production de ce rapport et à l’amélioration de l’état de santé de nos populations. J’invite tous les acteurs du système de santé et l’ensemble des utilisateurs de faire bon usage de ce document qui constitue la référence officielle du département en matière de statistiques sanitaires. Conakry le 30 Novembre 2018 Le Ministre d’Etat, Ministre de la Santé Dr Edouard Nyankoye LAMA TABLE DES MATIERES PREFACE ............................................................................................................................................................................ 2 TABLE DES MATIERES ....................................................................................................................................................... 3 LISTE DES TABLEAUX ......................................................................................................................................................... 4 LISTE DES ACRONYMES ..................................................................................................................................................... 7 Introduction ...................................................................................................................................................................... 9 CHAPITRE I : NOTE METHODOLOGIQUE ......................................................................................................................... 10 CHAPITRE 2 : INFORMATIONS GENERALES .................................................................................................................... 15 2.1 Présentation du pays ......................................................................................................................................... 15 2.1.1 Caractéristiques physiques ............................................................................................................................. 15 2.1.2 Caractéristiques démographiques ................................................................................................................... 15 2.1.3 Caractéristiques économiques ........................................................................................................................ 16 Graphique 1 : Part du budget de l’Etat alloué au Ministère de la Santé ........................................................................ 17 2.2 Système de santé de la République de Guinée .................................................................................................... 20 2.2.1 Structuration administrative ............................................................................................................................ 20 2.2.2 Organisation et fonctionnement des structures de soins .................................................................................... 20 2.2.3 Mission et organisation du système de santé .................................................................................................... 20 2.3 Système National d’Information Sanitaire ............................................................................................................. 24 2.4 Processus d’élaboration de l’annuaire statistique .................................................................................................. 10 2.4.1 Collecte des données ..................................................................................................................................... 10 2.4.2 Périodicité de transmission des rapports .......................................................................................................... 10 2.4.3 Traitement et analyse des données ................................................................................................................. 10 2.4.4 Validation des données .................................................................................................................................. 10 2.4.5 Diffusion ....................................................................................................................................................... 11 2.5 Mode d’estimation des principaux indicateurs ....................................................................................................... 11 2.6 La présentation des tableaux .............................................................................................................................. 13 CHAPITRE 3 : RESSOURCES SANITAIRES ......................................................................................................................... 29 CHAPITRE 4 : UTILISATION DES SERVICES DE SANTE ...................................................................................................... 37 Consultation curative ..................................................................................................................................................... 37 PERSONNEL DE PRODUCTION DE L’ANNUAIRE 2017 .................................................................................................... 138 3 LISTE DES TABLEAUX Tableau 1 : Taux brut (‰), indice comparatif (‰) et rang par rapport à l’ICN par région administrative ...... 12 Tableau 2 : Données démographiques, socio-sanitaires et économiques ...................................................... 16 Tableau 3 : Dépenses BND de 2000 à 2017 au Ministère de la Santé en milliards GNF) ................................ 18 Tableau 4 : Budget par titres ........................................................................................................................... 19 Tableau 5 : Organisation de la pyramide sanitaire .......................................................................................... 21 Tableau 6 : Instance de coordination et organes consultatifs ........................................................................ 21 Tableau 7 : Périodicité et délai de transmission des rapports mensuels ........................................................ 24 Tableau 8 : Complétude et promptitude des formulaires du rapport SNIS dans DHIS2 en 2017 ................... 25 Tableau 9 : Structure de la population par tranche d’âges et par préfecture/région sanitaire en 2017 ........ 27 Tableau 10 : Couverture des infrastructures sanitaires publiques par région et au niveau national en 2017 29 Tableau 11 : Répartition des infrastructures sanitaires publiques par préfecture/ région en 2014 .............. 29 Tableau 12: Répartition des infrastructures pharmaceutiques privées par préfecture et région en 2017 ... 31 Tableau 13 : Couverture des professionnels de la santé du secteur public en 2017 ...................................... 34 Tableau 14 : Répartition du personnel employé du secteur public en 2017 par région ................................. 34 Tableau 15 : Répartition des ressources humaines du Ministère de la santé par catégorie professionnelle par région en 2014 .......................................................................................................................................... 35 Tableau 16 : Consultation curative dans les centres de santé par district sanitaire en 2017 ......................... 37 Tableau 17 : Distribution des CPN par districts sanitaires en 2017................................................................. 38 Tableau 18 : Distribution des accouchements assistés par un professionnel de santé qualifié par district sanitaire en 2017 ............................................................................................................................................. 39 Tableau 19 : Distribution des faibles poids de naissance par district sanitaire en 2017 ................................. 40 Tableau 20 : Décès maternels enregistrés dans les établissements sanitaires publics par district sanitaire en 2017 ................................................................................................................................................................. 42 Tableau 21 : Vaccination des enfants de 0-11 mois par antigène par district sanitaire en 2017 ................... 44 Tableau 22 : Indicateurs PEV ..........................................................................................................................
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