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Annuaire Statistique Sanitaire 2016

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Annuaire Statistique Sanitaire 2016 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 2016 Novembre 2018 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 2016 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, 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. a été rendu possible grâce au soutien des partenaires techniques notamment l’OMS, l’UNICEF, l’USAID, l’Union Européenne, la GIZ et l’Institut National de la Statistique (INS). Qu’ils trouvent ici ma profonde gratitude. 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 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 2.2 Système de santé de la République de Guinée ...................................................................................... 19 2.2.1 Structuration administrative ................................................................................................................ 19 2.2.2 Organisation et fonctionnement des structures de soins ............................................................... 19 2.2.3 Mission et organisation du système de santé ................................................................................. 19 2.3 Système National d’Information Sanitaire ................................................................................................ 23 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 a) Le taux d’accouchements assistés ........................................................................................................... 11 b) La couverture prénatale .............................................................................................................................. 12 c) Les grossesses attendues .......................................................................................................................... 12 d) La prévalence contraceptive ...................................................................................................................... 12 e) Formules de quelques indicateurs ............................................................................................................ 12 2.6 La présentation des tableaux ..................................................................................................................... 13 CHAPITRE 3 : RESSOURCES SANITAIRES ......................................................................................................................... 29 3.1 Ressources en infrastructure .......................................................................................................................... 29 3.2 Ressources humaines ................................................................................................................................. 34 CHAPITRE 4 : UTILISATION DES SERVICES DE SANTE ...................................................................................................... 37 4.1 Consultation curative ....................................................................................................................................... 37 Personnel de production de l’annuaire 2016 ............................................................................................ 140 LISTE DES TABLEAUX Tableau 1 : Données démographiques, socio-sanitaires et économiques16 Graphique 1 : Part du budget de l’Etat alloué au Ministère de la Santé17 Tableau 2 : Evolution des principaux indicateurs macro-économiquesErreur ! Signet non défini. Tableau 3 : Dépenses BND de 2000 à 2016 au Ministère de la Santé en milliards GNF)17 Tableau 4 : Budget par titres18 Tableau 5 : Organisation de la pyramide sanitaire20 Tableau 6 : Instance de coordination et organes consultatifs20 Tableau 7 : Périodicité et délai de transmission des rapports mensuels24 Tableau 8 : Complétude et promptitude des formulaires du rapport SNIS dans DHIS2 en 201625 Tableau 9 : Structure de la population par tranche d’âges et par préfecture/région sanitaire27 Tableau 10 : Taux brut (‰), indice comparatif (‰) et rang par rapport à l’ICN par région administrative12 Tableau 11 : Couverture des infrastructures sanitaires publiques par région et au niveau national en 201629 Tableau 12 : Répartition des infrastructures sanitaires publiques par préfecture/ région en 201629 Tableau 13 : Répartition des infrastructures pharmaceutiques privées par préfecture et région en 201632 Tableau 14 : Couverture des professionnels de la santé du secteur public en 201634 Tableau 15 : Répartition du personnel employé du secteur public en 2016 par région34 Tableau 16 : Répartition des ressources humaines du Ministère de la santé par catégorie professionnelle par région en 201635 Tableau 17 : Consultation curative dans les centres de santé par district sanitaire en 201637 Tableau 18 : Distribution des accouchements assistés par un professionnel de santé qualifié par district sanitaire 38 Tableau 19 : Distribution des faibles poids de naissance par district sanitaire40 Tableau 20 : Décès maternels enregistrés dans les établissements sanitaires publics par district sanitaire41 Tableau 21 : Vaccination des enfants de 0-11 mois par antigène par district sanitaire en 201643 Tableau 22 : Femmes admises pour accouchements et complications d'accouchement par district sanitaire HP/CMC45 Tableau 23 : Distribution des CPN par districts sanitaires en 201648 Tableau 24 : Enfants suivi en consultation post-natale par district sanitaire49 Tableau 25 : Nouvelles utilisatrices selon la méthode contraceptive par district sanitaire 201650 Tableau 26 : Notification effets secondaires selon le Produits/méthodes utilisés dans les districts sanitaires52 Tableau 27
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