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Canadian Journal of Public Health

, Volume 97, Issue 1, pp 60–62 | Cite as

La santé des femmes et la coopération hospitalière canadienne en Afghanistan

  • Valéry RiddeEmail author
Practice

Résumé

Il est de plus en plus demandé aux Canadiennes et Canadiens de s’impliquer davantage dans les projets de recherche et d’intervention en santé internationale. L’objet de ce commentaire est d’analyser les enjeux que soulèvent une telle implication à l’occasion d’une requête formulée par des cliniciens québécois pour soutenir un projet hospitalier en Afghanistan. Ce projet vise la construction et le fonctionnement d’un hôpital tertiaire hyper-spécialisé dans la capitale, destiné aux femmes et aux enfants. Cependant, il ne faudrait pas qu’une volonté fort louable de venir en aide aux Afghanes se transforme en une opération néfaste, à tout le moins inefficace, pour la population et le système de santé. Pour comprendre les enjeux d’une telle participation, nous l’examinons au regard de trois enjeux principaux de santé publique: les priorités de santé publique, l’organisation hospitalière et le financement des services de santé. Aussi, compte tenu de cette étude et du contexte afghan actuel, il nous semble que ce projet n’est absolument pas pertinent. La priorité actuelle de santé publique est de donner au plus grand nombre un accès à un dispensaire proche pour les premiers soins et les accouchements.

Mots clés

Afghanistan hôpitaux aide internationale santé des femmes santé publique 

Abstract

Canadians are increasingly being asked to become involved in international health research and intervention projects. Recently, Quebec clinicians were asked to support a project to build and run a tertiary and highly-specialized hospital for women and children, in Kabul, the capital of Afghanistan. The goal of this paper was to analyze the challenges raised by participation in such a project. The major lesson learned was the need to resist the temptation to provide aid when it involves an attractive but ineffective intervention. The current public health priority in Afghanistan is to provide as much of the population as possible with access to a nearby health centre, for primary health care and safe deliveries. When analyzing the implications of Canadian clinicians’ commitment to this project, we considered three major public health challenges: public health priorities, hospital care organization and health care financing. The results indicated that, given the current Afghani context, this project was neither relevant nor appropriate and had undesirable repercussions on the population and the health care system.

MeSH terms

Afghanistan hospital international aid women’s health public health 

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Copyright information

© The Canadian Public Health Association 2006

Authors and Affiliations

  1. 1.Unité de Santé InternationaleUniversité de Montréal, Edifice Saint-UrbainMontréalCanada

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