ECOSOC-Ethiopia-Lycee Bonaparte

Commission: ECO-SOC
Question: L'uberisation de la sante
Auteur:Ethiopie

L'uberisation de la sante est devenue pendant les dernieres annees, un concept qui prend tous les jours plus d'importance dans la societe urbaine. L'insatisfaction du client est a la base de ce phenomene, son nom derivant de l'entreprise de taxis "Uber" et qui commence a se propager meme dans d'autres domaines, comme la sante, ce qui pourrait avoir des consequences sur la vie quotidienne.

L'uberisation en Ethiopie n'est pas un phenomene encore entierement realise comme la majorite des clients n'ont pas encore un acces a Internet. Plus d'un quart des Ethiopiens n'ont meme pas acces a des soins basiques, ce qui est tres peu meme compare a d'autres pays africains qui ont un revenu presque identique.

Aujourd'hui, 75% de la population ethiopienne urbaine et 42% de la population rurale(95 millions d'habitants au total) ont acces aux services sanitaires mais le ministere de la sante de l'Ethiopie veut etablir l'universalite des soins sanitaires d'ici 2035. Les initiatives priorisees sont la mobilisation des ressources adequates issues principalement des ressources domestiques, le renforcement de l'efficacite et du financement pour l'amelioration des services sanitaires.

Le pays compte 119 hopitaux et 412 centres de sante divers. L'uberisation de la sante ne cherche pas a construire plus d'hopitaux ou de centres de sante mais plutot d'augmenter un autre nombre qui est beaucoup plus inquietant : d'apres le World Factbook, il y a environ 0,03 medecins par 1000 habitants ce qui est un des totaux les moins eleves sur Terre. Plus de medecins diplomes pourra accelerer le processus d'uberisation comme l'Ethiopie ne pourra pas devenir un pays ou la medecine est uberisee avec un nombre aussi bas.

Pour cela, il existe deux solutions envisageables pour l'Ethiopie. Tout d'abord, la construction de plus d'universites et un meilleur salaire pour les professeurs, ce qui augmentera le nombre d'eleves en medecine et facilitera donc l'uberisation. L'ameioration de l'hygiene car dans un pays si peuple les maladies sont tres contagieuses. Les maladies principales sont la lepre,le sida, la meningite, le paludisme, la tuberculose mais aussi la mortalite infantile. Il existe un seul hopital psychiatrique et trois ecoles medicales dans tout le pays. Pour lutter contre cette insuffisance infrastructurale, l'uberisation de la sante pourrait bien devenir le phenomene qui apportera la reponse a cette question comme aucun type d'infrastructure est necessaire dans ce processus.

Bien qu'il y ait eu des progres enormes dans la medecine en Ethiopie, il existe toujours un gros probleme dans le nombre de medecins ce qui decidera si l'uberisation sera possible ou non. Cela diminuera le taux de mortalite infantile , mais aussi le nombre de morts en general sachant que l'esperance de vie moyenne en Ethiopie est de 45 ans. Ce progres sera aussi accompagne d'un progres economique et la population augmentera elle aussi tres fortement.

Francois Aclimandos, delegue de l'Ethiopie.

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