{"id":15188,"date":"2023-10-09T15:53:53","date_gmt":"2023-10-09T13:53:53","guid":{"rendered":"https:\/\/interpeace2026.wpenginepowered.com\/?p=14330"},"modified":"2024-02-06T23:10:47","modified_gmt":"2024-02-06T22:10:47","slug":"decentralising-mental-health-and-psycho-social-support-services-in-rwanda","status":"publish","type":"post","link":"https:\/\/www.interpeace.org\/fr\/2023\/10\/decentralising-mental-health-and-psycho-social-support-services-in-rwanda\/","title":{"rendered":"Decentralising Mental Health and Psycho-Social Support Services in Rwanda"},"content":{"rendered":"<p>Pr\u00e8s de trois d\u00e9cennies apr\u00e8s le g\u00e9nocide contre les Tutsi, les Rwandais en subissent encore les effets sur la sant\u00e9 mentale, le d\u00e9veloppement socio-\u00e9conomique, la coh\u00e9sion sociale et la r\u00e9conciliation. La r\u00e9cente enqu\u00eate sur la sant\u00e9 mentale au Rwanda men\u00e9e en 2018 par le Centre biom\u00e9dical du Rwanda (RBC) a r\u00e9v\u00e9l\u00e9 que la pr\u00e9valence des troubles sur cette question au sein de la population rwandaise est sup\u00e9rieure \u00e0 la moyenne mondiale et est particuli\u00e8rement \u00e9lev\u00e9e parmi les survivants du g\u00e9nocide. Les \u00e9tudes d\u2019Interpeace ont corrobor\u00e9 les conclusions de ce dispositif. Les maladies mentales les plus fr\u00e9quemment diagnostiqu\u00e9es sont la d\u00e9pression majeure, le trouble traumatique post-stress, l'anxi\u00e9t\u00e9, le trouble panique, la d\u00e9pendance \u00e0 une substance et la phobie sociale. Pour faire face \u00e0 ces cons\u00e9quences de longue date, il est primordial de renforcer et de soutenir la d\u00e9centralisation du syst\u00e8me national de sant\u00e9 mentale et de soutien psychosocial.<\/p>\n<p>Au cours des 20 derni\u00e8res ann\u00e9es, le gouvernement du Rwanda a d\u00e9ploy\u00e9 des efforts consid\u00e9rables pour d\u00e9centraliser les soins de sant\u00e9 mentale dans les h\u00f4pitaux de r\u00e9f\u00e9rence et de district et les int\u00e9grer aux soins de sant\u00e9 primaires (centres de sant\u00e9) \u00e0 travers le pays. Cependant, le pays reste confront\u00e9 \u00e0 des d\u00e9fis tels que l'ampleur des besoins en sant\u00e9 mentale qui d\u00e9passe la capacit\u00e9 des professionnels disponibles, la faible sensibilisation et connaissance des probl\u00e8mes de sant\u00e9 mentale, la m\u00e9diocrit\u00e9 des infrastructures et la faible utilisation des prestations sur ces soins, qui s'\u00e9l\u00e8ve \u00e0 5,3 %.<\/p>\n<p>Gr\u00e2ce \u00e0 son programme de gu\u00e9rison soci\u00e9tale mis en \u0153uvre avec le soutien financier du gouvernement su\u00e9dois, Interpeace travaille avec le minist\u00e8re de la sant\u00e9 par l'interm\u00e9diaire du RBC pour trouver des solutions innovantes \u00e0 ces d\u00e9fis. Le programme renforce les capacit\u00e9s des professionnels de la sant\u00e9 mentale gr\u00e2ce \u00e0 la formation et \u00e0 la distribution d'\u00e9quipements. Avec ses partenaires tels que Prison Fellowship Rwanda, Haguruka, Dignity in Detention (DIDE) Rwanda et Groupe des anciens \u00e9tudiants rescap\u00e9s du g\u00e9nocide (GAERG), Interpeace a \u00e9galement lanc\u00e9 une approche de gu\u00e9rison communautaire connue sous le nom de protocole th\u00e9rapeutique ax\u00e9 sur la r\u00e9silience, un traitement de groupe en plusieurs phases pour la r\u00e9gulation \u00e9motionnelle, l'autogestion comportementale et le d\u00e9veloppement de l'identit\u00e9 pour compl\u00e9ter l'approche individuelle habituellement utilis\u00e9e dans les \u00e9tablissements de sant\u00e9 \u00e0 travers le pays.<\/p>\n\n\t\t<style>\n\t\t\t#gallery-1 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 50%;\n\t\t\t}\n\t\t\t#gallery-1 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-1' class='gallery galleryid-15188 gallery-columns-2 gallery-size-thumbnail'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.interpeace.org\/fr\/2023\/10\/decentralising-mental-health-and-psycho-social-support-services-in-rwanda\/mentalhealth2\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"200\" src=\"https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth2-300x200.jpeg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth2-300x200.jpeg 300w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth2-600x400.jpeg 600w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth2-750x500.jpeg 750w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth2-768x512.jpeg 768w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth2-18x12.jpeg 18w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth2-500x333.jpeg 500w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth2.jpeg 1500w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.interpeace.org\/fr\/2023\/10\/decentralising-mental-health-and-psycho-social-support-services-in-rwanda\/mentalhealth5-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"173\" src=\"https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth5-1-300x173.jpeg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth5-1-300x173.jpeg 300w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth5-1-600x345.jpeg 600w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth5-1-869x500.jpeg 869w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth5-1-768x442.jpeg 768w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth5-1-18x10.jpeg 18w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth5-1-500x288.jpeg 500w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth5-1.jpeg 1500w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<p>En juillet 2023, Interpeace a encadr\u00e9 58 psychologues cliniciens et infirmiers en sant\u00e9 mentale de sept h\u00f4pitaux de district, 32 centres de sant\u00e9 et quatre \u00e9tablissements p\u00e9nitentiaires des cinq districts d'intervention du programme, \u00e0 savoir Musanze, Nyabihu, Nyamagabe, Nyagatare et Ngoma, pour appliquer des th\u00e9rapies ax\u00e9es sur la r\u00e9silience au niveau du centre de sant\u00e9.<\/p>\n<p>Clementine Sezicyeye, infirmi\u00e8re en sant\u00e9 mentale \u00e0 l'h\u00f4pital de Kigeme, dans le district de Nyamagabe, dans le sud du Rwanda, fait partie des stagiaires. Son unit\u00e9 re\u00e7oit chaque mois plus de 200 cas de divers troubles de sant\u00e9 mentale. Elle propose principalement des traitements m\u00e9dicamenteux. Elle est convaincue que les espaces de gu\u00e9rison communautaires ax\u00e9s sur la r\u00e9silience contribueront \u00e0 garantir un acc\u00e8s facile aux soins de sant\u00e9 mentale pour un plus grand nombre de personnes.<\/p>\n<p>\u00ab L\u2019approche individuelle que nous utilisons est bonne et efficace, mais elle ne nous permet pas d\u2019aider autant de personnes que l\u2019exige l\u2019ampleur des besoins. Nous avons appris une nouvelle approche de groupe qui nous permet d'aider plusieurs personnes en m\u00eame temps avec la possibilit\u00e9 d'animer plus de deux groupes par semaine. Il s\u2019agit d\u2019une solution innovante \u00e0 ce d\u00e9fi. Nous sommes pr\u00eats \u00e0 mettre en \u0153uvre ce protocole \u00bb, a comment\u00e9 Mme Sezicyeye.<\/p>\n\n\t\t<style>\n\t\t\t#gallery-2 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-2 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 50%;\n\t\t\t}\n\t\t\t#gallery-2 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-2 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-2' class='gallery galleryid-15188 gallery-columns-2 gallery-size-thumbnail'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.interpeace.org\/fr\/2023\/10\/decentralising-mental-health-and-psycho-social-support-services-in-rwanda\/mentalhealth3-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"169\" src=\"https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth3-1-300x169.jpeg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth3-1-300x169.jpeg 300w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth3-1-600x337.jpeg 600w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth3-1-890x500.jpeg 890w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth3-1-768x432.jpeg 768w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth3-1-18x10.jpeg 18w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth3-1-500x281.jpeg 500w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth3-1.jpeg 1500w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.interpeace.org\/fr\/2023\/10\/decentralising-mental-health-and-psycho-social-support-services-in-rwanda\/mentalhealth4-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"191\" src=\"https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth4-1-300x191.jpeg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth4-1-300x191.jpeg 300w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth4-1-600x382.jpeg 600w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth4-1-786x500.jpeg 786w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth4-1-768x488.jpeg 768w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth4-1-18x12.jpeg 18w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth4-1-500x318.jpeg 500w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth4-1.jpeg 1500w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<p>Les professionnels de sant\u00e9 encadr\u00e9s animeront des espaces de gu\u00e9rison ax\u00e9s sur la r\u00e9silience \u00e9tablis dans leurs centres de sant\u00e9, pouvant accueillir un groupe de 10 personnes chacun. Celles-ci assistent \u00e0 des dialogues de gu\u00e9rison pendant une p\u00e9riode de 30 semaines, constitu\u00e9s de 24 s\u00e9ances de gu\u00e9rison hebdomadaires et de six s\u00e9ances de suivi. Les membres de la communaut\u00e9 sont r\u00e9partis dans des groupes de gu\u00e9rison adapt\u00e9s apr\u00e8s des s\u00e9ances de d\u00e9pistage men\u00e9es dans les communaut\u00e9s pour \u00e9valuer le niveau de leur d\u00e9tresse psychologique et leurs besoins.<\/p>\n<p>Le programme a soutenu les centres de sant\u00e9 et les h\u00f4pitaux en leur distribuant des tablettes \u00e9lectroniques pour une collecte et une gestion des donn\u00e9es pendant les processus de d\u00e9pistage et de gu\u00e9rison. Ils recevront \u00e9galement des motocyclettes pour faciliter le transport des professionnels de la sant\u00e9 mentale vers les communaut\u00e9s \u00e9loign\u00e9es.<\/p>\n<p>\u00ab De nombreuses personnes dans les communaut\u00e9s ne savent m\u00eame pas ou ne reconnaissent pas qu\u2019elles ont des probl\u00e8mes de sant\u00e9 mentale et d\u2019autres le savent mais ont des moyens limit\u00e9s pour acc\u00e9der aux soins de sant\u00e9. En tant que centre de sant\u00e9, nous disposons d'un budget tr\u00e8s limit\u00e9 pour organiser des activit\u00e9s \u00e0 grande \u00e9chelle dans les communaut\u00e9s. Je crois que nous permettre de les atteindre est la meilleure fa\u00e7on de les soutenir \u00bb, a d\u00e9clar\u00e9 Emmanuel Mbarushimana, chef du centre de sant\u00e9 de Muhoza, dans le district de Musanze, province du Nord du Rwanda. Il a ajout\u00e9 que les s\u00e9ances de d\u00e9pistage communautaires seront une opportunit\u00e9 de mener des campagnes de sensibilisation pour accro\u00eetre la prise de conscience et les connaissances des membres de la communaut\u00e9 ainsi que lutter contre la stigmatisation \u00e0 laquelle les personnes souffrant de probl\u00e8mes de sant\u00e9 mentale sont g\u00e9n\u00e9ralement confront\u00e9es.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-15634\" src=\"https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth6-600x400-1.jpeg\" alt=\"\" width=\"600\" height=\"400\" srcset=\"https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth6-600x400-1.jpeg 600w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth6-600x400-1-300x200.jpeg 300w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth6-600x400-1-18x12.jpeg 18w, https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth6-600x400-1-500x333.jpeg 500w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-large wp-image-14337\" src=\"https:\/\/www.interpeace.org\/wp-content\/uploads\/2023\/10\/MentalHealth6-600x400.jpeg\" alt=\"\" \/><\/p>\n<p>Le faible niveau de connaissances en mati\u00e8re de sant\u00e9 mentale parmi les responsables des centres de sant\u00e9 constitue toujours une pierre d'achoppement \u00e0 la prestation de services. Les 32 chefs de ces sites dans les cinq districts du programme ont \u00e9t\u00e9 encadr\u00e9s pour accro\u00eetre leurs connaissances et renforcer leurs capacit\u00e9s en mati\u00e8re de soins de sant\u00e9 mentale et de soutien psychosocial. \u00abMes coll\u00e8gues et moi avions l'habitude de sous-estimer le travail des psychologues et des infirmi\u00e8res en sant\u00e9 mentale parce que nous connaissions peu ce qu'ils font et ce que cela n\u00e9cessite. Nous les avons souvent utilis\u00e9s comme personnel de secours lorsque nous \u00e9tions confront\u00e9s \u00e0 une p\u00e9nurie de personnel. Maintenant, j'ai compris qu'ils font beaucoup de travail et ont besoin de plus de temps et d'espace s\u00fbr \u00bb, a d\u00e9clar\u00e9 M. Mbarushimana.<\/p>","protected":false},"excerpt":{"rendered":"<p>Close to three decades after the Genocide against the Tutsi in Rwanda, Rwandans are still experiencing its effects on mental health, socio-economic development, social cohesion, and reconciliation. The recent Rwanda Mental Health Survey conducted in 2018 by the Rwanda Biomedical Centre (RBC) revealed that the prevalence of mental health disorders among the Rwandan population is [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":15089,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_editorskit_title_hidden":false,"_editorskit_reading_time":0,"_editorskit_is_block_options_detached":false,"_editorskit_block_options_position":"{}","editor_plus_copied_stylings":"{}","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[],"globales":[],"initiatives":[],"news_type":[],"programmes":[68,74],"resource_theme":[508],"videos_vimeo":[],"class_list":["post-15188","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","programmes-eastern-and-central-africa","programmes-rwanda","resource_theme-mhpss"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Decentralising Mental Health and Psycho-Social Support Services in Rwanda - Interpeace<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.interpeace.org\/fr\/2023\/10\/decentralising-mental-health-and-psycho-social-support-services-in-rwanda\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Decentralising Mental Health and Psycho-Social Support Services in Rwanda\" \/>\n<meta property=\"og:description\" content=\"Close to three decades after the Genocide against the Tutsi in Rwanda, Rwandans are still experiencing its effects on mental health, socio-economic development, social cohesion, and reconciliation. 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