{"id":8124,"date":"2022-08-09T10:34:12","date_gmt":"2022-08-09T10:34:12","guid":{"rendered":"https:\/\/azv.be\/?p=8124"},"modified":"2023-09-05T15:09:09","modified_gmt":"2023-09-05T14:09:09","slug":"dossier-la-lutte-contre-la-fistule-obstetricale-en-republique-democratique-du-congo","status":"publish","type":"post","link":"https:\/\/azv.be\/fr\/dossier-fr\/dossier-la-lutte-contre-la-fistule-obstetricale-en-republique-democratique-du-congo\/","title":{"rendered":"DOSSIER: La lutte contre la fistule obst\u00e9tricale en R\u00e9publique D\u00e9mocratique du Congo"},"content":{"rendered":"<p>Chaque ann\u00e9e, en RD Congo, le traitement et la chirurgie des fistules permettent \u00e0 des centaines de femmes de se remettre de cette pathologie grave et de sortir de leur isolement social et familial. Les besoins sont \u00e9normes, car 5000 \u00e0 7000\u202ffemmes sont touch\u00e9es chaque ann\u00e9e.<\/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: 33%;\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-8124 gallery-columns-3 gallery-size-large'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/azv.be\/fr\/dossier-fr\/dossier-la-lutte-contre-la-fistule-obstetricale-en-republique-democratique-du-congo\/attachment\/medecinssansvacances_artsenzondervakantie_dolores_nembunzu_fistule-3-1024x768-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-3-1024x768-1.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-3-1024x768-1.jpg 1024w, https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-3-1024x768-1-300x225.jpg 300w, https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-3-1024x768-1-768x576.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/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:\/\/azv.be\/fr\/dossier-fr\/dossier-la-lutte-contre-la-fistule-obstetricale-en-republique-democratique-du-congo\/attachment\/medecinssansvacances_artsenzondervakantie_dolores_nembunzu_fistule-4-scaled-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-4-scaled-1-1024x768.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-4-scaled-1-1024x768.jpg 1024w, https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-4-scaled-1-300x225.jpg 300w, https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-4-scaled-1-768x576.jpg 768w, https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-4-scaled-1-1536x1152.jpg 1536w, https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-4-scaled-1-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/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:\/\/azv.be\/fr\/dossier-fr\/dossier-la-lutte-contre-la-fistule-obstetricale-en-republique-democratique-du-congo\/attachment\/medecinssansvacances_artsenzondervakantie_dolores_nembunzu_fistule-8-1024x768-2\/'><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-8-1024x768-1.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-8-1024x768-1.jpg 1024w, https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-8-1024x768-1-300x225.jpg 300w, https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-8-1024x768-1-768x576.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<h3><strong>La Maman des fistuleuses<\/strong><\/h3>\n<p>La Dr Dolores Nembunzu est \u00e0 la t\u00eate de l\u2019h\u00f4pital Saint-Joseph et de la clinique de la fistule de Kinshasa, en RDC. Gyn\u00e9cologue de formation, elle a suivi une sp\u00e9cialisation \u00e0 l\u2019Institut de m\u00e9decine tropicale d\u2019Anvers. <\/p>\n<p>En 1988, elle est retourn\u00e9e en RDC et est entr\u00e9e en contact avec des jeunes femmes qui avaient d\u00e9velopp\u00e9 une fistule \u00e0 la suite d\u2019un accouchement. Tr\u00e8s touch\u00e9e par le sort de ces femmes, souvent non qualifi\u00e9es et discrimin\u00e9es, la Dr Nembunzu se sentait toutefois impuissante. <\/p>\n<p>Elle a d\u00e9couvert les formations de M\u00e9decins Sans Vacances en 2003. Gr\u00e2ce \u00e0 la collaboration avec M\u00e9decins Sans Vacances, une clinique de la fistule a vu le jour en 2007 \u00e0 l\u2019h\u00f4pital Saint-Joseph, ce qui a valu \u00e0 la Dr Nembunzu le surnom affectueux de \u00ab\u202fmaman des fistuleuses\u202f\u00bb. Depuis de nombreuses ann\u00e9es maintenant, Dolores dispense elle aussi des formations en tant qu\u2019experte locale pour M\u00e9decins Sans Vacances. <\/p>\n<h3><strong>\u00c9coutez ici l\u2019histoire de la Dr Nembunzu \u00e0 l\u2019occasion de notre 40e anniversaire <\/strong><\/h3>\n<p><iframe loading=\"lazy\" src=\"https:\/\/w.soundcloud.com\/player\/?url=https%3A\/\/api.soundcloud.com\/tracks\/1157401780&amp;color=%23ff5500&amp;auto_play=false&amp;hide_related=false&amp;show_comments=true&amp;show_user=true&amp;show_reposts=false&amp;show_teaser=true&amp;visual=true\" width=\"100%\" height=\"300\" frameborder=\"no\" scrolling=\"no\"><\/iframe><\/p>\n<div style=\"font-size: 10px; color: #cccccc; line-break: anywhere; word-break: normal; overflow: hidden; white-space: nowrap; text-overflow: ellipsis; font-family: Interstate,Lucida Grande,Lucida Sans Unicode,Lucida Sans,Garuda,Verdana,Tahoma,sans-serif; font-weight: 100;\"><a style=\"color: #cccccc; text-decoration: none;\" title=\"Artsen Zonder Vakantie - M\u00e9decins Sans Vacances\" href=\"https:\/\/soundcloud.com\/user-449046351\" target=\"_blank\" rel=\"noopener\">Artsen Zonder Vakantie &#8211; M\u00e9decins Sans Vacances<\/a> \u00b7 <a style=\"color: #cccccc; text-decoration: none;\" title=\"PODCAST_DR Dolores_NL\" href=\"https:\/\/soundcloud.com\/user-449046351\/podcats_dr-dolores_nl\" target=\"_blank\" rel=\"noopener\">PODCAST_DR Dolores_NL<\/a><\/div>\n<div><\/div>\n<h3><strong>La mission de la Dr Nembunzu en collaboration avec M\u00e9decins Sans Vacances<\/strong><\/h3>\n<p>La Dr Dolores Nembunzu partira bient\u00f4t en mission dans deux h\u00f4pitaux congolais, l\u2019h\u00f4pital de Gombe Matadi et l\u2019h\u00f4pital de Popokabaka, afin de poursuivre sa mission dans d\u2019autres r\u00e9gions de RDC. <\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-6421 alignleft\" src=\"https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/MedecinsSansVacances_ArtsenZonderVakantie_Dolores_Nembunzu_fistule-9-scaled.jpg\" alt=\"\" width=\"443\" height=\"332\" \/>Accompagn\u00e9e d\u2019un anesth\u00e9siste, un infirmier du bloc op\u00e9ratoire et une infirmi\u00e8re d\u2019hospitalisation, elle s\u00e9journera sur place pendant deux semaines afin de partager ses connaissances et d\u2019organiser des formations pour le personnel local. Ils aborderont les trois aspects de la lutte contre les fistules, de sorte que des centaines de femmes africaines pourront bient\u00f4t profiter d\u2019une nouvelle vie. <\/p>\n<h3><strong>La mission m\u00e9dicale est ax\u00e9e sur les trois aspects de la lutte contre les fistules :<\/strong><\/h3>\n<h4>1- Formations de sensibilisation<\/h4>\n<p>Nous organisons des formations de sensibilisation dans les centres de sant\u00e9 des zones rurales afin que le personnel puisse identifier \u00e0 temps les accouchements difficiles. Un suivi pr\u00e9natal et des soins infirmiers adapt\u00e9s permettent en effet de pr\u00e9venir l\u2019apparition de fistules. Ainsi, le bassin des jeunes filles est g\u00e9n\u00e9ralement trop \u00e9troit pour l\u2019accouchement. Il faut donc les envoyer \u00e0 temps \u00e0 l\u2019h\u00f4pital pour qu\u2019une c\u00e9sarienne puisse \u00eatre pratiqu\u00e9e, ce qui permet d\u2019\u00e9viter que le b\u00e9b\u00e9 ne reste coinc\u00e9. <\/p>\n<h4>2-Traitement non chirurgical<\/h4>\n<p>Nous apprenons au personnel hospitalier \u00e0 proc\u00e9der au traitement non chirurgical des nouvelles fistules (par le placement d\u2019une sonde v\u00e9sicale, qui permet \u00e0 l\u2019ouverture de se refermer spontan\u00e9ment).  <\/p>\n<h4>3-Partager nos connaissances<\/h4>\n<p>Nous partageons nos connaissances sur la r\u00e9paration chirurgicale des fistules obst\u00e9tricales. Ainsi, non seulement des femmes sont d\u00e9barrass\u00e9es de leur fistule durant la mission, mais les m\u00e9decins locaux apprennent aussi \u00e0 r\u00e9aliser cette intervention en toute autonomie.  <\/p>\n<p>Pour faire de cette belle mission une r\u00e9alit\u00e9, nous avons besoin de 24\u202f000\u202feuros. Si 240\u202fpersonnes font un don de 100\u202feuros, par exemple, nous pourrons changer la vie de centaines de jeunes femmes.  <\/p>\n<p><a href=\"http:\/\/act.azv.be\/nl-NL\/p\/mediquality-actie-april-2022\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-6902\" src=\"https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/Faire-un-don-NL-1.gif\" alt=\"\" width=\"940\" height=\"788\" \/><\/a><\/p>\n<p>En Afrique subsaharienne et en Asie, 2 \u00e0 3\u202fmillions de femmes souffrent d\u2019une fistule. On estime qu\u2019entre 50 et 100\u202f000\u202ffemmes d\u00e9veloppent une nouvelle fistule chaque ann\u00e9e. Rien qu\u2019en RDC, on d\u00e9nombre d\u00e9j\u00e0 5000 \u00e0 7000\u202fnouveaux cas par an. <\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-6744 alignleft\" src=\"https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/ArtsenZonderVakantie_MedecinsSansVacances_CharlotteNzeyimana.jpg\" alt=\"\" width=\"161\" height=\"242\" \/><\/p>\n<h3 style=\"text-align: left;\"><strong><a href=\"https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/Fiche-Fistule-projet-de-RF-2022-cor-NL.pdf\" target=\"_blank\" rel=\"noopener\">Lisez ici le rapport de la Dr Charlotte Nzeyimana,<\/a>conseill\u00e8re Sant\u00e9 publique chez M\u00e9decins Sans Vacances,  propos de la probl\u00e9matique des fistules en RDC.<\/strong><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-6797 alignleft\" src=\"https:\/\/azv.be\/wp-content\/uploads\/2022\/04\/info-button.png\" alt=\"\" width=\"81\" height=\"65\" \/\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Avec la Dr Dolores Nembunzu et ses coll\u00e8gues, M\u00e9decins Sans Vacances contribue \u00e0 la lutte contre la fistule obst\u00e9tricale en RD Congo. <\/p>\n<p>La grande majorit\u00e9 de ces fistules sont la cons\u00e9quence d\u2019accouchements difficiles, s\u2019\u00e9talant parfois sur plusieurs jours. En plus de leur souffrance physique, les femmes avec une fistule obst\u00e9tricale sont souvent victimes d\u2019humiliations ou d\u2019exclusion dans leur communaut\u00e9 locale et m\u00e8nent une vie de paria, g\u00e9n\u00e9ralement dans une pauvret\u00e9 extr\u00eame.  <\/p>\n","protected":false},"author":1,"featured_media":8811,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[63,102],"tags":[109,108,81,64],"class_list":["post-8124","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualite","category-dossier-fr","tag-afrique-centrale","tag-centraal-afrika","tag-dr-congo-west-fr","tag-rd-congo-ouest-fr"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>DOSSIER: La lutte contre la fistule obst\u00e9tricale en R\u00e9publique D\u00e9mocratique du Congo - Artsen Zonder Vakantie<\/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:\/\/azv.be\/fr\/dossier-fr\/dossier-la-lutte-contre-la-fistule-obstetricale-en-republique-democratique-du-congo\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"DOSSIER: La lutte contre la fistule obst\u00e9tricale en R\u00e9publique D\u00e9mocratique du Congo - Artsen Zonder Vakantie\" \/>\n<meta property=\"og:description\" content=\"Avec la Dr Dolores Nembunzu et ses coll\u00e8gues, M\u00e9decins Sans Vacances contribue \u00e0 la lutte contre la fistule obst\u00e9tricale en RD Congo.   La grande majorit\u00e9 de ces fistules sont la cons\u00e9quence d\u2019accouchements difficiles, s\u2019\u00e9talant parfois sur plusieurs jours. 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