Quels types de service de sante pour les populations nomades? Apprentissages des activites de recherche et d'action au Tchad

RESUMO

To overcome barriers of access to health care of nomadic people and to alleviate inequities in health; a transd isciplinary team has initiated research and intervention activities among three nomadic groups of Chad Foulbe; A rabes and G o u ranes. A regular and consistent commu n i c ation among all actors involved (nomadic groups; re s e a rchers; planners and administrators of health and veterinary services; etc.) through repetitive meetings and workshops showed to be a crucial element for success. Differences between ethnic nomadic groups made it necessary to develop specific communication strategies adapted to each group. As to interventions to improve the va c c i n ation cove rage; m i xed teams combining health and veteri n a ry specialists were able to vaccinate an important number of children and women and showed to have a high potential in terms of o rga n i s ational and logistic feasibility; acceptability as well as good cost-effe c t iveness. With rega rd to improving access to health care; Information - Education and Communication approaches adapted to the intervention context and linked to the provision of essential services and generic drugs showed to be crucial