Le Centre de Santé communautaire de Delatte, septième section communale de Petit-Goâve ferme ses portes en raison des difficultés économiques auxquelles il fait face depuis quelque temps. Les responsables de cette structure sanitaire située dans le département de l’Ouest, par le biais de son directeur médical, Dr Jean Arioste Sylvain, lancent un appel à l’aide aux autorités compétentes de l’État.

L’accès aux soins sanitaires reste et demeure l’un des problèmes majeurs auxquels est exposée la population haïtienne, surtout en milieu rural. En effet, rares sont les citoyens qui souffrent avec une maladie dans les zones les plus reculées du pays, ordinaire ou grave, sont en mesure de se procurer des soins nécessaires. L’État haïtien, non seulement ne construit pas d’hôpitaux adéquats pour offrir à ses citoyens une assistance médicale, mais non plus il n’entretient pas ceux qui ont déjà existé. C’est le cas par exemple du Centre de Santé Communautaire de Delatte. Incapable de répondre à ses exigences envers la population, ce centre hospitalier se retire du paysage médical haïtien.

Dans les parages du marché public de Delatte, à moins de deux (2) kilomètres de la Paroisse de Saint Martin de Tours, est logé dans un bâtiment peint en blanc et vert récemment achevé, le Centre de Santé Communautaire de Delatte. Le premier bâtiment du Centre fut construit avec l’aide d’une association locale et de la communauté et a connu ses premiers pas sous l’égide d’une organisation étrangère : Inter »Aide depuis 1994. Concert-Action, une Association haïtienne, a assuré la relève en maintenant les mêmes services au départ de cet organisme international, ce depuis 1998 à nos jours. Détruit par le tremblement de terre du 12 janvier 2010, le Centre de santé communautaire de Delatte a été reconstruit avec le support de la Caritas France, confie Dr Sylvain. Ce nouveau bâtiment du centre de santé, inauguré en décembre 2018, qui offre des soins médicaux à la population de la septième, de la cinquième, d’une bonne partie de la quatrième section communale de Petit-Goâve et les zones limitrophes de la commune des Côtes-de-Fer, est depuis plusieurs années jeté aux oubliettes par le Ministère de la Santé Publique et de la Population (MSPP). En dépit des démarches entreprises par les responsables et les multiples cris d’alarmes lancés auprès des autorités de l’État central, le Centre de Santé Communautaire de Delatte ne reçoit jusqu’à date aucune assistance.

Ce centre de santé, comme tout autre hôpital public du pays, est traité en parent pauvre. Bien qu’il offre des services médicaux à une grande partie de la population de Petit-Goâve, l’État ne met pas à sa disposition les moyens nécessaires en vue de s’entretenir convenablement. Il renferme un personnel médical composé de médecins généralistes, de chirurgiens-dentistes, de médecins résidents en service social, d’infirmières, de préposés à la pharmacie, de préposés aux archives et d’animateurs. Ajouté à cela, le centre est doté d’un petit personnel de soutien composé d’hommes et de femmes de ménages et de gardiens. Cependant, la nomination des professionnels de santé dudit centre n’est pas pour demain puisque les employés sont pour la plupart payés par Concert-Action. Le planning familial, la vaccination, la prise en charge de la malaria et la tuberculose, la consultation générale pour enfants et adultes, l’accouchement, la prise en charge de la malnutrition et autres sont autant de services qui sont fournis par ledit centre. Une cellule de prise en charge pour les urgences et un laboratoire ont été également mises en place.

Par le passé, le Centre de Santé Communautaire de Delatte fonctionnait avec le financement de certains bailleurs de fonds internationaux. Mais depuis quelques temps, ces bailleurs sont de plus en plus désintéressés à financer ces projets. Les fonds collectés à partir des recettes internes sont largement insuffisants car le centre dessert une population dont les revenus sont assez faibles. Ce qui empêche l’administration du centre de répondre à ses besoins et de continuer à soigner les membres de cette tranche de la population de Petit-Goâve touchés par une maladie quelconque. En dépit des subventions reçues en certains intrants de l’UCS goâvienne, la seule structure médicale de Delatte est toujours en grande difficulté économique pour maintenir ses services médicaux. Les responsables demandent aux autorités de l’État central de leur venir en aide, sinon les portes de ce centre de santé à lit, vieux de plus d’un quart de siècle, seront fermées à jamais dans la commune de Petit-Goâve.

Marc Wisly HILAIRE

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