title: [Impact of armed conflict on the health care system of a sanitary district in Cote d'Ivoire].
abstract: Since September 2002, Côte d'Ivoire has been in the throes of armed conflict that has split the country in two. In the government-controlled area, access to health care services has continued. In the area under the control of the "New Forces", access to health care services decreased dramatically due to departure of qualified health personnel and subsequent shutdown of sanitary facilities. The purpose of this transversal descriptive survey was to measure the impact of this crisis on the health care system in the Séguéla sanitary district that is located in the war zone. Findings showed that 60.7% of sanitary facilities are no longer operational, that 77.7% of qualified personnel have left their workstation, and that 46.2% of sanitary structures have been damaged. A few reference hospitals and sanitary facilitates have been able to remain open thanks to the support of the humanitarian organisations. As a result of declining access to health care services, a recrudescence of measles and IST has been observed and gastritis and traumatology have appeared among the top 10 causes of morbidity. Access to effective health care in the Séguéla sanitary district cannot be envisioned without the return of qualified health care personnel and the renovation of the sanitary facilities.
authors.affiliation: UFR des Sciences Médicales, Université d'Abidjan itiembre@yahoo.fr
authors.forename: I
authors.initials: I
authors.lastname: Tiembré
authors.forename: J
authors.initials: J
authors.lastname: Benié
authors.forename: A
authors.initials: A
authors.lastname: Coulibaly
authors.forename: S
authors.initials: S
authors.lastname: Dagnan
authors.forename: D
authors.initials: D
authors.lastname: Ekra
authors.forename: S
authors.initials: S
authors.lastname: Coulibaly
authors.forename: J
authors.initials: J
authors.lastname: Tagliante-Saracino
mesh_terms: D007560:Cote d'Ivoire / Q000453:epidemiology; D003430:Cross-Sectional Studies; D006271:Health Facility Closure / Q000706:statistics & numerical data; D006297:Health Services Accessibility; D006280:Health Workforce; D006801:Humans; D008457:Measles / Q000453:epidemiology; D012141:Respiratory Tract Infections / Q000453:epidemiology; D012749:Sexually Transmitted Diseases / Q000453:epidemiology; D014857:Warfare; D014947:Wounds and Injuries / Q000453:epidemiology