Abstract

Background: In Côte d'Ivoire, since the advent of the crisis of the HIV and AIDS epidemic, the structural adjustment policy of the 1980s and the end of the policy of total free healthcare for the majority of the population, the strategies within families for health emerged. In order to heal, the therapeutic routes within families are made by symbolic practices based on traditionalism, modernism and the juxtaposition of traditionalism and modernism. Method: A qualitative study made it possible to collect data from semi-structured interviews with seven (07) families in which 22 key people were interviewed and ten (10) sellers of medicines (including 05 street drug sellers called "cheaper" and 05 traditional healers for medicinal plants). Also, a detailed documentary exploitation and a participant observation for a period of eight (8) months structured by an observation grid formalized in a notebook were conducted. These data were analyzed by taking into account endogenous and exogenous knowledge including the symbolic practices of structuring health within families and this community. Result: The study shows that therapeutic dynamics within families are dominated by curative care practices with a juxtaposition of mobilizable care (modern and traditional medicine, self-medication). This domination of the curative on the preventive is intended to anesthetize the health or therapeutic awareness of the patient and his family. In addition, the study found that the pharmaceutical basket is largely structured therapeutic products housed in the tradition model and therapeutic products under the "common sense" (street drug). The consequence of all these health practices within families is the observation of the death of the individual by an easily curable disease. Conclusion: The present study was conducted in the Abbey community, an ethnic group in the southern region of Côte d'Ivoire, an area strongly marked by the colonization. The objective was to understand the social dynamics that structure the therapeutic practices and perceptions for the health care and preservation of the members of this community based on the health results obtained. In analysis, the remoteness of individuals from preventive therapeutic practices advocated by the health authorities is part of the actor strategy that Michel Crozier (1977) discusses, either to circumvent the financial expenses, or to give meaning to an event not judged too unfavorable for them or to reach a socio-cultural order not communicable.

Highlights

  • L’évolution du passage de la colonisation à l’indépendance des pays d’Afrique subsaharien an accompagné de nombreux changements dans le système économique en général et en particulier dans le système de soin de santé de la population

  • the therapeutic routes within families are made by symbolic practices based on traditionalism

  • 8) months structured by an observation grid formalized in a notebook were conducted

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Summary

Introduction

L’évolution du passage de la colonisation à l’indépendance des pays d’Afrique subsaharien an accompagné de nombreux changements dans le système économique en général et en particulier dans le système de soin de santé de la population. Les membres des différentes familles et/ou la communauté avaient recours au système de santé à n’importe qu’elle heure de la journée ou de la nuit, tout simplement parce que la prise en charge des soins était au compte de l’Etat. Bien que cette situation évoquée par la littérature conserve en partie leur validité pour de nombreuses familles africaines, ces informations ont en partie occulté les dynamiques thérapeutiques mises en œuvre à l’intérieur des familles. La mise en œuvre officielle de la politique de contribution des populations aux dépenses de santé dans un contexte de paupérisation de la société, et associée aux comportements inappropriés des agents sont arrivés à produire progressivement des comportements thérapeutiques à l’intérieur des familles selon les conditions sociales et environnement culturel de chaque famille. Cette réflexion favorise l’interrogation suivante: Comment les populations construisent le sens et la signification de leurs pratiques, dans un contexte soumis à la pauvreté et à l’émergence des pratiques de soins juxtaposés?

Matériels Et Method
Dynamique Thérapeutique Familiale Dominée Par Les Pratiques Curatives De Soin
Diversité Et Instabilité Du Contenu Du Panier Pharmaceutique Familial
Conclusion
Findings
Remerciements
Full Text
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