{"id":987629813,"date":"2023-02-03T08:19:26","date_gmt":"2023-02-03T07:19:26","guid":{"rendered":"https:\/\/p4h.world\/countries\/iles-marshall\/"},"modified":"2025-03-30T22:01:02","modified_gmt":"2025-03-30T21:01:02","slug":"iles-marshall","status":"publish","type":"country","link":"https:\/\/p4h.world\/fr\/countries\/iles-marshall\/","title":{"rendered":"\u00celes Marshall"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; admin_label=&#8221;! !! NE PAS MODIFIER ! !! &#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 1&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Les \u00eeles Marshall sont un archipel de 29 atolls et \u00eeles de faible altitude dans l&#8217;oc\u00e9an Pacifique. Avec une population totale de 42 000 habitants en 2023, l&#8217;esp\u00e9rance de vie \u00e0 la naissance \u00e9tait de <a href=\"https:\/\/data.worldbank.org\/country\/marshall-islands\">65 ans en 2022<\/a>. La vuln\u00e9rabilit\u00e9 des \u00eeles Marshall aux menaces que repr\u00e9sentent l&#8217;\u00e9l\u00e9vation du niveau de la mer, les s\u00e9cheresses, les inondations provoqu\u00e9es par les vagues et les temp\u00eates tropicales les rend tr\u00e8s sensibles aux effets du changement climatique.  <\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 2 &#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Les \u00celes Marshall sont confront\u00e9es \u00e0 des <a href=\"https:\/\/www.nature.com\/articles\/s44168-022-00023-4\">d\u00e9fis consid\u00e9rables en mati\u00e8re de sant\u00e9 publique<\/a>. Avec des ressources naturelles limit\u00e9es pour subvenir aux besoins de sa population, le pays est confront\u00e9 \u00e0 des probl\u00e8mes d&#8217;approvisionnement en eau potable, de r\u00e9seaux d&#8217;\u00e9gouts et d&#8217;infrastructures essentielles. L&#8217;acc\u00e8s \u00e0 des soins de sant\u00e9 de qualit\u00e9 reste un probl\u00e8me important, qui n\u00e9cessite souvent de se rendre dans des centres urbains \u00e0 l&#8217;int\u00e9rieur du pays ou m\u00eame \u00e0 l&#8217;\u00e9tranger.  <\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Les \u00celes Marshall connaissent des <a href=\"https:\/\/iris.who.int\/bitstream\/handle\/10665\/136940\/ccsbrief_mhl_en.pdf;sequence=1\">taux \u00e9lev\u00e9s de mortalit\u00e9 et de morbidit\u00e9<\/a> dus \u00e0 des maladies transmissibles et non transmissibles (MNT). Les cardiopathies isch\u00e9miques, les accidents vasculaires c\u00e9r\u00e9braux, le diab\u00e8te et la tuberculose sont les <a href=\"https:\/\/www.healthdata.org\/research-analysis\/health-by-location\/profiles\/marshall-islands\">principales causes de d\u00e9c\u00e8s<\/a>. En outre, la tuberculose reste une cause importante de d\u00e9c\u00e8s, et des cas de tuberculose multir\u00e9sistante ont \u00e9galement \u00e9t\u00e9 signal\u00e9s.  <\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 4 &#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Les ph\u00e9nom\u00e8nes m\u00e9t\u00e9orologiques extr\u00eames li\u00e9s au climat et l&#8217;\u00e9l\u00e9vation du niveau des mers entra\u00eenent toute une s\u00e9rie de probl\u00e8mes de sant\u00e9, notamment un risque accru de maladies transmises par l&#8217;eau et par des vecteurs, une ins\u00e9curit\u00e9 alimentaire et hydrique accrue entra\u00eenant des carences nutritionnelles et des perturbations des syst\u00e8mes de sant\u00e9.<\/p>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Services et infrastructures de sant\u00e9  &#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221; HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;||10px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 5&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>L <a href=\"https:\/\/documents1.worldbank.org\/curated\/en\/099121523194155037\/pdf\/P1598650e39db8048080d8013c44af6a5a8.pdf\">&#8216;infrastructure des services de sant\u00e9 du pays<\/a> se compose de deux h\u00f4pitaux &#8211; l&#8217;un \u00e0 Majuro, l&#8217;autre \u00e0 Ebeye &#8211; et de 56 centres de soins de sant\u00e9 r\u00e9partis sur les atolls et les \u00eeles. Les patients n\u00e9cessitant des soins tertiaires importants sont envoy\u00e9s \u00e0 l&#8217;\u00e9tranger. <\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 5&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Les \u00celes Marshall disposent d&#8217;un r\u00e9gime national d&#8217;assurance maladie offrant une couverture de base et compl\u00e9mentaire, mais la qualit\u00e9 et la disponibilit\u00e9 des services ne sont pas uniformes. La p\u00e9nurie d&#8217;\u00e9quipements m\u00e9dicaux, de fournitures et d&#8217;installations limite la prestation des soins de sant\u00e9. La fourniture de soins de sant\u00e9 dans les \u00eeles et atolls \u00e9loign\u00e9s pose des difficult\u00e9s. Tous les citoyens des Marshall sont \u00e9ligibles au r\u00e9gime d&#8217;assurance de base avec participation aux frais.   <\/p>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Financement des soins de sant\u00e9 et planification strat\u00e9gique&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221; HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;||10px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 6&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]Les d\u00e9penses courantes de sant\u00e9 (DCS) en pourcentage du PIB \u00e9taient de 13% en 2021. Les d\u00e9penses publiques repr\u00e9sentaient 42 % de ces d\u00e9penses, tandis que les d\u00e9penses de sant\u00e9 externes repr\u00e9sentaient 51 % des d\u00e9penses de sant\u00e9 et les d\u00e9penses \u00e0 la charge des patients 1 %. <sup><a href=\"#1\">[1]<\/a><\/sup>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 7&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Bien que <a href=\"https:\/\/www.who.int\/marshallislands\/publications-detail\/9789290620587\">les r\u00e9sultats en mati\u00e8re de sant\u00e9 se soient am\u00e9lior\u00e9s<\/a>, les \u00celes Marshall sont toujours \u00e0 la tra\u00eene par rapport aux moyennes mondiales. Le gouvernement s&#8217;est engag\u00e9 \u00e0 r\u00e9pondre aux priorit\u00e9s suivantes : assurer l&#8217;acc\u00e8s aux soins de sant\u00e9 pour tous, lutter contre les maladies non transmissibles et renforcer la r\u00e9silience face aux menaces sanitaires, notamment le changement climatique, les urgences sanitaires et les \u00e9pid\u00e9mies. <\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 9 &#8211; Footnotes&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;13px&#8221; custom_margin=&#8221;20px||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; hover_enabled=&#8221;0&#8243; custom_css_main_element=&#8221;a{color:#4c7e96 }&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<strong>R\u00e9f\u00e9rences<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">[<span id=\"1\">1]<\/span> Organisation mondiale de la sant\u00e9, Base de donn\u00e9es sur les d\u00e9penses mondiales de sant\u00e9, <a href=\"https:\/\/apps.who.int\/nha\/database\/country_profile\/Index\/en\">Profil des d\u00e9penses de sant\u00e9<\/a> (choisir un pays) <\/span>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Les \u00eeles Marshall sont un archipel de 29 atolls et \u00eeles de faible altitude dans l&#8217;oc\u00e9an Pacifique. Avec une population totale de 42 000 habitants en 2023, l&#8217;esp\u00e9rance de vie \u00e0 la naissance \u00e9tait de 65 ans en 2022. La vuln\u00e9rabilit\u00e9 des \u00eeles Marshall aux menaces que repr\u00e9sentent l&#8217;\u00e9l\u00e9vation du niveau de la mer, les&#8230;<\/p>\n","protected":false},"author":1,"featured_media":987573215,"template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/country\/987629813"}],"collection":[{"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/country"}],"about":[{"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/types\/country"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":9,"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/country\/987629813\/revisions"}],"predecessor-version":[{"id":987765360,"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/country\/987629813\/revisions\/987765360"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/media\/987573215"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/fr\/wp-json\/wp\/v2\/media?parent=987629813"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}