Les facteurs explicatifs de la persistance des maladies tropicales négligées dans les districts sanitaires de Bouaké : « la lèpre, l’ulcère de buruli, la bilharziose, le pian »

Abstract

The question of the persistence of Neglected Tropical Diseases (NTD) is more than worrying. More than a billion people are affected by one or more neglected tropical diseases worldwide (WHO 2013 p6). Disabling and very stigmatizing, the resistance of these diseases in such a medicalized world is the basis of our questioning, especially in the health district of Bouaké, in these terms: Why do neglected tropical diseases persist in the health districts of Bouaké? To answer this question, 122 people were surveyed with interview guides and questionnaires in a mixed approach in the health districts of South Bouaké, North-West, and North-East Bouaké. It emerges from this study that the environmental factors, the level of education, the socio-professional activity, the insufficient income, the precarious living environment, are at the center of the speculations. All this is crowned by the long neglect of these diseases in terms of medical care compared to other fatal diseases such as malaria, AIDS and tuberculosis.