{"id":25838,"date":"2026-04-16T12:38:35","date_gmt":"2026-04-16T11:38:35","guid":{"rendered":"https:\/\/sgciafrica.org\/comment-une-application-transforme-la-lutte-contre-la-schistosomiase-au-ghana\/"},"modified":"2026-04-16T12:39:57","modified_gmt":"2026-04-16T11:39:57","slug":"comment-une-application-transforme-la-lutte-contre-la-schistosomiase-au-ghana","status":"publish","type":"post","link":"https:\/\/sgciafrica.org\/fr\/comment-une-application-transforme-la-lutte-contre-la-schistosomiase-au-ghana\/","title":{"rendered":"Comment une application transforme la lutte contre la schistosomiase au Ghana"},"content":{"rendered":"\n

Lorsque Gideon Kye-Duodu a commenc\u00e9 \u00e0 travailler sur ce qui allait devenir l\u2019application MedScale Schisto, il ne se contentait pas de cr\u00e9er un outil num\u00e9rique : il s\u2019attaquait aussi \u00e0 un probl\u00e8me de sant\u00e9 publique tenace, comme la schistosomiase, qui r\u00e9sistait malgr\u00e9 des ann\u00e9es d\u2019interventions.<\/p>\n\n

La schistosomiase, une maladie parasitaire transmise par l\u2019eau douce contamin\u00e9e, restait fr\u00e9quente dans les communaut\u00e9s riveraines et difficiles d\u2019acc\u00e8s des r\u00e9gions de la Volta et de l\u2019Oti, au Ghana.<\/p>\n\n

Les campagnes d\u2019administration massive de m\u00e9dicaments (AMM) n\u2019atteignaient pas leurs objectifs. La couverture \u00e9tait incompl\u00e8te, des m\u00e9nages \u00e9taient oubli\u00e9s et les donn\u00e9es \u00e9taient dispers\u00e9es sur des formulaires papier. <\/p>\n\n

Les rapports \u00e9taient lents et arrivaient souvent trop tard pour \u00e9clairer les d\u00e9cisions en temps r\u00e9el.<\/p>\n\n

Puis la COVID-19 est arriv\u00e9e, et ce syst\u00e8me fragile s\u2019est encore davantage fissur\u00e9. \u00ab La COVID-19 a entra\u00een\u00e9 le report de nombreuses campagnes d\u2019AMM, en particulier dans les zones end\u00e9miques \u00bb, a d\u00e9clar\u00e9 Kye-Duodu. <\/p>\n\n

Transformer <\/strong>l<\/strong>a perturbation en <\/strong>o<\/strong>pportunit\u00e9<\/strong><\/p>\n\n

\"\"<\/figure><\/div>\n\n

Pour Kye-Duodu, chercheur principal de ce projet, chercheur en sant\u00e9 publique et enseignant \u00e0 la Fred N. Binka School of Public Health, University of Health and Allied Sciences au Ghana,<\/a> ce moment de perturbation est devenu un tournant.<\/p>\n\n

Et si les agents de sant\u00e9 pouvaient voir, en temps r\u00e9el, qui avait re\u00e7u un traitement et qui avait \u00e9t\u00e9 laiss\u00e9 de c\u00f4t\u00e9 ?<\/p>\n\n

Et si les donn\u00e9es pouvaient circuler aussi vite que les maladies qu\u2019ils tentaient de contr\u00f4ler ?<\/p>\n\n

S\u2019il pouvait voir pr\u00e9cis\u00e9ment o\u00f9 le syst\u00e8me \u00e9chouait, il pourrait concevoir une solution pour combler ces lacunes.<\/p>\n\n

Cette r\u00e9flexion a conduit au d\u00e9veloppement de MedScaleApp, une plateforme mobile et web d\u00e9velopp\u00e9e gr\u00e2ce \u00e0 un financement de la Science Granting Councils Initiative (SGCI). La plateforme dote les agents de sant\u00e9 de premi\u00e8re ligne d\u2019outils pour planifier, ex\u00e9cuter et suivre les campagnes de distribution de m\u00e9dicaments en temps r\u00e9el. <\/p>\n\n

Du papier \u00e0 l\u2019action en temps r\u00e9el<\/strong><\/p>\n\n

Au lieu de jongler avec des registres papier, les agents de sant\u00e9 de premi\u00e8re ligne \u2014 des directeurs de district et responsables de la lutte contre les maladies aux distributeurs communautaires de m\u00e9dicaments \u2014 peuvent d\u00e9sormais enregistrer les m\u00e9nages num\u00e9riquement, suivre la distribution des m\u00e9dicaments au fur et \u00e0 mesure et identifier instantan\u00e9ment les personnes qui ont \u00e9t\u00e9 oubli\u00e9es.<\/p>\n\n

L\u2019application signale les lacunes, enregistre les \u00e9v\u00e9nements ind\u00e9sirables et g\u00e9n\u00e8re des rapports en temps r\u00e9el via des tableaux de bord g\u00e9olocalis\u00e9s (GPS).<\/p>\n\n

\u00ab Elle remplace les syst\u00e8mes papier par un flux de travail plus simple, en temps r\u00e9el \u00bb, a d\u00e9clar\u00e9 Kye-Duodu. \u00ab Elle am\u00e9liore la pr\u00e9cision, fait gagner du temps et renforce la redevabilit\u00e9. \u00bb <\/p>\n\n

L\u2019application inclut \u00e9galement un mode hors ligne, qui s\u2019est av\u00e9r\u00e9 crucial dans les communaut\u00e9s o\u00f9 l\u2019acc\u00e8s \u00e0 Internet est limit\u00e9 ou l\u2019\u00e9lectricit\u00e9 peu fiable \u2014 pr\u00e9cis\u00e9ment celles qui risquent le plus d\u2019\u00eatre n\u00e9glig\u00e9es par les syst\u00e8mes conventionnels.<\/p>\n\n

La femme qui \u00e9tait toujours oubli\u00e9e<\/strong><\/p>\n\n

\"\"<\/figure><\/div>\n\n

\u00c0 Chantai, une communaut\u00e9 isol\u00e9e de Krachi West, une commer\u00e7ante qui voyageait fr\u00e9quemment avait manqu\u00e9 \u00e0 plusieurs reprises les pr\u00e9c\u00e9dentes campagnes de distribution de m\u00e9dicaments. Elle et ses enfants \u00e9taient pass\u00e9s entre les mailles du filet \u00e0 maintes reprises. <\/p>\n\n

Un agent de sant\u00e9 a signal\u00e9 qu\u2019elle n\u2019avait pas \u00e9t\u00e9 atteinte et a effectu\u00e9 un suivi \u00e0 son domicile. Elle et ses enfants ont re\u00e7u un traitement et, pour la premi\u00e8re fois, elle a compris pourquoi ce traitement \u00e9tait important et pourquoi on la recherchait. <\/p>\n\n

Dans les diff\u00e9rentes communaut\u00e9s, l\u2019\u00e9quipe a \u00e9galement rencontr\u00e9 des r\u00e9sistances, certaines li\u00e9es \u00e0 la m\u00e9fiance, d\u2019autres \u00e0 des r\u00e9ticences culturelles.<\/p>\n\n

Dans un cas, un enfant a refus\u00e9 le traitement parce que ses parents l\u2019avaient mis en garde. Plut\u00f4t que de noter le m\u00e9nage comme un refus et de passer \u00e0 autre chose, l\u2019\u00e9quipe a assur\u00e9 un suivi. Elle s\u2019est entretenue avec les parents, a r\u00e9pondu \u00e0 leurs questions et a dissip\u00e9 leurs inqui\u00e9tudes. L\u2019enfant a finalement \u00e9t\u00e9 trait\u00e9. <\/p>\n\n

Ces suivis, a soulign\u00e9 Kye-Duodu, n\u2019\u00e9taient possibles que parce que l\u2019application rendait visible qui avait \u00e9t\u00e9 oubli\u00e9 et qui devait \u00eatre atteint.<\/p>\n\n

Sans cette visibilit\u00e9, ces familles n\u2019auraient peut-\u00eatre jamais \u00e9t\u00e9 retrouv\u00e9es.<\/p>\n\n

Les chiffres derri\u00e8re l\u2019impact<\/strong><\/p>\n\n

\u00c0 North Dayi, o\u00f9 s\u2019est d\u00e9roul\u00e9e l\u2019intervention principale du projet, la couverture de l\u2019AMM est pass\u00e9e d\u2019environ 69 % \u00e0 pr\u00e8s de 80 %, un gain significatif dans un contexte o\u00f9 chaque point de pourcentage repr\u00e9sente de vraies personnes prot\u00e9g\u00e9es contre la maladie.<\/strong><\/p>\n\n

Au-del\u00e0 des chiffres, Kye-Duodu a indiqu\u00e9 que le suivi s\u2019est nettement am\u00e9lior\u00e9 et que les communaut\u00e9s se sont davantage impliqu\u00e9es dans les calendriers de traitement, en partie parce que le processus de suivi a donn\u00e9 aux personnes le sentiment d\u2019\u00eatre prises en compte plut\u00f4t que n\u00e9glig\u00e9es.<\/p>\n\n

Le projet a \u00e9t\u00e9 lanc\u00e9 en 2022 avec des \u00e9valuations initiales et l\u2019implication des parties prenantes, est pass\u00e9 \u00e0 la mise en \u0153uvre sur le terrain en 2023 et 2024, et se trouve d\u00e9sormais dans sa phase de diffusion et de publication. Le travail de terrain est en grande partie termin\u00e9, mais le projet se poursuit. <\/p>\n\n

D\u00e9fis sur le <\/strong>terrain<\/strong><\/p>\n\n

Le parcours n\u2019a pas \u00e9t\u00e9 sans obstacles.<\/p>\n\n

Des retards de financement ont ralenti la mise en \u0153uvre initiale. Des goulots d\u2019\u00e9tranglement administratifs ont entra\u00een\u00e9 des contretemps. La connectivit\u00e9 Internet limit\u00e9e et l\u2019\u00e9lectricit\u00e9 peu fiable dans les zones recul\u00e9es ont pos\u00e9 des d\u00e9fis persistants. \u00c0 un moment donn\u00e9, m\u00eame le site d\u2019\u00e9tude initial a d\u00fb \u00eatre chang\u00e9. <\/p>\n\n

Pourtant, gr\u00e2ce \u00e0 une collaboration \u00e9troite avec les parties prenantes, \u00e0 une planification rigoureuse du terrain et \u00e0 l\u2019int\u00e9gration de capacit\u00e9s hors ligne, l\u2019\u00e9quipe s\u2019est adapt\u00e9e.<\/p>\n\n

Le <\/strong>r<\/strong>\u00f4le du soutien de la SGCI<\/strong> <\/strong><\/strong><\/p>\n\n

Le r\u00f4le de la SGCI dans la concr\u00e9tisation de MedScaleApp a \u00e9t\u00e9 plus que financier.<\/p>\n\n

Kye-Duodu se souvient que, lorsqu\u2019il a d\u00e9pos\u00e9 sa demande de subvention, il pensait que le financement provenait du minist\u00e8re ghan\u00e9en de l\u2019Environnement, des Sciences, de la Technologie et de l\u2019Innovation.<\/a> Ce n\u2019est qu\u2019apr\u00e8s l\u2019acceptation de sa candidature et sa participation \u00e0 la r\u00e9union de lancement qu\u2019il a d\u00e9couvert la SGCI et compris l\u2019\u00e9tendue de son mandat.<\/p>\n\n

\u00ab La SGCI a fourni non seulement un financement, mais aussi une plateforme pour pr\u00e9senter et affiner notre solution au sein d\u2019un \u00e9cosyst\u00e8me panafricain \u00bb, a-t-il d\u00e9clar\u00e9.<\/p>\n\n

Le financement a soutenu la conception et le d\u00e9veloppement de l\u2019application, le pilote et le travail de terrain post-intervention, l\u2019\u00e9quipement, la formation et la participation \u00e0 des \u00e9v\u00e9nements de partage des connaissances, notamment le symposium annuel RIM en Ouganda.<\/p>\n\n

Passer \u00e0 l\u2019\u00e9chelle pour <\/strong>l\u2019avenir<\/strong><\/p>\n\n

D\u00e9sormais dans sa phase de diffusion, le projet MedScaleApp se trouve \u00e0 un moment charni\u00e8re.<\/p>\n\n

Le passage \u00e0 l\u2019\u00e9chelle exigera plus que la technologie. Il d\u00e9pendra de l\u2019int\u00e9gration au syst\u00e8me du Ghana Health Service, d\u2019investissements durables dans les outils num\u00e9riques, d\u2019une formation continue des agents de sant\u00e9 et d\u2019un engagement politique solide, \u00e9tay\u00e9 par des preuves. <\/p>\n\n

La vision \u00e0 plus long terme d\u00e9passe la schistosomiase.<\/p>\n\n

Si elle est int\u00e9gr\u00e9e avec succ\u00e8s \u00e0 l\u2019infrastructure sanitaire du Ghana et adapt\u00e9e \u00e0 d\u2019autres maladies tropicales n\u00e9glig\u00e9es, MedScaleApp pourrait devenir un outil standard pour g\u00e9rer les campagnes de sant\u00e9 au niveau communautaire.<\/p>\n\n

\u00ab La r\u00e9ussite signifierait que l\u2019application est utilis\u00e9e dans tous les districts end\u00e9miques du Ghana et \u00e9tendue \u00e0 d\u2019autres maladies \u00bb, a d\u00e9clar\u00e9 Kye-Duodu. \u00ab \u00c0 terme, elle devrait faire partie des pratiques courantes de sant\u00e9 publique. \u00bb <\/p>\n\n

Consultez les <\/em><\/strong>histoires<\/em><\/a> et dites-nous ce que vous en pensez. Nous serions ravis d’avoir de vos nouvelles ! <\/em><\/strong><\/p>\n\n

Poursuivons la conversation<\/em> sur nos m\u00e9dias sociaux<\/em><\/p>\n\n

Suivez-nous sur <\/em>LinkedIn<\/em><\/a> et <\/em>X<\/em><\/a><\/p>\n\n

Publi\u00e9 le 16 avril 2026<\/em><\/p>\n\n

R\u00e9dig\u00e9 par Jackie Opara-Fatoye<\/em>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Lorsque Gideon Kye-Duodu a commenc\u00e9 \u00e0 travailler sur ce qui allait devenir l\u2019application MedScale Schisto, il ne se contentait pas de cr\u00e9er un outil num\u00e9rique : il s\u2019attaquait aussi \u00e0 un probl\u00e8me de sant\u00e9 publique tenace, comme la schistosomiase, qui r\u00e9sistait malgr\u00e9 des ann\u00e9es d\u2019interventions. La schistosomiase, une maladie parasitaire transmise par l\u2019eau douce contamin\u00e9e,…<\/p>\n","protected":false},"author":14,"featured_media":25839,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","wds_primary_category":0,"wds_primary_country":0,"wds_primary_objective":0,"wds_primary_sg_theme":0,"footnotes":""},"categories":[161],"tags":[407,211,431,368],"country":[232],"objective":[272],"sg_theme":[],"class_list":["post-25838","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualites","tag-ghana-fr","tag-linnovation","tag-schistosomiase","tag-sgci-fr","country-ghana-fr","objective-develop-industry-fr"],"acf":[],"yoast_head":"\nLutter contre la schistosomiase au Ghana gr\u00e2ce aux innovations technologiques - SGCI Africa<\/title>\n<meta name=\"description\" content=\"D\u00e9couvrez comment la lutte contre la schistosomiase 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