{"id":22747,"date":"2026-06-10T10:49:43","date_gmt":"2026-06-10T07:49:43","guid":{"rendered":"https:\/\/www.pasteur.mg\/?p=22747"},"modified":"2026-06-10T12:12:20","modified_gmt":"2026-06-10T09:12:20","slug":"22747-2","status":"publish","type":"post","link":"https:\/\/www.pasteur.mg\/en\/22747-2\/","title":{"rendered":"Projet OPERAS : ouverture des 44 sites d’\u00e9tude et premi\u00e8res inclusions dans le district de Manakara"},"content":{"rendered":"

Le projet OPERAS (\u00ab\u00a0Operationalize the implementation of the pre-referral rectal artesunate treatment at community level in Madagascar\u00a0\u00bb) vise une meilleure prise en charge du paludisme grave chez les enfants de moins de 6 ans dans le district de Manakara via la mise en \u0153uvre de l’administration pr\u00e9coce d’art\u00e9sunate rectal par les agents de sant\u00e9 communautaires, avant l’orientation des patients vers un centre de sant\u00e9. Le projet adopte une approche int\u00e9gr\u00e9e articul\u00e9e autour du renforcement des comp\u00e9tences communautaires, de l’am\u00e9lioration des circuits de r\u00e9f\u00e9rencement et du transport sanitaire, ainsi que de l’int\u00e9gration des pratiques communautaires dans l’organisation du syst\u00e8me de sant\u00e9. Ce projet est financ\u00e9 par Expertise France \u00e0 travers L’Initiative. Il est coordonn\u00e9 conjointement par l’Unit\u00e9 de G\u00e9n\u00e9tique et Biologie des Plasmodies, l’Unit\u00e9 d’\u00c9pid\u00e9miologie et de Recherche Clinique, et le Laboratoire d’Hygi\u00e8ne des Aliments et de l’Environnement de l’Institut Pasteur de Madagascar, en collaboration avec l\u2019Institut Pasteur \u00e0 Paris et le Minist\u00e8re de la Sant\u00e9 Publique de Madagascar \u00e0 travers le Programme National de Lutte contre le Paludisme (PNLP).<\/p>\n

\"\"<\/p>\n

Dans la premi\u00e8re phase du projet, un renforcement des composantes de sant\u00e9 a \u00e9t\u00e9 r\u00e9alis\u00e9 en f\u00e9vrier 2026 en partenariat avec le PNLP et avec un effort de formation cons\u00e9quent sur la prise en charge du paludisme pour 88 personnels de centre de sant\u00e9 ainsi que 630 agents communautaires (AC) mobilis\u00e9s et form\u00e9s \u00e0 travers l’ensemble du district. Dans la phase pr\u00e9sente, une cohorte \u00e0 l\u2019\u00e9chelle du district \u00e0 \u00e9t\u00e9 ouverte pour permettre la collecte de donn\u00e9es essentielles pour visualiser le continuum de soins des enfants impalud\u00e9s associ\u00e9e \u00e0 une \u00e9tude anthropologique focalis\u00e9e sur deux communes du district et visant \u00e0 documenter les trajectoires de soin et les formes de recours mobilis\u00e9s face \u00e0 une maladie f\u00e9brile grave dont le paludisme grave.<\/p>\n

\"\"<\/p>\n

Un lancement ancr\u00e9 dans les communaut\u00e9s
\n<\/strong>Les premi\u00e8res activit\u00e9s se sont tenues au sein de la Fondation M\u00e9dicale Ampasimanjeva (FMA), avec une s\u00e9ance de plaidoyer r\u00e9unissant maires, chefs Fokontany et autorit\u00e9s traditionnelles des communes d’Ampasimanjeva et de Betampona le 1er<\/sup> avril 2026. Cette \u00e9tape inaugurale a \u00e9t\u00e9 suivie de la formation des 129 responsables des Centres de Sant\u00e9 de Base (CSB), puis des 630 AC rattach\u00e9s aux diff\u00e9rents sites sur les outils de collecte des donn\u00e9es et \u00e9chantillons.<\/p>\n

\"\"<\/p>\n

44 sites ouverts, une mobilisation de grande envergure
\n<\/strong>Les \u00e9quipes du projet ont men\u00e9 des s\u00e9ances de plaidoyer dans l’ensemble des 44 communes rurales du district de Manakara et visit\u00e9 44 sites, comprenant 43 CSB et l’H\u00f4pital priv\u00e9 de la FMA. Les ouvertures se sont faites progressivement, au rythme des activit\u00e9s de sensibilisation communautaire et des formations dispens\u00e9es dans chaque commune. \u00c0 ce jour, les 44 sites sont pleinement op\u00e9rationnels.<\/p>\n

\"\"<\/p>\n

Premi\u00e8res inclusions enregistr\u00e9es
\n<\/strong>Le 20 avril 2026, la premi\u00e8re inclusion de participant au projet OPERAS a \u00e9t\u00e9 r\u00e9alis\u00e9e \u00e0 l’H\u00f4pital priv\u00e9 de la FMA. Depuis, 64 inclusions ont d\u00e9j\u00e0 \u00e9t\u00e9 enregistr\u00e9es, marquant une \u00e9tape d\u00e9cisive dans le d\u00e9roulement de l’\u00e9tude.<\/p>\n

\"\"<\/p>\n

L\u2019impact imm\u00e9diat
\n<\/strong>Cette premi\u00e8re collecte de donn\u00e9es via la cohorte et l\u2019\u00e9tude anthropologique nous renseignent d\u00e9j\u00e0 sur l\u2019itin\u00e9raire th\u00e9rapeutique des enfants impalud\u00e9s. Ces donn\u00e9es majeures vont ainsi nous permettre d\u2019orienter et d\u2019affiner strat\u00e9gies qui seront mises en \u0153uvre lors de la phase d’intervention du projet OPERAS.<\/p>\n

Pour aller plus loin\u00a0:
\n<\/strong>Retrouvez notre communication sur le projet OPERAS publi\u00e9e \u00e0 l\u2019occasion de la Journ\u00e9e mondiale de lutte contre le paludisme : https:\/\/www.pasteur.mg\/prise-en-charge-du-paludisme-grave-des-acteurs-de-sante-formes-a-manakara-dans-le-cadre-du-projet-operas\/<\/a><\/p>\n

Relire \u00e9galement notre actualit\u00e9 sur le lancement officiel du projet OPERAS : https:\/\/www.pasteur.mg\/lancement-du-projet-operas-pour-lamelioration-de-la-prise-en-charge-du-paludisme-grave-chez-les-enfants-dans-le-district-de-manakara\/<\/a><\/p>\n

Voir aussi<\/strong><\/em>
\nFacebook<\/a>
\nLinkedin<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Le projet OPERAS (\u00ab\u00a0Operationalize the implementation of the pre-referral rectal artesunate treatment at community level in Madagascar\u00a0\u00bb) vise une meilleure prise en charge du paludisme grave chez les enfants de moins de 6 ans dans le district de Manakara via la mise en \u0153uvre de l’administration pr\u00e9coce d’art\u00e9sunate rectal par les agents de sant\u00e9 communautaires, 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