{"id":27419,"date":"2026-01-15T20:07:01","date_gmt":"2026-01-15T19:07:01","guid":{"rendered":"https:\/\/depeches241.com\/?p=27419"},"modified":"2026-01-15T20:07:03","modified_gmt":"2026-01-15T19:07:03","slug":"hopital-des-avc-a-angondje-laveu-dune-gouvernance-sans-boussole","status":"publish","type":"post","link":"https:\/\/depeches241.com\/?p=27419","title":{"rendered":"H\u00f4pital des AVC \u00e0 Angondj\u00e9 : l\u2019aveu d\u2019une gouvernance sans boussole"},"content":{"rendered":"\n
\"\"
Face \u00e0 l\u2019annonce de la cr\u00e9ation d\u2019un h\u00f4pital sp\u00e9cialis\u00e9 dans la prise en charge des AVC \u00e0 Angondj\u00e9, le Dr Iloko Boussengui livre une lecture critique des politiques publiques de sant\u00e9 <\/em><\/strong>\u00a9DR<\/em> <\/figcaption><\/figure>\n\n\n\n

Libreville, le 15 Janvier 2025 – (D\u00e9p\u00eaches 241). Dans cette tribune sans concession, le Dr Iloko Boussengui, ancien candidat \u00e0 l\u2019\u00e9lection pr\u00e9sidentielle de 2025, interroge la pertinence et la coh\u00e9rence de la d\u00e9cision pr\u00e9sidentielle de cr\u00e9er un h\u00f4pital exclusivement d\u00e9di\u00e9 aux AVC \u00e0 Angondj\u00e9. \u00c0 travers une analyse rigoureuse des choix sanitaires, territoriaux et strat\u00e9giques de l\u2019\u00c9tat, il d\u00e9nonce une gouvernance de l\u2019annonce, d\u00e9connect\u00e9e des r\u00e9alit\u00e9s de sant\u00e9 publique et des urgences vitales des populations.<\/strong><\/p>\n\n\n\n

La cr\u00e9ation annonc\u00e9e par le chef de l\u2019\u00c9tat d\u2019un h\u00f4pital exclusivement d\u00e9di\u00e9 aux accidents vasculaires c\u00e9r\u00e9braux (AVC) \u00e0 Angondj\u00e9, log\u00e9 dans les anciens locaux de Gabon T\u00e9l\u00e9com (Delta Postal), apr\u00e8s l\u2019\u00e9chec retentissant du projet similaire de Ndjol\u00e9 annonc\u00e9 lors de la derni\u00e8re campagne pr\u00e9sidentielle , n\u2019est en rien une prouesse sanitaire.<\/p>\n\n\n\n

C\u2019est un aveu d\u2019impr\u00e9paration, d\u2019amateurisme et d\u2019errance strat\u00e9gique au sommet de l\u2019\u00c9tat. Pourquoi un h\u00f4pital entier pour les AVC ? Depuis quand une pathologie, aussi grave soit-elle, justifie-t-elle \u00e0 elle seule la cr\u00e9ation d\u2019un h\u00f4pital autonome :\u00a0<\/p>\n\n\n\n

\u2014 de surcro\u00eet implant\u00e9 dans une zone difficile d\u2019acc\u00e8s <\/p>\n\n\n\n

\u2014 dans un pays o\u00f9 les urgences m\u00e9dico-chirurgicales sont quasi inexistantes ?<\/p>\n\n\n\n

La v\u00e9rit\u00e9 est brutale et d\u00e9rangeante : Les Gabonais ne meurent pas seulement d\u2019AVC.<\/p>\n\n\n\n

Ils meurent : <\/p>\n\n\n\n

.de l\u2019absence d\u2019urgences fonctionnelles,<\/p>\n\n\n\n

.des retards de prise en charge,<\/p>\n\n\n\n

.de l\u2019inexistence d\u2019une assistance m\u00e9dicale  efficace sur les lieux des accidents,<\/p>\n\n\n\n

.d\u2019un syst\u00e8me de r\u00e9f\u00e9rence et de contre-r\u00e9f\u00e9rence d\u2019un autre \u00e2ge,<\/p>\n\n\n\n

.de services satur\u00e9s,<\/p>\n\n\n\n

.d\u2019h\u00f4pitaux sans moyens,<\/p>\n\n\n\n

.de personnels surexploit\u00e9s, \u00e9puis\u00e9s, d\u00e9motiv\u00e9s et abandonn\u00e9s.<\/p>\n\n\n\n

Aucune donn\u00e9e publique s\u00e9rieuse n\u2019a \u00e9t\u00e9 pr\u00e9sent\u00e9e. Aucune \u00e9tude \u00e9pid\u00e9miologique transparente par \u00e2ge, par sexe et par territoire. Aucune analyse co\u00fbt-efficacit\u00e9. Nous sommes donc face \u00e0 une d\u00e9cision id\u00e9ologique et spectaculaire, pas sanitaire. Une d\u00e9cision de vitrine, pas de salut public.<\/p>\n\n\n\n

Pourquoi Angondj\u00e9 ?<\/strong><\/p>\n\n\n\n

Choisir le nord de Libreville, zone structurellement asphyxi\u00e9e par les embouteillages, pour une urgence o\u00f9 chaque minute perdue tue, rel\u00e8ve non plus de l\u2019erreur, mais de l\u2019inconscience. M\u00eame la voie de contournement, vant\u00e9e \u00e0 coups de communication officielle, n\u2019a jamais fluidifi\u00e9 quoi que ce soit. On implante donc un h\u00f4pital d\u2019urgence l\u00e0 o\u00f9 l\u2019acc\u00e8s est chaotique. C\u2019est un non-sens m\u00e9dical. C\u2019est une faute politique grave.<\/p>\n\n\n\n

Plus grave encore : le sacrifice de Gabon T\u00e9l\u00e9com \u2013 Delta Postal<\/strong><\/p>\n\n\n\n

\u00c0 l\u2019heure o\u00f9 le monde investit massivement dans le num\u00e9rique, la souverainet\u00e9 des donn\u00e9es et l\u2019intelligence artificielle, le Gabon choisit de d\u00e9manteler l\u2019un de ses symboles strat\u00e9giques, sans d\u00e9bat public, sans justification, sans vision. Pendant ce temps, l\u2019opinion est distraite par un d\u00e9bat clivant et cynique sur la r\u00e9introduction de la peine de mort, agit\u00e9 comme un chiffon rouge pour masquer l\u2019absence de politiques publiques structurantes.<\/p>\n\n\n\n

Delta Postal dispara\u00eet.<\/p>\n\n\n\n

Un symbole majeur b\u00e2ti sous Omar Bongo Ondimba est effac\u00e9, apr\u00e8s la Cit\u00e9 de la D\u00e9mocratie. Faut-il y voir une politique de table rase men\u00e9e par le petit-fils \u00ab b\u00e2tisseur \u00bb, incapable d\u2019ajouter sans d\u00e9truire ? Ou plus simplement l\u2019absence totale de conscience strat\u00e9gique de l\u2019\u00c9tat ? Si un symbole aussi fort peut \u00eatre liquid\u00e9 sans \u00e9moi, pourquoi construire un h\u00f4pital sp\u00e9cialis\u00e9 hors-sol, quand il aurait suffi : de cr\u00e9er un service AVC dans un h\u00f4pital existant, de renforcer les plateaux techniques, de mutualiser les comp\u00e9tences, de rationaliser les d\u00e9penses publiques.<\/p>\n\n\n\n

Le v\u00e9ritable scandale : la carte sanitaire du Grand Libreville Treize arrondissements. Z\u00e9ro h\u00f4pital de proximit\u00e9 digne de ce nom. Owendo, Akanda et Libreville ne disposent pas d\u2019h\u00f4pitaux municipaux. Le CHU d\u2019Owendo est national. Le CHU de Libreville est national. L\u2019h\u00f4pital militaire d\u2019Angondj\u00e9 est national.\u00a0<\/p>\n\n\n\n

Pendant ce temps, les populations meurent : dans les quartiers, dans les embouteillages, dans les couloirs des h\u00f4pitaux, faute d\u2019acc\u00e8s rapide, organis\u00e9 et \u00e9quitable aux soins. Les milliards que l\u2019on s\u2019appr\u00eate \u00e0 engloutir dans cet h\u00f4pital sp\u00e9cialis\u00e9 auraient pu : restructurer la carte sanitaire du Grand Libreville, cr\u00e9er de v\u00e9ritables urgences de proximit\u00e9, investir durablement dans les ressources humaines, sauver des milliers de vies.<\/p>\n\n\n\n

Conclusion<\/p>\n\n\n\n

La Ve R\u00e9publique \u00e9choue pr\u00e9cis\u00e9ment l\u00e0 o\u00f9 elle pr\u00e9tendait r\u00e9ussir. Elle reproduit les m\u00eames travers : d\u00e9cisions verticales, absence de m\u00e9thode, culte de l\u2019annonce, m\u00e9pris de la planification. Pire encore, elle y ajoute l\u2019improvisation et l\u2019amateurisme, d\u00e9sormais \u00e9rig\u00e9s en mode de gouvernance.<\/p>\n\n\n\n

En mati\u00e8re de sant\u00e9 publique, ces fautes ne sont ni abstraites ni th\u00e9oriques. Elles tuent.  Et tant que cette gouvernance continuera \u00e0 confondre communication politique et politique publique, le pays continuera de payer le prix du sang.<\/p>\n","protected":false},"excerpt":{"rendered":"

Libreville, le 15 Janvier 2025 – (D\u00e9p\u00eaches 241). Dans cette tribune sans concession, le Dr Iloko Boussengui, ancien candidat \u00e0 l\u2019\u00e9lection pr\u00e9sidentielle de 2025, interroge la pertinence et la coh\u00e9rence de la d\u00e9cision pr\u00e9sidentielle de cr\u00e9er un h\u00f4pital exclusivement d\u00e9di\u00e9 aux AVC \u00e0 Angondj\u00e9. \u00c0 travers une analyse rigoureuse des […]<\/p>\n","protected":false},"author":11,"featured_media":27420,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[9,116],"tags":[99,59,5536,5535,73,42],"class_list":{"0":"post-27419","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-tribune","8":"category-une1","9":"tag-depeches241","10":"tag-gabon","11":"tag-hopital-avc","12":"tag-le-dr-iloko-boussengui","13":"tag-politique","14":"tag-societe"},"yoast_head":"\nH\u00f4pital des AVC \u00e0 Angondj\u00e9 : l\u2019aveu 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