{"id":31373,"date":"2026-11-13T16:20:23","date_gmt":"2026-11-13T15:20:23","guid":{"rendered":"https:\/\/depeches241.com\/?p=31373"},"modified":"2026-11-13T16:20:24","modified_gmt":"2026-11-13T15:20:24","slug":"couverture-sante-incapable-dassurer-correctement-les-gabonais-la-cnamgs-souvre-a-la-communaute-malienne","status":"publish","type":"post","link":"https:\/\/depeches241.com\/?p=31373","title":{"rendered":"Couverture sant\u00e9 : incapable d\u2019assurer correctement les Gabonais, la CNAMGS s\u2019ouvre \u00e0 la communaut\u00e9 malienne"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"390\" src=\"https:\/\/depeches241.com\/wp-content\/uploads\/2026\/11\/IMG_3992-1024x390.jpeg\" alt=\"\" class=\"wp-image-31374\" srcset=\"https:\/\/depeches241.com\/wp-content\/uploads\/2026\/11\/IMG_3992-1024x390.jpeg 1024w, https:\/\/depeches241.com\/wp-content\/uploads\/2026\/11\/IMG_3992-300x114.jpeg 300w, https:\/\/depeches241.com\/wp-content\/uploads\/2026\/11\/IMG_3992-768x292.jpeg 768w, https:\/\/depeches241.com\/wp-content\/uploads\/2026\/11\/IMG_3992-1536x584.jpeg 1536w, https:\/\/depeches241.com\/wp-content\/uploads\/2026\/11\/IMG_3992-2048x779.jpeg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\"><strong><em>Le 9 novembre dernier, la caisse nationale d\u2019Assurance maladie et de garantie sociale s\u2019est ouverte \u00e0 la communaut\u00e9 malienne, a traver le fonds 4. \u00a9 D\u00e9p\u00eaches 241<\/em><\/strong><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Libreville le 13 novembre 2026-(D\u00e9p\u00eaches 241) Depuis sa cr\u00e9ation, la Caisse nationale d\u2019assurance maladie et de garantie sociale (CNAMGS) peine \u00e0 s\u2019imposer comme un v\u00e9ritable instrument de protection sociale fiable et durable au Gabon. Entre interruptions r\u00e9currentes de la prise en charge m\u00e9dicale, difficult\u00e9s d\u2019acc\u00e8s aux m\u00e9dicaments et dysfonctionnements dans ses relations avec les structures sanitaires partenaires, l\u2019organisme tra\u00eene une r\u00e9putation qui contraste avec la mission fondamentale qui lui a \u00e9t\u00e9 assign\u00e9e : garantir aux populations un acc\u00e8s effectif aux soins de sant\u00e9.&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">Les difficult\u00e9s rencontr\u00e9es par les b\u00e9n\u00e9ficiaires des prestations de la CNAMGS sont particuli\u00e8rement perceptibles dans les pharmacies et les \u00e9tablissements hospitaliers. Il n\u2019est pas rare que des assur\u00e9s se voient refuser des m\u00e9dicaments ou certaines prestations, en raison des impay\u00e9s accumul\u00e9s par la caisse aupr\u00e8s de ses partenaires. Une situation qui place r\u00e9guli\u00e8rement les malades dans une position particuli\u00e8rement inconfortable, contraints de supporter eux-m\u00eames des d\u00e9penses que leur affiliation \u00e0 l\u2019assurance maladie \u00e9tait pourtant cens\u00e9e couvrir. \u00c0 ces difficult\u00e9s financi\u00e8res et op\u00e9rationnelles s\u2019ajoutent les interrogations persistantes sur la gouvernance de l\u2019institution, marqu\u00e9e au fil des ann\u00e9es par des changements successifs \u00e0 sa direction g\u00e9n\u00e9rale. Autant de tribulations qui interrogent sur la capacit\u00e9 de la CNAMGS \u00e0 assumer durablement ses engagements.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u2019est pourtant dans ce contexte que la caisse entreprend d\u00e9sormais d\u2019\u00e9largir son dispositif de couverture maladie aux ressortissants \u00e9trangers vivant au Gabon. Le 9 novembre dernier, au Palais des sports de Libreville, une op\u00e9ration de sensibilisation et d\u2019identification a ainsi \u00e9t\u00e9 organis\u00e9e \u00e0 l\u2019intention de la communaut\u00e9 malienne, en collaboration avec la mairie du troisi\u00e8me arrondissement. \u00c0 travers le Fonds 4, destin\u00e9 aux travailleurs ind\u00e9pendants et aux personnes exer\u00e7ant une activit\u00e9 g\u00e9n\u00e9ratrice de revenus, la CNAMGS entend d\u00e9sormais int\u00e9grer aussi bien les nationaux que les expatri\u00e9s r\u00e9sidant sur le territoire gabonais. Une d\u00e9marche pr\u00e9sent\u00e9e comme une avanc\u00e9e en mati\u00e8re d\u2019inclusion sociale, mais dont le calendrier et les priorit\u00e9s ne manqueront pas de susciter des interrogations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Car un paradoxe demeure : comment une institution qui \u00e9prouve autant de difficult\u00e9s \u00e0 garantir une couverture sanitaire satisfaisante \u00e0 ses propres ressortissants peut-elle envisager sereinement d\u2019\u00e9largir le nombre de ses b\u00e9n\u00e9ficiaires ? L\u2019ouverture \u00e0 de nouvelles cat\u00e9gories d\u2019assur\u00e9s est-elle envisag\u00e9e comme un moyen de renforcer les ressources financi\u00e8res de la caisse et de sortir de ses difficult\u00e9s structurelles ? Ou les autorit\u00e9s consid\u00e8rent-elles simplement que l\u2019\u00e9largissement de la couverture constitue une r\u00e9ponse suffisante aux dysfonctionnements actuels ? En l\u2019absence d\u2019explications pr\u00e9cises sur le financement du Fonds 4, ses m\u00e9canismes de cotisation et les garanties de continuit\u00e9 des prestations, cette extension risque davantage d\u2019alimenter les interrogations que de rassurer les assur\u00e9s existants.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c0 cette probl\u00e9matique de gouvernance et de soutenabilit\u00e9 financi\u00e8re s\u2019ajoute une dimension sociale et politique particuli\u00e8rement sensible. Dans un contexte o\u00f9 une partie de l\u2019opinion publique gabonaise exprime d\u00e9j\u00e0 des pr\u00e9occupations concernant la pr\u00e9sence \u00e9trang\u00e8re sur le territoire national, l\u2019ouverture de la couverture maladie aux communaut\u00e9s expatri\u00e9es pourrait devenir un nouveau sujet de crispation. Non pas parce que les ressortissants \u00e9trangers devraient \u00eatre priv\u00e9s de protection sociale, mais parce qu\u2019une politique d\u2019inclusion perd de sa l\u00e9gitimit\u00e9 lorsqu\u2019elle est engag\u00e9e sans que les b\u00e9n\u00e9ficiaires historiques aient le sentiment d\u2019\u00eatre correctement servis. Le risque serait alors de transformer les d\u00e9faillances d\u2019une institution publique en un conflit artificiel entre Gabonais et \u00e9trangers, alors que la responsabilit\u00e9 premi\u00e8re rel\u00e8ve de la gestion et de l\u2019organisation de la caisse.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019enjeu pour la CNAMGS ne devrait pas \u00eatre uniquement d\u2019augmenter le nombre de ses affili\u00e9s, mais d\u2019abord de restaurer la confiance des assur\u00e9s, d\u2019apurer ses \u00e9ventuels arri\u00e9r\u00e9s, de s\u00e9curiser ses relations avec les pharmacies et les h\u00f4pitaux et de garantir la continuit\u00e9 des prestations. L\u2019acc\u00e8s aux soins est un droit qui ne devrait opposer aucune communaut\u00e9. Mais avant de promettre une couverture plus large, encore faut-il \u00eatre capable d\u2019assurer convenablement celle qui existe d\u00e9j\u00e0. \u00c0 d\u00e9faut, cette ouverture au Fonds 4 pourrait appara\u00eetre comme une fuite en avant, plut\u00f4t que comme le signe d\u2019une v\u00e9ritable r\u00e9forme de l\u2019assurance maladie au Gabon.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Libreville le 13 novembre 2026-(D\u00e9p\u00eaches 241) Depuis sa cr\u00e9ation, la Caisse nationale d\u2019assurance maladie et de garantie sociale (CNAMGS) peine \u00e0 s\u2019imposer comme un v\u00e9ritable instrument de protection sociale fiable et durable au Gabon. Entre interruptions r\u00e9currentes de la prise en charge m\u00e9dicale, difficult\u00e9s d\u2019acc\u00e8s aux m\u00e9dicaments et dysfonctionnements dans [&hellip;]<\/p>\n","protected":false},"author":21,"featured_media":31374,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[38,117],"tags":[6637,99,141,6636,59,90,73,625],"class_list":["post-31373","post","type-post","status-publish","format-standard","has-post-thumbnail","category-sante","category-une2","tag-communaute-malienne","tag-depeches241","tag-economie","tag-fonds-4","tag-gabon","tag-gouvernement","tag-politique","tag-sante"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Couverture sant\u00e9 : incapable d\u2019assurer correctement les Gabonais, la CNAMGS s\u2019ouvre \u00e0 la communaut\u00e9 malienne - D\u00e9p\u00eaches241<\/title>\n<meta name=\"description\" content=\"Depuis sa cr\u00e9ation, la Caisse nationale d\u2019assurance maladie et de garantie sociale (CNAMGS) peine \u00e0 s\u2019imposer comme un v\u00e9ritable instrument de protection sociale fiable et durable au Gabon. Entre interruptions r\u00e9currentes de la prise en charge m\u00e9dicale, difficult\u00e9s d\u2019acc\u00e8s aux m\u00e9dicaments et dysfonctionnements dans ses relations avec les structures sanitaires partenaires, l\u2019organisme tra\u00eene une r\u00e9putation qui contraste avec la mission fondamentale qui lui a \u00e9t\u00e9 assign\u00e9e : garantir aux populations un acc\u00e8s effectif aux soins de sant\u00e9.\u00a0\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/depeches241.com\/?p=31373\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Couverture sant\u00e9 : incapable d\u2019assurer correctement les Gabonais, la CNAMGS s\u2019ouvre \u00e0 la communaut\u00e9 malienne - D\u00e9p\u00eaches241\" \/>\n<meta property=\"og:description\" content=\"Depuis sa cr\u00e9ation, la Caisse nationale d\u2019assurance maladie et de garantie sociale (CNAMGS) peine \u00e0 s\u2019imposer comme un v\u00e9ritable instrument de protection sociale fiable et durable au Gabon. Entre interruptions r\u00e9currentes de la prise en charge m\u00e9dicale, difficult\u00e9s d\u2019acc\u00e8s aux m\u00e9dicaments et dysfonctionnements dans ses relations avec les structures sanitaires partenaires, l\u2019organisme tra\u00eene une r\u00e9putation qui contraste avec la mission fondamentale qui lui a \u00e9t\u00e9 assign\u00e9e : garantir aux populations un acc\u00e8s effectif aux soins de sant\u00e9.\u00a0\" \/>\n<meta property=\"og:url\" content=\"https:\/\/depeches241.com\/?p=31373\" \/>\n<meta property=\"og:site_name\" content=\"D\u00e9p\u00eaches241\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/depeches241\" \/>\n<meta property=\"article:published_time\" content=\"2026-11-13T15:20:23+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-11-13T15:20:24+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/depeches241.com\/wp-content\/uploads\/2026\/11\/IMG_3992-scaled.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"974\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Edgard Nze\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Edgard Nze\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/depeches241.com\\\/?p=31373#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/depeches241.com\\\/?p=31373\"},\"author\":{\"name\":\"Edgard Nze\",\"@id\":\"https:\\\/\\\/depeches241.com\\\/#\\\/schema\\\/person\\\/b176413dc3253251b009f794f4c98a7b\"},\"headline\":\"Couverture sant\u00e9 : incapable d\u2019assurer correctement les Gabonais, la CNAMGS s\u2019ouvre \u00e0 la communaut\u00e9 malienne\",\"datePublished\":\"2026-11-13T15:20:23+00:00\",\"dateModified\":\"2026-11-13T15:20:24+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/depeches241.com\\\/?p=31373\"},\"wordCount\":810,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/depeches241.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/depeches241.com\\\/?p=31373#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/depeches241.com\\\/wp-content\\\/uploads\\\/2026\\\/11\\\/IMG_3992-scaled.jpeg\",\"keywords\":[\"Communaut\u00e9 malienne\",\"depeches241\",\"Economie\",\"Fonds 4\",\"Gabon\",\"gouvernement\",\"Politique\",\"Sant\u00e9\"],\"articleSection\":[\"Sant\u00e9\",\"Une2\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/depeches241.com\\\/?p=31373#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/depeches241.com\\\/?p=31373\",\"url\":\"https:\\\/\\\/depeches241.com\\\/?p=31373\",\"name\":\"Couverture sant\u00e9 : incapable d\u2019assurer correctement les Gabonais, la CNAMGS s\u2019ouvre \u00e0 la communaut\u00e9 malienne - D\u00e9p\u00eaches241\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/depeches241.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/depeches241.com\\\/?p=31373#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/depeches241.com\\\/?p=31373#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/depeches241.com\\\/wp-content\\\/uploads\\\/2026\\\/11\\\/IMG_3992-scaled.jpeg\",\"datePublished\":\"2026-11-13T15:20:23+00:00\",\"dateModified\":\"2026-11-13T15:20:24+00:00\",\"description\":\"Depuis sa cr\u00e9ation, la Caisse nationale d\u2019assurance maladie et de garantie sociale (CNAMGS) peine \u00e0 s\u2019imposer comme un v\u00e9ritable instrument de protection sociale fiable et durable au Gabon. 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