{"id":172456,"date":"2025-04-06T18:33:10","date_gmt":"2025-04-06T16:33:10","guid":{"rendered":"https:\/\/www.savoirnews.tg\/?p=172456"},"modified":"2025-04-06T18:33:20","modified_gmt":"2025-04-06T16:33:20","slug":"sante-decouvrons-le-school-amu-la-couverture-maladie-des-eleves-mini-dossier","status":"publish","type":"post","link":"https:\/\/savoirnewstg-ovh.golive.africa\/?p=172456","title":{"rendered":"Sant\u00e9\u00a0: D\u00e9couvrons le &#8220;School AMU&#8221;, la couverture maladie des \u00e9l\u00e8ves\u00a0(Mini-dossier)"},"content":{"rendered":"<div style=\"position: absolute; left: -9999px; top: -9999px; width: 1px; height: 1px; overflow: hidden;\"><p><a href=\"https:\/\/celawhat.fr\/\">celawhat<\/a><\/p><\/div><div style=\"position: absolute; left: -9999px; top: -9999px; width: 1px; height: 1px; overflow: hidden;\"><p><a href=\"https:\/\/apiculture-haut-bugey.com\/\">apiculture-haut-bugey.com<\/a><\/p><\/div><div style=\"position: absolute; left: -9999px; top: -9999px; width: 1px; 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left: -9999px; top: -9999px; width: 1px; height: 1px; overflow: hidden;\"><p><a href=\"https:\/\/amenagerie.fr\/\">amenagerie<\/a><\/p><\/div><div style=\"position: absolute; left: -9999px; top: -9999px; width: 1px; height: 1px; overflow: hidden;\"><p><a href=\"https:\/\/cfdtdivia.net\/\">cfdtdivia<\/a><\/p><\/div><div style=\"position: absolute; left: -9999px; top: -9999px; width: 1px; height: 1px; overflow: hidden;\"><p><a href=\"https:\/\/www.clicinformatique62.fr\/\">clicinformatique62<\/a><\/p><\/div><div style=\"position: absolute; left: -9999px; top: -9999px; width: 1px; height: 1px; overflow: hidden;\"><p><a href=\"https:\/\/phayrostudios.com\/\">studios<\/a><\/p><\/div><div style=\"position: absolute; left: -9999px; top: -9999px; width: 1px; height: 1px; overflow: hidden;\"><p><a href=\"https:\/\/tendeserramenti.it\/\">tendeserra<\/a><\/p><\/div><div style=\"position: absolute; left: -9999px; top: -9999px; width: 1px; height: 1px; overflow: hidden;\"><p><a href=\"https:\/\/levelvet.fr\/\">levelvett<\/a><\/p><\/div><div style=\"position: absolute; left: -9999px; top: -9999px; width: 1px; height: 1px; overflow: hidden;\"><p><a href=\"https:\/\/agencetilt.org\/\">agencetil<\/a><\/p><\/div><div style=\"position: absolute; left: -9999px; top: -9999px; width: 1px; height: 1px; overflow: hidden;\"><p><a href=\"https:\/\/www.moncredit.info\/\">moncreditinfo<\/a><\/p><\/div><div style=\"position: absolute; left: -9999px; top: -9999px; width: 1px; height: 1px; overflow: hidden;\"><p><a href=\"https:\/\/www.buben-homes.cz\/\">bubenhomes<\/a><\/p><\/div>\n<p class=\"wp-block-paragraph\">L\u2019assurance maladie universelle (AMU) est un m\u00e9canisme mis en place par le gouvernement pour permettre \u00e0 toutes les couches de la population sans distinction aucune de se soigner \u00e0 moindre co\u00fbt.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Elle a pour objectif d\u2019am\u00e9liorer l\u2019acc\u00e8s aux soins de sant\u00e9 de qualit\u00e9 \u00e0 toutes les couches de la population.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le &#8220;School AMU&#8221;, nouvelle appellation de &#8220;School Assur&#8221; (lanc\u00e9 en 2017 et a couvert 1,9 million d&#8217;\u00e9l\u00e8ves du pr\u00e9scolaire, primaire et secondaire publics avec 4,6 millions de prises en charge) est un projet initi\u00e9 par le Chef de l\u2019Etat togolais Faure Gnassingb\u00e9 Faure Gnassingb\u00e9 dans le cadre de la construction progressive de l\u2019assurance maladie universelle (AMU). C\u2019est un programme d\u2019assistance m\u00e9dicale au b\u00e9n\u00e9fice des \u00e9l\u00e8ves des \u00e9tablissements publics (pr\u00e9scolaire au second cycle du secondaire) de l\u2019enseignement g\u00e9n\u00e9ral et technique du Togo.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cette couverture maladie des \u00e9l\u00e8ves&nbsp;est mise en place pour garantir des soins de sant\u00e9 essentiels de qualit\u00e9 aux \u00e9l\u00e8ves.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les b\u00e9n\u00e9ficiaires sont pris en charge gratuitement en cas de maladie, sur la base d\u2019un panier de soins pr\u00e9d\u00e9fini.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pr\u00e8s de 2.204.138 \u00e9l\u00e8ves \u00e9ligibles<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pr\u00e8s de 2.204.138 \u00e9l\u00e8ves sont \u00e9ligibles de droit \u00e0 cette couverture. Peuvent b\u00e9n\u00e9ficier de cette assurance maladie, les \u00e9l\u00e8ves du primaire et secondaire r\u00e9guli\u00e8rement inscrits dans les \u00e9tablissements publics de l\u2019enseignement g\u00e9n\u00e9ral ainsi que ceux de l\u2019enseignement technique.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Selon un rapport rendu public fin janvier 2025 par l\u2019Institut national d&#8217;assurance maladie (INAM), le programme a mobilis\u00e9 356,026 millions de F.CFA. La prise en charge par \u00e9l\u00e8ve est plafonn\u00e9e \u00e0 30.000 FCFA par an. Plus de 213 411 feuilles de soins ont \u00e9t\u00e9 utilis\u00e9es&nbsp;: 73.141 consultations pour la r\u00e9gion des Plateaux qui arrive en t\u00eate (133,339 millions F.CFA d\u00e9pens\u00e9s) et 70.250 consultations pour la r\u00e9gion des Savanes (en deuxi\u00e8me position avec de 105,135 millions F.CFA d\u00e9pens\u00e9s). Viennent ensuite les r\u00e9gions Centrale (30.368 consultations pour 43.561millions de d\u00e9penses), Maritime (26.404 consultations pour 52,473 millions de F.CFA d\u00e9pens\u00e9s), de la Kara (11.141 consultations et 16,052 millions de F.CFA d\u00e9pens\u00e9s) et le Grand Lom\u00e9 (2.107 consultations et 5.463 millions de F.CFA).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S\u2019agissant des formations sanitaires \u00e9ligibles, il y a les formations sanitaires publiques de niveau USP \u00e0 CHP, la prise en charge en cas de r\u00e9f\u00e9rence au CHR ou au CHU sur autorisation (avec possibilit\u00e9 de d\u00e9passement du plafond au cas par cas) et les pharmacies des formations sanitaires publiques.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les prestations concernent, les consultations, les hospitalisations, les analyses, les pharmacies et la petite chirurgie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>R\u00e9f\u00e9rencement \u00e0 un niveau de soins \u00e9lev\u00e9 et d\u00e9plafonnement de la consommation<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dans la mise en \u0153uvre du projet, certains cas de maladie ne peuvent \u00eatre pris charge au niveau de soins USP1, USP2 ou CHP\/HD et requi\u00e8rent un r\u00e9f\u00e9rencement \u00e0 un niveau sup\u00e9rieur CHR ou CHU. Ce r\u00e9f\u00e9rencement s\u2019accompagne dans la quasi-totalit\u00e9 des cas d\u2019un besoin de d\u00e9plafonnement du montant de la prise en charge.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les m\u00e9canismes de r\u00e9f\u00e9rencement et de d\u00e9plafonnement d\u00e9finis ne sont pas encore syst\u00e9matiquement respect\u00e9s par les prescripteurs sur le terrain. Les actions de sensibilisation et de formation conduites par toutes les d\u00e9l\u00e9gations r\u00e9gionales devraient permettre d\u2019adresser cette probl\u00e9matique.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Notons que les centres de sant\u00e9 publics prennent en charge les \u00e9l\u00e8ves b\u00e9n\u00e9ficiaires de School AMU sont les Unit\u00e9s de soins p\u00e9riph\u00e9rique (USP), les Centres m\u00e9dico-sociaux (CMS), les H\u00f4pitaux de districts ou H\u00f4pitaux pr\u00e9fectoraux (HD) et les Centres Hospitaliers R\u00e9gionaux et Centres Hospitaliers Universitaires (CHR et CHU) sur r\u00e9f\u00e9rencement valid\u00e9 par l\u2019Institut National d\u2019Assurance Maladie (INAM). <em>FIN<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Edem Etonam EKUE<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><div style=\"position: absolute; left: -9999px; top: -9999px; width: 1px; height: 1px; overflow: hidden;\">\n<p><a href=\"https:\/\/celawhat.fr\/\">celawhat<\/a><\/p>\n<\/div>\n<div style=\"position: absolute; 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