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Mayotte

Mayotte: a French territory in permanent health crisis

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In Mayotte, as here on the hills of Majicavo, many people, often in an irregular situation, live in economic and social conditions that remind one of a developing country, with very little access to health and social services. Mayotte - 2021
In exhausting conditions, the medical staff of the Centre Hospitalier de Mayotte (CHM) in Mamoudzou work daily to treat the population without distinction, whether socially insured or not. Mayotte - 2021
The Centre Hospitalier de Mayotte (CHM) in Mamoudzou provides most of the care for a population estimated at 250,000 inhabitants officially, twice that number unofficially. The island's only hospital is constantly working beyond its technical and human capacities. Mayotte - 2021
The countless slums with no access to water and basic sanitation facilities put pressure on Mayotte's health system and increase the risk of infant and maternal disease. Mayotte - 2021
Due to the demographic pressure and the high birth rate, the Centre Hospitalier de Mayotte (CHM) in Mamoudzou, the island's only hospital, is experiencing a permanent flow of patients, half of whom are children. Mayotte - 2021
Due to the demographic pressure and the high birth rate, the Centre Hospitalier de Mayotte (CHM) in Mamoudzou, the island's only hospital, is experiencing a permanent flow of patients, half of whom are children. Mayotte - 2021
Care of a newborn baby suffering from a respiratory disorder under the worried eye of his father living illegally in the territory. Although access to hospital care in Mayotte is free for any children without any condition of regularity, multiple barriers persist, often resulting in late treatment. Mayotte - 2021
As in all departments of the Centre Hospitalier de Mayotte (CHM), the flow of patients in intensive care is very high, and half of them are children. After two waves of Covid-19, the intensive care teams have to deal with an epidemic of bronchiolitis, which affects many children and newborns. Mayotte - 2021
Like for the Covid-19, the ventral decubitus is a technique used in intensive care to improve breathing of newborns suffering from severe bronchiolitis. Mayotte - 2021
Newborn in complex intensive care due to a severe bronchiolitis. Mayotte - 2021
Clément, a private nurse, checks a pregnant patient directly in the street on the hills of Passamainty. Mayotte - 2021
Bags on their backs, visiting health practitioners like Clément are going to difficult-to-reach places to visit some of their patients using dirt roads and stairs made of tires. Mayotte 2021
Although this young man, in an irregular situation, was lucky enough to be evacuated to a Metropolitan France hospital for complex brain surgery, he was unable to receive follow-up care on his return to Mayotte, due to a lack of a residence permit. Mayotte - 2021
Pauline, a private physiotherapist in Mayotte, provides rehabilitation care directly on the street to her leg amputee patient. Mayotte - 2021
In addition to care, Pauline, a physiotherapist in Mayotte, provides moral support for her patient. Mayotte - 2021
Following a complication of diabetes, this patient had to have an amputation. Mayotte is heavily impacted by chronic pathologies such as diabetes. Mayotte - 2021
In a house without electricity, Clément, a private nurse in Mayotte, prepares an insulin injection using the light from his mobile phone. Mayotte - 2021
In a house without electricity, Clément, a private nurse in Mayotte, administers an insulin shot to his patient using the light from his mobile phone. Mayotte - 2021
Clément, a private nurse in Mayotte, locally known as the 'doctor' visits a man suffering from lower limbs paralysis. Mayotte - 2021
In an area heavily impacted by chronic pathologies, with no public transport and where the most of the care is provided by the public hospital, the recent development of the Hospitalisation A Domicile (HAD) has improved access to care and, to some extent, relieve the pressure on the hospital. Mayote - 2021
Mobile health professionals are essential for patients and their families, especially those who need regular treatment and check-ups. Here, Joel, a private nurse in Mayotte, prepares an injection for his bedridden patient while the youngest of the family looks on. Mayotte - 2021
Private nurse like Joel are essential for isolated patients. Mayotte - 2021
In addition to their care and prevention activities, private nurses like Joel often provide moral support to their patients and those accompanying them. Mayotte 2021
In addition to their care and prevention activities, private physiotherapists like Pauline often provide moral support to their patients and those accompanying them. Mayotte - 2021
In addition to their care and prevention activities, private physiotherapists like Pauline often provide moral support to their patients and those accompanying them. Mayotte - 2021
In addition to their care and prevention activities, private physiotherapists like Pauline often provide moral support to their patients and those accompanying them. Mayotte - 2021
The paramedical care provided by physiotherapists like Pauline play a major role in access to care, especially for bedridden elderly people. Mayotte - 2021
The massages given by Pauline, a physiotherapist in Mayotte, are essential for the daily comfort of this bedridden and isolated woman. Mayotte - 2021
The massages given by Pauline, a physiotherapist in Mayotte, are essential for the daily comfort of this bedridden and isolated woman. Mayotte - 2021
In addition to their care and prevention activities, private physiotherapists like Pauline often provide moral support to their patients and those accompanying them. Mayotte - 2021
In the many slums of the island, NGOs such as Médecins du Monde help the people in the most difficult situations with administrative procedures and other matters. Here, Farid, a multi-handicapped boy, and his mother, both in an irregular situation, are advised about the appropriate organisations for their care. Mayotte - 2021
With the help of Secours Catholique (Caritas France), this young girl with Down's syndrome, who had no residence permit and did not attend school, was able to benefit from medical and social care as well as educational support. This support enabled the father, a fisherman, to continue to work and provide for his family. Mayotte - 2021
At the Jacaranda dispensary in Mamoudzou, the flow of patients is so great that the queue is endless. Mayotte - 2021
At the Jacaranda dispensary in Mamoudzou, the flow of patients is so great that the queue is endless. Mayotte - 2021
Whether in the hospital or in the dispensaries and health centres across the island, half of the consultations concern children. Mayotte - 2021
Whether in the hospital or in the dispensaries and health centres across the island, half of the consultations concern children. Mayotte - 2021
Whether in the hospital or in the dispensaries and health centres across the island, half of the consultations concern children. Mayotte - 2021
Whether in the hospital or in the dispensaries and health centres across the island, half of the consultations concern children. Mayotte - 2021
With around thirty deliveries a day, the gynecologists at the Centre Hospitalier de Mayotte (CHM) are under constant pressure and the rooms dedicated to cesarean sections are continually full. Mayotte -2021
The island's demographic is largely driven by mothers of foreign nationality, mainly Comorian, who give birth to three-quarters of the babies on the territory. Mayotte - 2021
At the Centre Hospitalier de Mayotte (CHM), many cesarean sections are performed as an emergency because many women arrive at the hospital at full term and without pregnancy follow-up. Mayotte - 2021
The Centre Hospitalier de Mayotte (CHM) holds the title of France's largest maternity hospital with almost 10,000 births per year. Mayotte - 2021
The Centre Hospitalier de Mayotte (CHM) holds the title of France's largest maternity hospital with almost 10,000 births per year. Mayotte - 2021
Since birth, this newborn baby has required intensive care. Mayotte - 2021
In intensive care since birth, this newborn suffers a respiratory arrest that requires the nurse to perform pulmonary ventilation using a balloon. Mayotte - 2021
In the intensive care unit, patients of all ages require nursing care every two hours. This care requires a lot of staff, which is a major problem for the Centre hospitalier de Mayotte (CHM), which is struggling to recruit. Mayotte - 2021
As Mayotte is the department with the highest fertility rate in France, all the services related to newborns and children at the Centre Hospitalier de Mayotte (CHM), such as the neonatology unit, are constantly working beyond their technical and human capacities. Mayotte - 2021
In the neonatal unit, the monitoring and care of newborns are continuous and require a lot of staff, which is a major problem for the Centre Hospitalier de Mayotte (CHM), which is struggling to recruit. Mayotte - 2021
Due to the lack of 'medical understanding', many patients and those accompanying them rely on 'God's will', and the locally popular 'Inch'allah'. Mayotte - 2021
In addition to their care and prevention activities, private nurses like Clément often have to provide 'medical education'. Mayotte - 2021
Clément, a private nurse in Mayotte, examines his patient. Mayotte - 2021
The paramedical care provided by private nurses like Clément plays a major role in access to care in Mayotte, especially for isolated elderly people who need regular treatment and check-ups. Mayotte - 2021
The massages given by Pauline, a physiotherapist in Mayotte, are essential for the daily comfort of this isolated bedridden man. Mayotte - 2021
The massages given by Pauline, a physiotherapist in Mayotte, are essential for the daily comfort of this isolated bedridden man. Mayotte - 2021
The paramedical care provided by physiotherapists like Pauline play a major role in access to care, especially for isolated bedridden people. Mayotte - 2021
Whether it is like here at the Jacaranda dispensary in Mamoudzou or at the Centre Hospitalier de Mayotte (CHM), most doctors and nurses come from Metropolitan France for short missions. Mayotte - 2021
Whether here at the Jacaranda dispensary in Mamoudzou or at the Centre Hospitalier de Mayotte (CHM), most of the doctors and nurses do not speak the local language: Shimahore. They are assisted by interpreters who have the important responsibility of translating and explaining the diagnosis, causes and treatments to the patient. Mayotte 2021
Whether here at the Jacaranda dispensary in Mamoudzou or at the Centre Hospitalier de Mayotte (CHM), most of the doctors and nurses do not speak the local language: Shimahore. They are assisted by interpreters who have the important responsibility of translating and explaining the diagnosis, causes and treatments to the patient. Mayotte 2021
At the Centre Hospitalier de Mayotte (CHM), only the assistant nurses are Maori. They must undertake the fundamental role of translators between the doctors and patients who often do not have any medical follow-up and who only speak Shimaore or other regional dialects. Mayotte - 2021
The language barrier does not make it easy to deal with patients, especially with unaccompanied children. Mayotte 2021
In terms of social protection, French legislation does not apply in Mayotte, where a derogatory regime is in place.
Only half of the inhabitants have access to social security and private insurance is not very developed. The first step in admitting patients to the emergency of the Centre Hospitalier de Mayotte (CHM) is to check their social status. Mayote - 2021
Entrance to the emergency of the Centre Hospitalier de Mayotte (CHM), in Mamoudzou. Mayotte - 2021
The fire brigade takes an unconscious person found in the street to the emergency room of the Centre Hospitalier de Mayotte (CHM) in Mamoudzou. Mayotte - 2021
In the corridors of the Centre Hospitalier de Mayotte (CHM), especially in the emergency room, most doctors and nurses come from Metropolitan France for short missions. Mayotte - 2021
In addition to the usual massive flow of patients linked to the undersized local health care system, the emergency room staff of the Centre Hospitalier de Mayotte (CHM) in Mamoudzou must also deal with numerous consultations linked to the island's insecurity. Mayotte - 2021
In addition to the usual massive flow of patients linked to the undersized local health care system, the emergency room staff of the Centre Hospitalier de Mayotte (CHM) in Mamoudzou must also deal with numerous consultations linked to the island's insecurity. Mayotte - 2021
Surgeries on wounds caused by knife or machete attacks are common in the operating rooms of the Centre Hospitalier de Mayotte (CHM). Mayotte - 2021
As for most of the care, medical imaging and more in-depth examinations can only be carried out at the Centre Hospitalier de Mayotte (CHM) in Mamoudzou, the department's main town. It is not surprising that the island's only hospital is always working beyond its technical and human capacities. Mayotte - 2021
Originally used to treat decompression sickness during diving, the hyperbaric chamber is used at the Centre Hospitalier de Mayotte (CHM) in Mamoudzou to help the healing of burnt tissues. Mayotte - 2021
Rehabilitation session for this burn victim who came out of an artificial coma in the intensive care unit of the Centre Hospitalier de Mayotte (CHM). Mayotte - 2021
Rehabilitation session for this burn victim who came out of an artificial coma in the intensive care unit of the Centre Hospitalier de Mayotte (CHM). Mayotte - 2021
Final exchanges between doctors before the medical evacuation of a newborn baby from the neonatal department of the Centre Hospitalier de Mayotte (CHM) to the hospital in La Réunion. Mayotte - 2021
With very few specialised services, the Centre Hospitalier de Mayotte (CHM) has no choice but to transfer patients to other French territories with more suitable technical facilities. Here, a newborn baby on his way to the airport to be evacuated to the hospital in La Réunion. Mayotte - 2021
AMedical evacuations (EVASAN) are at the heart of Mayotte's healthcare system. Every day, French and foreign patients, including newborns, are evacuated to Paris or La Réunion for treatment. Mayotte - 2021
Delicate operation to put the incubator and medical equipment on the plane chartered for the medical evacuation of a newborn baby between Mayotte and La Réunion. Mayotte - 2021
Each year, approximately 2,000 medical evacuations, excluding Covid-19, are carried out between Mayotte and other French territories. Mayotte - 2021

Mayotte: a French territory in permanent health crisis

Where: Mayotte (France / Comoros)

When: 2021

On 31 March 2011, 10 years ago, Mayotte became the 101st department of France. This was a major event for the island, as it gained the status it had been waiting for since the 1974 referendum and its split from the Comoros archipelago.

But, a decade later, the situation is bitter for the small island located in the northern part of the Mozambique Channel in the Indian Ocean. Mayotte remains, geographically and in many other aspects, far removed from Metropolitan France, especially in terms of health.

In Mayotte, all the health indicators are in the red: an undersized health care offer, many obstacles to access to health care and health insurance, and the difficulty of recruiting doctors are just a few examples that complete an already gloomy situation: a life expectancy that is much lower than in Metropolitan France, an infant and maternal over-mortality, a high prevalence of diabetes and infectious and parasitic diseases, etc.

Although all the actors in the medical, social, and NGO sectors have been unanimously alerting for years about the shortcomings of the local health system and the difficulties of access to care, in view of the scale of the task and the ever-increasing demographic pressure, the health crisis is inexorably gaining ground in Mayotte.

Full story, both in French and English, available on request.