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GUIDE OF SÉDHIOU - Cesie

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8 midwives paid by the State<br />

1 social assistant<br />

1 laboratory technician<br />

1 technician in ophthalmology<br />

2 technicians radiologists<br />

2 technicians in surgery service<br />

There are no gynecologists, cardiologists or orthopedists.<br />

The closest regional hospital is in Kolda, 1.5 hours by car from<br />

Sédhiou.<br />

Postes de santé and cases de santé<br />

In the region Sédhiou there are about forty postes de santé<br />

(the Region of Sédhiou is formed by three departments:<br />

Sédhiou, Bounkiling, Goudomp). In the solely department of<br />

Sédhiou there are 14.<br />

The tasks of the postes have already been mentioned in the<br />

introduction. We could just add that in regard to HIV<br />

screening, in case of positivity of the virus, the postes are<br />

obliged to refer to the hospital, which is currently the unique<br />

structure allowed to be in charge of the patient.<br />

There are 39 cases de santé throughout the district of<br />

Sédhiou. 25 are working.<br />

As in many aspects of African life, it should be noted that the<br />

health sector has a strong and rooted system of solidarity. It is<br />

thanks to the volunteers that all these health structures can<br />

survive and ensure a primary and essential help to the<br />

population. They supply to many geographic difficulties (the<br />

dispersion of hospitals), and to the lack of financial and human<br />

24

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