{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:25:36Z","timestamp":1787030736546,"version":"build-2736575974"},"reference-count":35,"publisher":"CAIRN.INFO","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,19]]},"abstract":"<jats:p>Introduction\u00a0: Le cas d\u2019Ebola en Guin\u00e9e (2013-2016) a \u00e9t\u00e9 r\u00e9v\u00e9lateur de faiblesses en mati\u00e8re de r\u00e9silience du syst\u00e8me de sant\u00e9. Il a \u00e9galement permis de prendre la mesure d\u2019un d\u00e9fi\u00a0: pouvoir coordonner tous les acteurs de la r\u00e9ponse. Apr\u00e8s l\u2019\u00e9pid\u00e9mie, les autorit\u00e9s nationales et leurs partenaires internationaux ont amorc\u00e9 un travail pour renforcer le syst\u00e8me de sant\u00e9. En 2021, la Guin\u00e9e a fait face \u00e0 la COVID-19 simultan\u00e9ment \u00e0 la r\u00e9surgence d\u2019Ebola et d\u2019autres maladies \u00e0 potentiel \u00e9pid\u00e9mique. But de l\u2019\u00e9tude\u00a0: L\u2019objectif de cet article est d\u2019analyser l\u2019\u00e9volution des cinq caract\u00e9ristiques de la r\u00e9silience sanitaire de Kruk et\u00a0al. dans le contexte guin\u00e9en. Pour ce faire, une triangulation des donn\u00e9es a \u00e9t\u00e9 effectu\u00e9e gr\u00e2ce \u00e0 une revue de litt\u00e9rature, 41\u00a0entretiens semi-dirig\u00e9s avec des parties prenantes internationales, nationales et locales, et 37\u00a0\u00e9v\u00e9nements observ\u00e9s dans la p\u00e9riode post-Ebola. R\u00e9sultats\u00a0: Nos r\u00e9sultats montrent que la caract\u00e9ristique de l\u2019int\u00e9gration a \u00e9t\u00e9 la plus importante dans notre \u00e9tude, gr\u00e2ce au renforcement de la coordination, de la communication et du partage d\u2019informations entre les parties prenantes lors des crises. Ensuite, la diversit\u00e9 expose la n\u00e9cessit\u00e9 de pouvoir faire face \u00e0 plusieurs d\u00e9fis sanitaires en simultan\u00e9. Les efforts avaient \u00e9t\u00e9 concentr\u00e9s sur Ebola pendant la premi\u00e8re \u00e9pid\u00e9mie, mais depuis la pand\u00e9mie de COVID-19, l\u2019\u00c9tat est en mesure de faire face \u00e0 plusieurs d\u00e9fis sanitaires. La conscience, quant \u00e0 elle, suppose le besoin de conna\u00eetre le contexte, ses forces et faiblesses. La Guin\u00e9e a tir\u00e9 les le\u00e7ons d\u2019Ebola et a mis en \u0153uvre un programme de renforcement du syst\u00e8me de r\u00e9ponse aux \u00e9pid\u00e9mies post-Ebola. Concernant l\u2019autor\u00e9gulation, le pays est d\u00e9sormais dot\u00e9 en ressources et poss\u00e8de des m\u00e9canismes de remontage de l\u2019information et d\u2019intervention qui ont fait leurs preuves. Enfin, l\u2019adaptabilit\u00e9 constante en tenant compte des le\u00e7ons apprises permet de rectifier le tir et de se pr\u00e9parer \u00e0 d\u2019autres crises potentielles et c\u2019est ce qui est continuellement fait. Conclusions\u00a0: \u00c9tant donn\u00e9 la fragilit\u00e9 ubiquiste de la Guin\u00e9e, le syst\u00e8me de sant\u00e9 n\u2019est toujours pas pleinement r\u00e9silient. Toutefois, les gains dans chacune des caract\u00e9ristiques de la r\u00e9silience am\u00e9liorent certainement la riposte face \u00e0 la COVID-19.<\/jats:p>","DOI":"10.3917\/spub.224.0557","type":"journal-article","created":{"date-parts":[[2022,12,28]],"date-time":"2022-12-28T20:00:11Z","timestamp":1672257611000},"page":"557-567","source":"Crossref","is-referenced-by-count":1,"title":["Comment la r\u00e9silience post-Ebola en Guin\u00e9e contribue \u00e0 la gestion de la COVID-19\u00a0?"],"prefix":"10.3917","volume":"Vol. 34","author":[{"given":"St\u00e9phanie","family":"Maltais","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Bri\u00e8re","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanni","family":"Yaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"publisher","first-page":"e002499","DOI":"10.1136\/bmjgh-2020-002499","article-title":"Shifting the paradigm: using disease outbreaks to build resilient health systems","volume":"5","author":"Durski Kara N","year":"2020","journal-title":"BMJ Global Health","ISSN":"https:\/\/id.crossref.org\/issn\/2059-7908","issn-type":"print"},{"key":"rb2","unstructured":"2 https:\/\/www.oecd-ilibrary.org\/development\/etats-de-fragilite-2020_0d344c87-fr\/ Organisation de coop\u00e9ration et de d\u00e9veloppement \u00e9conomiques (OCDE). \u00c9tats de fragilit\u00e9\u00a02020 [Internet]. 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