{"id":379013,"date":"2026-02-26T23:00:00","date_gmt":"2026-02-26T23:00:00","guid":{"rendered":"https:\/\/afrikmag.com\/var\/www\/vhosts\/afrikmag.compublic_html\/?p=379013"},"modified":"2026-02-26T23:00:00","modified_gmt":"2026-02-26T23:00:00","slug":"zambie-refuse-fonds-sante-americains-assortis-de-conditions","status":"publish","type":"post","link":"https:\/\/afrikmag.com\/var\/www\/vhosts\/afrikmag.compublic_html\/zambie-refuse-fonds-sante-americains-assortis-de-conditions\/","title":{"rendered":"Un autre pays africain refuse les fonds de sant\u00e9 am\u00e9ricains assortis de conditions"},"content":{"rendered":"
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La Zambie a suspendu un projet d’accord de financement de la sant\u00e9 d’une valeur de plus d’un milliard de dollars avec les \u00c9tats-Unis, invoquant des pr\u00e9occupations selon lesquelles certaines clauses du projet ne correspondent pas aux int\u00e9r\u00eats nationaux du pays.<\/span><\/strong><\/p>\n<\/div>\n

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Cet accord, qui r\u00e9girait plus d’un milliard de dollars de financement am\u00e9ricain au cours des cinq prochaines ann\u00e9es, vise \u00e0 lutter contre le VIH\/SIDA et le paludisme, \u00e0 renforcer les services de sant\u00e9 maternelle et infantile et \u00e0 am\u00e9liorer la pr\u00e9paration aux \u00e9pid\u00e9mies.<\/span><\/p>\n<\/div>\n

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Toutefois, selon un projet de document consult\u00e9 par Reuters, la Zambie s’engagerait \u00e9galement \u00e0 verser environ 340 millions de dollars en cofinancement sur la m\u00eame p\u00e9riode, ce qui repr\u00e9sente un investissement national majeur dans une p\u00e9riode de difficult\u00e9s budg\u00e9taires.<\/span><\/p>\n

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L’accord, qui devait \u00eatre finalis\u00e9 en novembre 2025, a \u00e9t\u00e9 interrompu apr\u00e8s que des versions amend\u00e9es aient inclus une disposition litigieuse.<\/span><\/p>\n<\/div>\n

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Selon certaines sources, l’accord comprenait une clause sugg\u00e9rant que le financement pourrait \u00eatre retir\u00e9 si\u00a0<\/span>la Zambie<\/span><\/strong>\u00a0et les \u00c9tats-Unis ne parvenaient pas \u00e0 un accord sur un projet de \u00ab pacte bilat\u00e9ral \u00bb d’ici le 1er avril.<\/span><\/p>\n<\/div>\n

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Cet accord, apparemment li\u00e9 \u00e0 un partenariat minier, a soulev\u00e9 des questions quant \u00e0 savoir si le financement crucial des soins de sant\u00e9 \u00e9tait li\u00e9 \u00e0 l’acc\u00e8s \u00e0 des ressources strat\u00e9giques.<\/span><\/p>\n<\/div>\n

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L’image est importante pour un pays riche en cuivre qui devient de plus en plus essentiel aux cha\u00eenes d’approvisionnement mondiales en min\u00e9raux critiques.<\/span><\/p>\n<\/div>\n

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Certains analystes semblent partager cet avis, en d\u00e9duisant que le financement am\u00e9ricain du syst\u00e8me de sant\u00e9 serait \u00e9troitement li\u00e9 aux ressources naturelles de la Zambie.<\/span><\/p>\n

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\u00ab Nous avons besoin du soutien des \u00c9tats-Unis, mais il faut de la transparence \u00bb, a d\u00e9clar\u00e9 \u00e0 Reuters Owen Mulenga, un responsable de la Treatment, Advocacy and Literacy Campaign, une organisation non gouvernementale locale qui milite pour un acc\u00e8s \u00e9quitable, abordable et durable au traitement, aux soins et au soutien pour les personnes vivant avec le VIH et le sida en\u00a0<\/span>Zambie<\/span>\u00a0.<\/span><\/p>\n<\/div>\n

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Le gouvernement a refus\u00e9 de discuter avec les militants des nombreuses sp\u00e9culations selon lesquelles l’accord serait li\u00e9 au secteur minier, a-t-il d\u00e9clar\u00e9.<\/span><\/p>\n

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\u00ab Cet accord r\u00e9duirait drastiquement le financement du gouvernement am\u00e9ricain aux programmes vitaux\u2026 tout en privil\u00e9giant les int\u00e9r\u00eats des soci\u00e9t\u00e9s mini\u00e8res aux d\u00e9pens des besoins des Zambiens atteints du VIH \u00bb, a d\u00e9clar\u00e9 Asia Russell, directrice g\u00e9n\u00e9rale de Health GAP, une organisation mondiale de d\u00e9fense des droits des personnes vivant avec le VIH qui a suivi de pr\u00e8s cet accord.<\/span><\/p>\n<\/div>\n

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Le pr\u00e9sident Hakainde Hichilema a d\u00e9j\u00e0 d\u00e9clar\u00e9 que la Zambie devrait reconsid\u00e9rer sa d\u00e9pendance \u00e0 l’\u00e9gard de l’aide internationale.<\/span><\/p>\n<\/div>\n

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En octobre 2025, il consid\u00e9rait\u00a0<\/span>les r\u00e9ductions de l’aide internationale comme \u00ab attendues depuis longtemps<\/span><\/strong>\u00a0\u00bb, voyant dans la fermeture de certains canaux d’aide une opportunit\u00e9 pour la Zambie de \u00ab s’occuper de ses propres affaires \u00bb, malgr\u00e9 des risques manifestement importants.<\/span><\/p>\n<\/div>\n

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L’ann\u00e9e pr\u00e9c\u00e9dente, les \u00c9tats-Unis avaient d\u00e9bours\u00e9 environ 598 millions de dollars pour le secteur de la sant\u00e9 en Zambie, ce qui repr\u00e9sentait environ un tiers du budget de la sant\u00e9 du pays.<\/span><\/p>\n<\/div>\n

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Une grande partie de cet argent est consacr\u00e9e aux programmes de traitement du VIH\/SIDA et aux services essentiels de sant\u00e9 maternelle.<\/span><\/p>\n<\/div>\n

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Au d\u00e9but de l’ann\u00e9e 2025, Washington a r\u00e9duit l’aide m\u00e9dicale de 50 millions de dollars en r\u00e9ponse \u00e0 la d\u00e9couverte de m\u00e9dicaments donn\u00e9s vol\u00e9s et revendus, ce qui a consid\u00e9rablement restreint le contexte de financement.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

La Zambie a suspendu un projet d’accord de financement de la sant\u00e9 d’une valeur de plus d’un milliard de dollars avec les \u00c9tats-Unis, invoquant des pr\u00e9occupations selon lesquelles certaines clauses du projet ne correspondent pas aux int\u00e9r\u00eats nationaux du pays. Cet accord, qui r\u00e9girait plus d’un milliard de dollars de financement am\u00e9ricain au cours des …<\/p>\n","protected":false},"author":45,"featured_media":379015,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[189118,47,197],"tags":[203244,3508],"class_list":["post-379013","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-a-la-une","category-afrique","category-politique","tag-fonds-americains-pour-la-sante","tag-zambie"],"yoast_head":"\nUn autre pays africain refuse les fonds de sant\u00e9 am\u00e9ricains assortis de conditions<\/title>\n<meta name=\"description\" content=\"Un autre pays africain refuse les fonds de sant\u00e9 am\u00e9ricains assortis de conditions\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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