%0 Journal Article
%T De Koloci ¨¤ la dr¨¦panocytose. From Koloci to Sickle-cell disease.Knowledge and social treatment of a hereditary disease in times of globalization
%A Agn¨¨s Lain¨¦
%A Dapa Diallo
%A Bakary Traor¨¦
%J Anthropologie & Sant¨¦ : Revue Internationale Francophone d'Anthropologie de la Sant¨¦
%D 2012
%I Association Amades
%R 10.4000/anthropologiesante.884
%X La dr¨¦panocytose affecte 1 ¨¤ 3 % des nouveau-n¨¦s en Afrique subsaharienne. Les situations ¨¦pid¨¦miologiques et anthropologiques, les politiques de sant¨¦ in¨¦gales d¡¯une r¨¦gion ¨¤ l¡¯autre depuis plusieurs d¨¦cennies, font entrevoir l¡¯int¨¦r¨ºt d¡¯¨¦tudes situ¨¦es et historicis¨¦es. Dans le contexte de la mise en place d¡¯un centre de recherche et de lutte contre la dr¨¦panocytose ¨¤ Bamako, nous avons ¨¦tudi¨¦ en 2007-2008 les interrelations entre les savoirs et le traitement social de cette pathologie, en milieu rural d¡¯une part, urbain d¡¯autre part. Cette recherche, r¨¦alis¨¦e par entretiens aupr¨¨s de personnes atteintes, de parents d¡¯enfants atteints, de tradith¨¦rapeutes, de personnels biom¨¦dicaux et associatifs, r¨¦v¨¨le l¡¯impact des transformations des savoirs sur le v¨¦cu social de la maladie et l¡¯impact de la mondialisation ¨¦conomique et sanitaire sur les trajectoires familiales. Elle plaide pour la prise en compte des contextes sociaux dans les orientations de sant¨¦ publique et les actions de communication. Sickle-cell disease affects 1-3% of newborns in sub-Saharan Africa. The epidemiological and anthropological situations as well as the unequal health policies from one country to another prove the interest for located historicized studies. In the context of the establishment of a national health center dedicated to sickle cell disease, the interrelationships between the knowledge and the social treatment of the disease were studied both in rural and urban contexts in 2007-2008. This study was conducted by means of interviews with affected individuals, parents of affected children, traditional practitioners, biomedical doctors and members of patient associations. This research emphasizes the impact of changes in knowledge on the social lives of patients, the impact of economic globalization and of the globalization of health practices on family trajectories. It calls for the consideration of social contexts in public health policy and communication activities.
%K Africa
%K Mali
%K sickle-cell disease (SCD)
%K chronic diseases
%K globalization
%K Afrique
%K Mali
%K dr¨¦panocytose
%K maladies chroniques
%K mondialisation
%U http://anthropologiesante.revues.org/884