Question 10761 — women

Summary

Mr. Guillaume Gouffier-Cha questions the Minister of Solidarity and Health on the sustainability of the financing of the Maison des femmes de Saint-Denis, a pioneering structure in the care of women victims of violence. The May 2017 IGAS report devoted to “Hospital care for women victims of violence” considers this subject as a priority issue, but still too little identified. There are several field initiatives often unknown, adapted to the reality of the needs identified in the territory by professionals. According to the rapporteurs, a single duplicatable model is therefore not possible. The Maison des femmes de Saint-Denis is a place of support which offers a care pathway for women victims of violence (domestic and sexual violence, forced marriages, excision). This place, led by Dr. Ghada Hatem-Gantzer, offers physical reconstruction and psychological, social and legal support in a unique and warm place, thanks to a multidisciplinary team made up of doctors, midwives, psychologists, nurses, marital counselors, lawyers, jurists, police officers, osteopaths. From the request for contraception through abortion, care around excision, rape to physical or psychological violence, in the family, marital or other context, the teams of the Maison des femmes offer the most appropriate and up-to-date care to women who are often in vulnerable and very precarious situations. A large network of partners and various associative offices make it possible to guide patients according to their needs, while prioritizing the coordination of their journeys. The Saint-Denis Women's House is, according to IGAS, an innovative care project multidisciplinary which must find the financial conditions for its sustainability. Indeed, to date, the financial arrangement of the Maison des femmes de Saint-Denis is particularly complex and has not been stabilized. In 2016, the Ministry of Health granted annual funding of 160,000 euros over two years, of an exceptional nature. In 2018, the operation of the Maison des femmes de Saint-Denis depends heavily on non-hospital funds, whether from local authorities or private foundations. The family planning unit is financed by the departmental council. The female genital mutilation unit is partly supported by the hospital for the salaries of the gynecologists who work there and by an endowment from a foundation of a large pharmaceutical group. The violence unit is also almost entirely funded by corporate foundations. But the Mobilization of operating revenues from partners outside the hospital is part of a short-term framework, not making it possible to sustain the structure. Furthermore, activity revenues are not likely to compensate for the funds allocated by private partners to date. The IGAS report recommends organizing support for violence against women with the ARS in order to ensure an increase in power of hospital systems and good coordination with extra-hospital systems. He also proposes to maintain a hospitable character to the financing of the core missions, without excluding mobilizing, if necessary, possible private financing in order to enrich the project. He asks her what measures she intends to take to sustain the financing of this unanimously praised structure which has proven itself in the past. daily.

Machine translation from French. The official text remains authoritative.

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