Fewer and fewer women have regular gynecological follow-up. In five years, a decrease of 17% of the gynecological consultations was noted by the CPAM of Moselle. The latter are however essential to the good health of women, both physical and sexual. Far from being limited to screening for possible cancers, these medical appointments make it possible to identify and treat numerous pathologies, from endometriosis to sexually transmitted diseases.
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A campaign to inform women
Faced with this public health problem, the Moselle CPAM is launching a communication campaign. The message ? Midwives, too, are authorized to carry out gynecological follow-up, as are doctors and gynecologists. To inform women, a poster campaign on the Metz and Sarreguemin bus networks will be launched. Added to a digital campaign on social networks. The CPAM also targets privileged reception areas for women, such as hairdressing salons and beauty care institutes.
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strong inequality of access to healthcare
Because if the number of consultations is decreasing, it is because it is more and more complicated for women to have access to a gynecologist. From 78 practicing doctors in Moselle in 2013, we have grown to 61 in 2021. Of the twenty-three public inter-municipal cooperation establishments (EPCI) in Moselle, thirteen have no gynecologist. And 75% of them are located in Metz, Thionville, Forbach and Sarreguemines. This creates a strong inequality of access to care, especially for people who are not mobile.
It is also the lack of information: few know that a midwife can take over. Their number, unlike gynecologists, continues to increase. With another major advantage: they cover the territory much better. They are present in twenty-one of the twenty-three EPCIs, with strong roots in the sectors of Bouzonville, Sierck-les-Bains and in the south of Metz.
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