“There is an urgent need to act.
This is how the Seine-Saint-Denis Health Insurance explains the organization, this Tuesday, of its second day dedicated to women's health.
It took place in the CPAM examination center in Bobigny, where information and prevention stands had been set up.
More than 200 people attended.
“We know that women take less care of their health, depending on the mental load and the degree of precariousness.
This is particularly true in Seine-Saint-Denis where there are more precarious jobs, more single-parent families, more children per woman”, lists the director of risk management at CPAM 93, Marie Lafage, supporting figures.
Thus in the department, the use of organized and free screening for breast cancer (every two years, between 50 and 74 years old) and cervical cancer (every three years, between 25 and 65 years old) is lower. than elsewhere: 49.3% for breast cancer (55% in France) and 43% for cancer of the cervix (56.5% in France), according to the latest data from Health Insurance.
Among the stands, a large space has therefore been reserved for information on this theme.
“The questions that I am asked relate to access to screening, on the methods, on the deadlines, explains Hélène Pellissier, of the Regional Cancer Screening Coordination Center (CRCDC).
I explain in a very practical way and I play down things.
His goal: that each person leaves with their care.
It can be carried out on site or an appointment is made for the insured.
This is the case of Shazia, 52, who came from Montfermeil with her French course association.
“I was able to test my blood sugar level, they explained to me how to brush my teeth properly and I have an appointment for a mammogram at the end of March, she explains in English.
There is some very good health information here.
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“We are raising reluctance”
Brenthele Ragupalan, nurse, praises the simplified exchanges with patients: “A young woman of 30, with risky behavior, wanted to take stock of sexually transmitted infections.
She is obese so we also discussed the issues of diabetes and cholesterol.
She had not seen a doctor since 2017. My door was open, she entered, explains the health professional.
To each, I offer a health check and complete analyses.
They're off right away.
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For this day, the town halls widely relayed the information and some provided minibuses to take the patients.
Particular attention was paid to women without a declared attending physician or benefiting from supplementary solidarity health insurance (formerly CMU).
2,000 residents were contacted by mail and then followed up by telephone, particularly on the issue of screening.
“This makes it possible to switch to a higher rate of recourse to screening, explains Marie Lafage.
On the phone, women will ask questions: where to go?
Does it hurt ?
We lift reluctance, brakes.
A practice of “going towards” amplified since the health crisis.
And the stated objective of the CPAM is now "to offer women's health days outside the walls, in partnership with volunteer municipalities", continues the director of risk management.
