**Part 3**

**African Perspective** 

156 Post Traumatic Stress Disorders in a Global Context

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**8** 

*Côte d'Ivoire* 

**War in Côte d'Ivoire and Management of** 

**Child's Post Traumatic Stress Disorders** 

A. C. Bissouma1, M. Anoumatacky A.P.N2 and M. D. Te Bonle3

*2Psychiatric Hospital of Bingerville and National Mental Health Programme,* 

For two decades, Cote d'Ivoire has gone through a number of crises that undermined the Ivoirian national cohesion. In September 2002, almost two years after the 1999 putsch and the stabilization of the social, military and political situation, with a president and a Government recognized by all and sundry, as everybody looked forward to leading a normal life, the suddenness of the war, which broke out in the night of 18th -19th, shook the foundation of the nation. Côte d'Ivoire was under attack, towns were besieged, populations were running up and down for dear lives…The death toll, the mass displacement of people both internally and externally, the medico-psychological trauma brought about by this situation provoked a real trauma among the populations with its consequences in terms of social disorganization. The country was divided into three zones: the governmental zone, the trusted held by the French forces *"Licorne"* and the U.N forces "*ONUCI"*, and another zone called CNW

In December 2002, the conflict initially intensified in the western region, in the *Moyen Cavally* region, especially on the *Guiglo-Toulepleu* road where people witnessed the birth of the phenomenon of child soldiers. The conflict was deadly there and the fight lasted 3 years

Psychiatrists were put in place. Unfortunately, the socio-psycho-medical interventions, which started in 2002, have not been supported by a formal organization to ensure sustainability. Our objective is twofold: to describe on the one hand a unique experience in Côte d'Ivoire, that of a field care of child soldiers by an Ivoirian psychiatrist and on the other hand,

What is the context of psycho trauma in Côte d'Ivoire? It is rather difficult to trace back the

Although the country had previously passed through a number of situations and catastrophes with a number of traumatic experiences, no significant interventions to

improve people's mental health in situations of mass trauma had been instituted.

in that region. From 2006 to 2008, these child soldiers were attended to.

analyze the intervention in order to better prepare for future interventions.

**1. Introduction** 

**2. Background** 

first actions on psycho trauma.

(Central, North and West) held by the rebels.

*1Child Guidance Center-National Institute of Public Health and* 

*3Child Guidance Center-National Institute of Public Health,* 

*National Mental Health Programme Côte d'Ivoire,* 
