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Strengthening healthcare delivery for communities in French Guiana
AFD is working to strengthen social cohesion and increase access to healthcare in this French Department, which has a particularly low level of healthcare coverage. It is doing so by promoting initiatives in the health and individual services sector, where the private sector plays a key role that is complementary to public service delivery.
French Guiana has significant needs for healthcare personnel and lacks equipment, particularly for persons with reduced mobility. This stems from the size of the Department (83,534 km², i.e. the size of Portugal), its strong demographic growth (+3.9% a year) and the lack of attractiveness of some areas in the region.
AFD is working to meet the growing needs of the region by promoting investments in the health sector that range from supporting public establishments in their investments (infrastructure and equipment) to financial support to entrepreneurs for their projects for individual services.
Guarantees from the DOM Fund (French Overseas Communities Fund) offered by AFD give entrepreneurs easier access to bank loans to finance their investments and develop their services for communities in French Guiana. Since it was set up in 1999, the French Guiana DOM Fund has supported the implementation of 610 business operations (start-ups, development and transfers) in French Guiana in all sectors.
Examples from the field
Helping a home hospitalization service company consolidate and develop its activity
French Guiana uses home hospitalization more than any other French region. AFD is contributing to financing works and equipment acquisitions that will allow this company to provide quality services and thus participate in improving healthcare coverage needs in the Department.
Consult the project brief
.
Supporting the transfer of a pharmacy to ensure continued service provision in remote municipalities
AFD’s support is helping the only pharmacy in the municipality of Apatou on the River Maroni to continue and develop its activity. The implementation of this project is helping to improve the social well-being of local communities and is making a positive contribution to opening up remote municipalities in French Guiana.
Consult the project brief.
Supporting the development of a transport company for persons with reduced mobility in order to meet a growing demand for services
AFD is supporting investments to acquire new vehicles made by an SME transport company for persons with reduced mobility. This project aims to allow the company to meet growing demand and to respond to the bid invitations of public authorities. It specifically helps all children go to school, whatever their disability, and reduces the isolation and day-to-day challenges of dependents.
Consult the project brieft.
Concrete results in sustainable coral reef management
The final report of the 2011 capitalization on the program for the protection and sustainable management of coral reefs in the Pacific (CRISP) has been published. This review reports on the impressive number of extremely concrete results in the field, the headway that has been made in the economic development of reef resources and in enhancing scientific knowledge.
What is CRISP?
The initiative for the protection and sustainable management of coral reefs in the Pacific (CRISP), led by France and prepared by AFD since 2002, aimed to develop a vision for the future of these unique environments and for the communities who are dependent on them.
The objective of the program was to define and implement strategies and projects to preserve the biodiversity of coral reefs and develop the economic and environmental services that they provide both locally and worldwide.
The CRISP program was designed to be a catalyst for the integration of Pacific States and the French Overseas Communities.
Since it was implemented in 2005, this ambitious program has relied on two regional organizations: the Secretariat of the Pacific Community (SPC) and the Pacific Regional Environment Program (PREP). They have played a decisive role in involving Oceania countries and communities in the success of this initiative.
What are the results after six years of operation ?
After six years of implementation, the time has come to look at the results. This is the main objective of this capitalization report, which is both descriptive and forward-looking. It sets out to present the main results on which to build the development of Oceania communities and the preservation of natural resources in the Pacific, particularly coral reefs and the associated environments.
Marine protected areas, aquarium industries supported
The report presents an impressive number of extremely concrete results in the field. They include the creation of around fifty marine protected areas in 11 countries, covering an area of over 400,000 km2, the development of industries for fish and shellfish post-larvae culture in order to make the profitable aquarium market sustainable, training for hundreds of technicians, students and doctoral candidates and the dissemination of technical, scientific, economic and legal knowledge related to coral reefs, notably through the CRISP website ( www.crisponline.net ).
It also presents the progress achieved in the economic development of reef resources and in enhancing scientific knowledge about these rich and complex environments. Over 200 technical reports are now available to reflect all this progress.
80 projects in 17 countries
CRISP is financed by AFD and the French Global Environment Facility (French GEF) – €5m and €2m respectively – and has had a substantial multiplier effect by mobilizing additional resources from a large number of contributors. It has consequently financed some 80 projects in 17 Pacific countries and involved around forty partners for a total amount in the region of €15m.
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Renforcer la coopération économique entre les pays de l’océan Indien
L’AFD et la Commission de l’océan Indien (COI) ont signé, le 13 décembre 2011, une convention de financement de 200 000 euros qui servira à alimenter un fonds d’études et à dynamiser la coopération économique et commerciale entre les pays membres de la COI. Cette convention marque une nouvelle étape de la coopération entre la COI et l’AFD.
Ce fonds d’étude va permettre d’identifier les leviers de l’intégration régionale et d’approfondir, à travers une ou deux études, certains volets sectoriels de la coopération régionale ciblés par le Comité de pilotage sur l’espace économique et commercial (CPEEC), récemment mis en place par la COI.
La sécurité alimentaire, l’autonomie énergétique, la gestion des flux (personnes, fret…), l’environnement (déchets, eau), l’aménagement du territoire et la construction, le tourisme, la valorisation de la biodiversité marine ou encore les technologies de l’information et de la communication figurent parmi les thématiques prioritaires d’études possibles. L’objectif de l’AFD est de choisir des sujets sur lesquels il est possible d’obtenir très vite des réalisations concrètes.
Une nouvelle étape de la coopération entre la COI et l’AFD
L’AFD intervenait à travers ses différents projets, sur la préservation des biens publics mondiaux (lutte contre les pandémies, changement climatique, biodiversité). L’accent mis sur le renforcement de la coopération économique et commerciale répond aux demandes des pays membres de la COI, exprimées lors du dernier Conseil des Ministres (6 octobre 2011), et aux attentes du secteur privé. L’AFD compte d’ailleurs accorder 1,5 millions d’euros de subventions en 2012 pour animer davantage le dialogue entre la COI et le secteur privé et en faire un moteur de l’intégration régionale.
Pour mémoire, ces quatre dernières années, la France a accordé 12 millions d’euros à la COI, à travers son dispositif d’aide déployé par l’AFD, le Ministère des Affaires étrangères et européennes, le FFEM et les collectivités locales réunionnaises.
La France est aujourd’hui le deuxième partenaire financier de la COI, après l’Union Européenne.
“The French Overseas Communities, a major area for AFD operations.” An interview with Pascal Pacaut, Director of AFD’s French Overseas Communities Department.
The definition of AFD’s latest Strategic Orientation Plan provided the opportunity to reiterate its commitment to participate in the economic and social development of the French Overseas Communities. This involves scaling up financing and advisory support to local/regional authorities, the private sector and the social housing sector. AFD can also contribute to integrating these overseas economies into their regions via its agencies in neighboring countries.
Support for local authorities
AFD focuses its support for local authorities on financing investments in the environment sector (climate change and energy, biodiversity, water and sanitation and waste treatment) and in the social cohesion sector (health, medical/social and education).
The financing is combined with advisory support for the definition of public policies, sectoral strategies and project contracting.
Finally, it will be pursuing activities to support and prevent difficulties in the financial restructuring of local authorities.
Promote SME and VSE development
Proparco will be scaling up its equity investment activity in the private sector in order to promote the development of SMEs and VSEs in the French Overseas Communities.
AFD will be using its entire range of financial tools and will be helping to structure economic sectors.
Housing plan
In the housing sector, we will be proposing a housing and urban development plan that will integrate the sector’s economic role through the activities created, particularly for companies in the building industry, the social role in response to a need for housing and the seismic constraints that are specific to the West Indies.
Enhanced regional integration
Finally, we will be encouraging the integration of local economies into their regional environment while using our resources to promote French influence.
These activities will be complemented by conducting studies and economic analyses in order to deepen knowledge of the French Overseas Communities and to contribute to the definition of the local policies of the State or the communities.
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Key Figures
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