Social: A report takes stock of the situation of vulnerable families, children and the elderly in the DROMs

It goes without saying that great diversity characterizes the situation in the overseas territories. However, they have points in common regarding their difference with France. HCFEA points out in particular that ” the socio-economic characteristics of the population of these five territories are clearly more unfavorable than those on the French mainland, whether in terms of income, monetary poverty, employment, level of education, health and, more generally, all living conditions; “. Moreover, ” the proportion of single parents is much higher than on the French mainland, regardless of territory ; Single parenting is often a way of making family like any other, and not a transient situation “.

The 122-page report analyzes the special conditions of the regions in detail. Demographically, HCFEA notices that Martinique and Guadeloupe are experiencing a decline and a sharp exodus of young people. These two islands is now among the oldest areas in France «, He states. Vise versa Guyana and Mayotte demonstrate a ” unusual demographic dynamics »characterized by high fertility associated with significant immigration of young people, making these territories the youngest wards in France. As for Reunion, it is in an intermediate position with still dynamic fertility, but also an aging population due to negative net migration.

As for childhood, The Haut Conseil de la famille regrets that many children under the age of six in Guyana and Mayotte do not have access to school or basic health care. ” These include the absence of nearby services, specific transport difficulties and the lack of enrollment in school of certain children of foreign parents or unaccompanied minors “. Due to the lack of suitable structures such as maternity and child welfare centers or school medicine, a number of pathologies, including mental health, are also developing.” Infant mortality is very high, teenage pregnancies more frequent and follow-up of pregnancies inadequate writes HCFEA.

Policies to support the autonomy of the elderly in Drom is also in doubt in the report. They are characterized by a de facto housing situation because the proportion of vulnerable elderly people in institutions is low. Dealing with the loss of autonomy is heavy, warns HCFEA: ” Given demographic change, it will be difficult to maintain: compared to 2018, government APA spending (personal self-government supplement, editor’s note) by 2040 should be 208% higher in Martinique, 243% in Guadeloupe and 246% in Reunion (168% in metropolitan areas) “.

Following the results, the high council of the family made several suggestions. First, he recommends of launch a massive and sustainable investment plan in education, training, economic development and housing »And Droms. More specifically, the institution recommends paying the same family benefits to families, no matter what area they live in. She clarifies that ” the family allowance paid in Drom should be intended for large modest families and adapted to that in force on the French mainland; With regard to Mayotte, the HCFEA calls for a precise timetable for the convergence of family benefits with France and the other Droms, and more generally for the inclusion of the archipelago into general legislation.

In the field of education and health, in particular in Guyana and Mayotte, the report is in favor of establishing programs to combat schooling for the most insecure children and dropouts of young girls, increasing the risk of early pregnancy “. It also proposes support measures for teams for the prevention and monitoring of children’s health (PMI, perinatal care, school health) and the sustainability of locally trained workers. In addition, HCFEA insists on the need to”. strengthen the processing of health and school data for children in these two territories “.


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