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Renforcer la gestion des finances publiques pour une meilleure santé en Afrique : éléments clés pour les décideurs

6/18/2019

38 Commentaires

 
Hélène Barroy

En septembre 2018, l’Organisation Mondiale de la Santé et la Banque Africaine de Développement organisaient une conférence sur la Gestion des Finances Publiques (GFP) en santé à Nairobi, regroupant des représentants santé et finance de 50 pays africains. Les pays se sont accordés sur l’importance de la GFP pour la couverture santé universelle (CSU). Six mois après, nous faisons le point sur l’agenda des réformes, en publiant une synthèse (en anglais, mais avec une traduction en français du résumé), et sollicitons vos avis.
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Progresser vers la CSU implique d’améliorer la manière dont les ressources publiques sont allouées, utilisées et reportées dans le secteur. Les réformes du financement de la santé initiées dans plusieurs pays africains depuis le milieu des années 2000 ont ravivé l’intérêt pour la GFP. En plaçant les fonds publics au cœur de la réponse du financement de la santé, l’évolution vers la CSU a transformé la GFP en une question centrale pour les résultats du secteur. 

Plus de proactivité du secteur de la santé dans les réformes GFP

Longtemps absents du sujet, les ministères de la santé doivent prendre une part plus active dans les réformes de GFP; celles-ci sont en effet nécessaires pour fournir un environnement favorable à la CSU. De notre analyse, il ressort trois domaines d’engagement complémentaires pour les ministères de la santé :
  • Un intérêt et un suivi des réformes générales de GFP (ex : approches budgétaires pluriannuelles qui peuvent améliorer la prévisibilité du financement de la santé) ;
  • Un rôle pro-actif dans l’élaboration et la mise en œuvre de réformes de GFP qui affectent directement la dépense de santé (ex : définition de programmes budgétaires en santé permettant d’aligner les allocations budgétaires avec les priorités du secteur)
  • Une fonction directe d’élaboration d’interventions de GFP spécifiques à la santé (ex : régulation de l’autonomie et de la flexibilité financière des formations sanitaires).

Accélération de la mise en œuvre des réformes de GFP dans la santé
 
Les pays africains sont, pour la plupart, à mi-chemin en matière de GFP. Le temps est venu de consolider leurs systèmes GFP afin de permettre de mieux soutenir les progrès vers la CSU.

Notre analyse montre que l’accélération des réformes suivantes est nécessaire :
  • Formulation budgétaire : les pays doivent accélérer l’institutionnalisation des budgets-programmes en santé qui peuvent permettre de mieux aligner les allocations budgétaires avec les priorités du secteur, de fournir plus de flexibilité dans la gestion de la dépense de santé et d’améliorer la redevabilité en mesurant l’utilisation des ressources au regard de l’atteinte des résultats. Dans ce processus, l’élaboration des programmes budgétaires est une tâche ardue, méritant toute l’attention des ministères de la santé ; leur mise en œuvre ne sera efficace que si la gestion des dépenses n’est plus guidée par une logique de contrôle par intrants et si un cadre de redevabilité par résultats est mis en place.  
  • Exécution budgétaire : l’exécution budgétaire en santé est déficiente dans plusieurs pays. Les pays doivent identifier les causes de l’exécution défaillante (ex : fonds mal priorisés, pas déboursés à temps, non flexibles, sous-utilisés, gâchés) afin de prioriser l’introduction de mesures correctives appropriées. Nous proposons, dans le rapport, un cadre d’analyse pouvant guider l’identification des causes principales d’une mauvaise exécution budgétaire en santé, avec un focus sur la sous-exécution. 
  • Reporting budgétaire : les systèmes de reporting budgétaire restent fragmentés en santé et ne sont pas orientés vers le suivi des résultats, malgré les efforts de réformes récents. Les pays doivent mettre en place un nouveau contrat de redevabilité, permettant de consolider le suivi de la performance financière et opérationnelle en un cadre unique. C’est une obligation technique - pour le suivi de la performance, mais également citoyenne. En consolidant le niveau de dépenses par résultat obtenu, le cadre de suivi du budget programme offre cette opportunité ; il faut la saisir.
 
Révision du focus et des processus de réformes GFP dans le secteur de la santé
​

Le secteur de la santé a bénéficié d’avancées indéniables en termes de renforcement des systèmes de GFP (tout secteur confondu) grâce à deux décennies de soutien international. Il est temps maintenant de compléter et ajuster certains aspects de ces réformes importantes en introduisant des interventions spécifiques au secteur, nécessaires pour accélérer l’agenda de réformes GFP en santé.

Le focus et les processus des réformes GFP pourraient être revus afin de mieux répondre aux défis du secteur de la santé. Considérant les difficultés pour mettre en œuvre les réformes GFP en santé, notre analyse met en lumière l’importance d’avoir :
  • Plus de considération des blocages GFP en santé : il est essentiel d'examiner les goulots d’étranglement contraignant l'accès aux fonds publics, leur utilisation et le rapportage les concernant d’un point de vue du secteur de la santé ;
  • Une plus grande appréciation des besoins en autonomie et en flexibilité dans la gestion financière au niveau des formations sanitaires : il est important de définir un juste équilibre entre les nécessaires contrôles de dépense et le besoin de flexibilité dans l’utilisation des fonds selon l’évolution des besoins (ex : changement dans la prévalence d’une maladie, intégration de nouveaux traitements ou interventions dans le paquet de soins, réponse rapide aux épidémies locales)
  • Une coordination plus efficace et plus de cohérence entre les réformes GFP et les autres réformes affectant la dépense de santé du haut en vas (ex : réforme de l’achat de services, politique de décentralisation).

Conclusion
 
En conclusion, j’aimerais souligner le besoin de développer les capacités techniques de la région dans ce domaine. La région a besoin de professionnels pouvant travailler à l’intersection entre la GFP et les politiques de santé, comprenant les perspectives de ces deux communautés d'expertise et pouvant construire des passerelles durables entre les deux. C’est une nouvelle génération de praticiens qui doit se former: elle combinera des compétences en économie, gestion des finances publiques, politiques publiques et système de santé. Nous avons besoin de vous pour avancer et supporter la mise en œuvre de cette agenda capital.

Le rapport "Leveraging public financial management for better health in Africa: key bottlenecks and opportunities for reform" est accessible ici. Le résumé exécutif est disponible en français.
38 Commentaires
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2/14/2023 10:28:11 am


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6/11/2023 01:15:27 am

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2/9/2024 05:31:36 pm

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cindy byrd
3/17/2024 10:16:21 am


My life become more beautiful since i contacted this real spell caster Dr Excellent for help" I was heart broken when my husband left me and moved to California to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr.Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, I will advice anyone that have relationship problem or marriage problem, financial Difficulty, court case problem to contact Dr Excellent now for help, Here his contact. WhatsApp him at: +2348084273514 "Or email him at: [email protected] , His website:https://drexcellentspellcaster.godaddysites.com

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Niki nicole
4/14/2024 10:13:42 am

EFFECTIVE AND POWERFUL SPELL CASTER ONLINE... This has really worked and I am proud to testify of it. I saw a post on how a lady got her man back by Dr. Happy . My Husband and I have been separated for 3 years and some months. Although I never believed in spiritual work I reluctantly tried him because I was desperate and his spell worked perfectly. My man is back and now my relationship is now perfect just as Dr. Happy promised me when I contacted him for help . Getting your ex back permanently does not only bring back someone you love back, but it will also re-ignite your lover’s feelings for you to be as happy with that person as possible. My man now treats me like a queen and always says he loves me all the time. If you are going through difficulties in your relationship Email him for urgent help.
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cindy byrd
4/18/2024 10:53:16 am

A friend directed me to Dr. Excellent a powerful spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful and if you have any problem? just tell him your situation and he will help you… Here his contact. WhatsApp him at: +2348084273514 "Or email him at: [email protected] ,His website:https://drexcellentspellcaster.godaddysites.com

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cindy byrd
4/18/2024 12:31:07 pm


Get your Ex-Lover Back By Using Powerful Love Spell. My life become more beautiful since i contacted this real spell caster Dr Excellent for help" I was heart broken when my husband left me and moved to California to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr.Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, Contact Dr Excellent for any kind of spiritual problems or any kind of spell or relationship problems he is capable of making things right for you with no side effect., Here his contact. WhatsApp him at: +2348084273514 "Or email him at: [email protected] , His website:https://drexcellentspellcaster.godaddysites.com

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cindy byrd
4/28/2024 01:44:01 pm


Never too late for you to fix your broken heart.
I'm so excited my broken Marriage has been restored and my ex husband is back after he left me and our two kids for another woman"
I was heart broken when my husband left me and moved to California to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr.Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, Contact Dr Excellent for any kind of spiritual problems or any kind of spell or relationship problems he is capable of making things right for you with no side effect., Here his contact. WhatsApp him at: +2348084273514 "Or email him at: Julie Leach , His website:https://drexcellentspellcaster.godaddysites.com

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cindy byrd
4/28/2024 01:47:46 pm


Never too late for you to fix your broken heart.
I'm so excited my broken Marriage has been restored and my ex husband is back after he left me and our two kids for another woman"
I was heart broken when my husband left me and moved to California to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr.Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, Contact Dr Excellent for any kind of spiritual problems or any kind of spell or relationship problems he is capable of making things right for you with no side effect., Here his contact. WhatsApp him at: +2348084273514 "Or email him at: Julie Leach , His website:https://drexcellentspellcaster.godaddysites.com

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cindy byrd
5/13/2024 12:30:02 pm


Powerful Love Spells That Work Immediately. My Name is Julie Leach and I'm from Tx, UAS. I was heart broken when my husband left me and moved to California to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a Relationship Coach that directed me to Dr. Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, Contact Dr. Excellent for any kind of spiritual problems or any kind of spell or relationship problems he is capable of making things right for you with no side effect., Here his contact. WhatsApp him at: +2348084273514 "Or email him at: [email protected] , His website:https://lovespellonline.godaddysites.com

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Michelle Carlos
5/14/2024 12:10:29 pm

EFFECTIVE AND POWERFUL SPELL CASTER ONLINE... This has really worked and I am proud to testify of it. I saw a post on how a lady got her man back by Dr. Happy . My Husband and I have been separated for 3 years and some months. Although I never believed in spiritual work I reluctantly tried him because I was desperate and his spell worked perfectly. My man is back and now my relationship is now perfect just as Dr. Happy promised me when I contacted him for help . Getting your ex back permanently does not only bring back someone you love back, but it will also re-ignite your lover’s feelings for you to be as happy with that person as possible. My man now treats me like a queen and always says he loves me all the time. If you are going through difficulties in your relationship Email him for urgent help.
Call-WHATSAPP; +234(706) (8494) (711)
Email: [email protected]
His facebook page...https://web.facebook.com/profile.php?id=61552907003445

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melaniecase
5/18/2024 11:59:10 pm

I’m so excited my broken hart has been restored my ex lover is back after he left me for another woman. i was so happy to meet Dr. KUTA how he help many people to bring there Lover back so I contacted him to help me too. that was how Dr. KUTA help me to bring my lover back.. A big thank to you Dr. KUTA because I never thought my ex lover will be back to me so quickly with your love spell. You are the best and world greatest. if you are here and you need your Ex Lover back or your lover moved to another woman, do not cry anymore, contact this powerful spell caster now. Here’s his contact: Email him: [email protected] You can also reach him on WhatsApp on +2349150310901

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Michelle Carlos
5/26/2024 04:14:59 pm

Hi Guys I’m so excited to share this testimony on how i got my husband back,
i was heartbroken when my husband told me he is no longer interested in our marriage because he was having an affair with other woman where he work. I cried and sobbed every day, until it got so bad that I reached out to the Internet for help, that was when i read a review about the great work of Dr happy, then i contacted him for help to get my husband back, he helped me cast a powerful (reconciliation love spell) and to my greatest surprise after 24 hours of doing the love spell my husband came back on his knees begging me to forgive him.you can contact him..
WHATSAPP; +234 (706) (8494) (711)
Email him at [email protected]

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SylviMartin
8/23/2024 08:05:48 pm


Get a professional love spell caster online who will cast love spells that work immediately and make your dreams come true.
After working with this real spell caster called Dr. Excellent, I couldn’t believe my eyes. super fast and reliable, thank you so much for saving my broken Marriage with your powerful love spell. I was heart broken when my husband left me and moved to California to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr. Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, Contact Dr. Excellent for any kind of spiritual problems or any kind of relationship problems he is capable of making things right for you. Here his contact. Call/WhatsApp him at: +2348084273514 "Or email him at: [email protected]
,His website:https://lovespellonline.godaddysites.com

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SylviMartin
8/26/2024 08:51:06 am


Get a professional love spell caster online who will cast love spells that work immediately and make your dreams come true.
After working with this real spell caster called Dr. Excellent, I couldn’t believe my eyes. super fast and reliable, thank you so much for saving my broken Marriage with your powerful love spell. I was heart broken when my husband left me and moved to California to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr. Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, Contact Dr. Excellent for any kind of spiritual problems or any kind of relationship problems he is capable of making things right for you. Here his contact. Call/WhatsApp him at: +2348084273514 "Or email him at: [email protected]
,His website:https://lovespellonline.godaddysites.com

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WendyJoel
9/27/2024 10:11:08 am


Honestly no words to describe this real spell caster, My family is totally happy.
I'm Wendy from Australia. After 13 years of marriage my husband was filling for divorce because of his new secretary whom was employed October 2023, this daughter of Jezebel has turned my husband against me and his entire family.. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr. Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, Contact Dr. Excellent for any kind of spiritual problems or any kind of relationship problems he is capable of making things right for you. He’s very professional and I highly recommend him to everyone! Here his contact. Call/WhatsApp him at: +2348084273514 "Or email him at: [email protected] , His website:https://lovespellonline.godaddysites.com

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WendyJoel
9/27/2024 10:13:55 am


Honestly no words to describe this real spell caster, My family is totally happy.
I'm Wendy from Australia. After 13 years of marriage my husband was filling for divorce because of his new secretary whom was employed October 2023, this daughter of Jezebel has turned my husband against me and his entire family.. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr. Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, Contact Dr. Excellent for any kind of spiritual problems or any kind of relationship problems he is capable of making things right for you. He’s very professional and I highly recommend him to everyone! Here his contact. Call/WhatsApp him at: +2348084273514 "Or email him at: [email protected] , His website:https://lovespellonline.godaddysites.com

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Wendy Joel
10/15/2024 01:24:25 am

Everything I’m going to suggest for you is what I’ve seen breathe new life into broken marriages for thousands of women in your distressing situation—and what I did to revitalize my own broken marriage. I was heart broken when my husband left me and moved to California to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr. Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, Contact Dr. Excellent for any kind of spiritual problems or any kind of spell or relationship problems he is capable of making things right for you with no side effect. Here his contact. Call/WhatsApp him at: +2348084273514 "Or email him at: [email protected] , His website:https://lovespellonline.godaddysites.com

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Wendy Joel
11/12/2024 04:11:40 am


Everything I’m going to suggest for you is what I’ve seen breathe new life into broken marriages for thousands of women in your distressing situation—and what I did to revitalize my own broken marriage. I was heart broken when my husband left me and moved to California to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr. Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, Contact Dr. Excellent for any kind of spiritual problems or any kind of spell or relationship problems he is capable of making things right for you with no side effect. Here his contact. Call/WhatsApp him at: +2348084273514 "Or email him at: [email protected] , His website:https://lovespellonline.godaddysites.com

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Wendy Joel
11/12/2024 04:12:17 am


Everything I’m going to suggest for you is what I’ve seen breathe new life into broken marriages for thousands of women in your distressing situation—and what I did to revitalize my own broken marriage. I was heart broken when my husband left me and moved to California to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr. Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, Contact Dr. Excellent for any kind of spiritual problems or any kind of spell or relationship problems he is capable of making things right for you with no side effect. Here his contact. Call/WhatsApp him at: +2348084273514 "Or email him at: [email protected] , His website:https://lovespellonline.godaddysites.com

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Vivian Marcus
11/24/2024 06:45:38 pm

Hello my name is Vivian Marcus from the United State, i'm so exciting writing this article to let people seek for help in any Break up Marriage and Relationship, Dr Kachi brought my Ex Boyfriend back to me, Thank you Sir Kachi for helped so many Relationship situation like mine to be restored, i was in pain until the day my aunt introduce me to Dr Kachi that she got her husband back with powerful love spell with help of Dr Kachi So i sent him an email telling him about my problem how my Boyfriend left me and cheating on me because of her boss lady at work i cry all day and night, but Dr Kachi told me my Boyfriend shall return back to me within 24hrs and to me everything he asked me to do the next day it was all like a dream when he text me and said please forgive me and accept me back exactly what i wanted, i am so happy now as we are back together again. because I never thought my Ex Boyfriend would be back to me so quickly with your spell. You are the best and the world greatest Dr Kachi. if you're having broke up Ex Lover or your husband left you and moved to another woman, You do want to get Pregnant do not feel sad anymore contact: [email protected] his Text Number Call: +1 (209) 893-8075 You can reach him Website: https://drkachispellcaster.wixsite.com/my-site

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moupay martins
11/27/2024 03:30:28 am

I was heartbroken because I had a very small manhood , not nice to satisfy a woman, I had so many relationships cut off because of my situation, I have used so many products which i found online but none could offer me the help I searched for. I saw some comments about this specialist called Dr Moses Buba and decided to email him at [email protected] so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for manhood Enlargement, Within 14days of it, i began to feel the enlargement of my manhood , " and now it just 2 weeks of using his products my manhood is about 9 inches longer and i am so happy, contact DR Moses Buba now via email [email protected] or his WhatsApp number +2349060529305 . contact him through his Facebook page : https://www.facebook.com/profile.php?id=61559577240930 may God reward you for your good work . For more info i can help to explain the medication +44 7375301397

HE ALSO RENDERED THE FOLLOWING ........1. BRING YOUR EX BACK........... 2. LOTTERY SPELL......... 3. PREGNANCY SPELL ..........4. WEAK ERECTION ............5. POOR EJACULATION..........

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Mary luna
12/5/2024 07:51:41 pm

Find a natural alternative method to reverse different diseases and STDs no matter what hospital’s say about these illnesses. I am sharing my healing encounter from genital herpes after using DR UROMI herbs HSV-1&2 diagnosis permanently. A few weeks ago my new lab result shows that I tested negative. I am so happy I gave it a try. Currently, my 65 years old mom is using ” herbs” to eliminate her diabetes and the recovery process is amazing. I am recommending this product for those that are willing to give it a try as these holistic remedies do not have any side effects. It’s also crucial to learn as much as you can about your diagnosis. contact Dr uromi on his WhatsAPP number: +2349157203547 Email [email protected].. Website , http://druromi1.website3.me/

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Jacqueline
12/12/2024 03:13:09 pm

My name is Jacqueline Hedges. I never believed I would be cured by a spell caster who specializes in herbal cure and magical spells. I am talking about the help Doctor Odunga gave to me. I have been cured of herpes HPV which has plagued me for over 2 years. I am very happy to tell others that if you want to be cured or get your ex back spells and get pregnant naturally, there is only one place to be and that is with Dr Odunga Spell Temple. You should contact him now to help you within 24 hours with your problem at his Email: [email protected] and via Whats App his mobile number +2348167159012

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Athony Isak
6/6/2025 09:52:16 am

My heart is so filled with joy. If you are suffering from Erectile dysfunction or any other disease you can contact Dr. Moses Buba on this [email protected] or His website : https://www.facebook.com/profile.php?id=61559577240930 .website page https://bubaherbalmiraclem.wixsite.com/website
. For more information from me reach me via WhatsApp : +44 7375 301397

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Heather Delaney
7/5/2025 08:42:44 am


Are you searching for a real spell caster ?
It is amazing how quickly Dr. Excellent brought my husband back to me.
My name is Heather Delaney. I married the love of my life Riley on 10/02/15 and we now have two beautiful girls Abby & Erin, who are conjoined twins, that were born 07/24/16. My husband left me and moved to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr. Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, contact Dr.Excellent if you are passing through any difficulty in life or having troubles in your marriage or relationship, he is capable of making things right for you. Don't miss out on the opportunity to work with the best spell caster.
Here his contact. Call/WhatsApp him at: +2348084273514 "
Or email him at: [email protected] ,
For more information visit his website:https://drexcellentspellcaster.godaddysites.com

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Heather Delaney
7/9/2025 04:56:26 am


Are you searching for a real spell caster ?
It is amazing how quickly Dr. Excellent brought my husband back to me.
My name is Heather Delaney. I married the love of my life Riley on 10/02/15 and we now have two beautiful girls Abby & Erin, who are conjoined twins, that were born 07/24/16. My husband left me and moved to be with another woman. I felt my life was over and my kids thought they would never see their father again. I tried to be strong just for the kids but I could not control the pains that tormented my heart, my heart was filled with sorrows and pains because I was really in love with my husband. I have tried many options but he did not come back, until i met a friend that directed me to Dr. Excellent a spell caster, who helped me to bring back my husband after 11hours. Me and my husband are living happily together again, This man is powerful, contact Dr.Excellent if you are passing through any difficulty in life or having troubles in your marriage or relationship, he is capable of making things right for you. Don't miss out on the opportunity to work with the best spell caster.
Here his contact. Call/WhatsApp him at: +2348084273514 "
Or email him at: [email protected] ,
For more information visit his website:https://drexcellentspellcaster.godaddysites.com

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sherry morse link
7/11/2025 12:36:12 pm

I am profoundly grateful for your compassionate care and herbal treatment protocol that cured my herpes. Your holistic approach balancing herbs, lifestyle guidance, and emotional support was exactly what I needed. Throughout my treatment you held space for every question and concern, responding with clarity and kindness. Your unwavering belief in natural healing inspired me to believe in myself again. Now, free from outbreaks and anxiety, I feel empowered, confident, and alive. Your dedication to evidence-based herbal care is extraordinary and your commitment to my well-being was palpable. You didn’t just treat symptoms you addressed the root, guided my healing journey and celebrated each milestone with me. Thank you, Dr. Ademise, for restoring my health and hope. You truly are a remarkable healer and a blessing in my life. and to contact below

WEBSITE: drademise.wixsite.com/healinghome

YOUTUBE: Dr. Ademise

EMAIL: [email protected]

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