Sante Publique最新文献

{"title":"Analyse de l’introduction du financement basé sur les résultats et son apport au Burkina Faso.","authors":"Seydou Traoré, Samira Guennif, Léon G Blaise Savadogo","doi":"10.3917/spub.252.0219","DOIUrl":"https://doi.org/10.3917/spub.252.0219","url":null,"abstract":"<p><strong>Introduction: </strong>Results-based financing (RBF) was presented by its advocates as an effective tool for improving Burkina Faso's health care system, and an essential step toward implementing universal health coverage (UHC) in the country. It was initially introduced in 2011, and suspended in 2018.</p><p><strong>Purpose of the study: </strong>Using a conceptual framework built around the triptych of the causes, mechanisms, and outcomes of institutional change, we sought to understand how RBF was introduced in Burkina Faso, and how it contributed to the country's drive to implement UHC.</p><p><strong>Results: </strong>RBF was perceived as an external policy, essentially advocated by the World Bank. It relied on a group of actors operating outside the organizational structure of the Ministry of Health. Its impact on health indicators and the health care system has been mixed, and it has not enabled the country to put itself on a path to implementing UHC. It was not adopted by the key actors in the health care system, which is why it was discontinued without being rolled out at the national level.</p><p><strong>Conclusions: </strong>This study highlights the need to take the local context into account when designing and implementing health care programs.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 2","pages":"219-227"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Usages numériques pour l’exercice physique pendant et après le confinement. Une recherche à méthode mixte.","authors":"Gonzalo Marchant, Bastien Soulé, Natacha Heutte","doi":"10.3917/spub.252.0019","DOIUrl":"https://doi.org/10.3917/spub.252.0019","url":null,"abstract":"<p><strong>Objective: </strong>To determine the reasons for using a digital exercise tool during lockdown, and change in this use after lockdown.</p><p><strong>Methods: </strong>This study followed 196 individuals during and after lockdown. An online questionnaire collected quantitative and qualitative data. The quantitative data included closed-ended questions evaluating factors influencing the use of digital tools for exercising, digital tool usage, physical activity levels, and sitting time. The qualitative data comprised open-ended questions about the reasons for digital tool usage, taking a \"multiple-lives\" perspective by examining continuity, change of tool, discontinuous use, or stopping use.</p><p><strong>Results: </strong>The quantitative data showed that digital tool users were young adults with a high level of education. Half of these individuals used a digital tool for the first time during lockdown. Post-lockdown, about 82% of the participants stopped using digital tools. The perceived usefulness of these tools during the COVID-19 period was a key driver of usage. The qualitative data revealed that the primary reasons for using digital tools during lockdown were the need for expert advice and programs, and a lack of motivation for home-based exercise.</p><p><strong>Conclusions: </strong>The closure of sports facilities during lockdown produced a substantial shift toward the use of digital technologies for maintaining physical activity. However, as the lockdown measures were relaxed, usage of these technologies declined. This underscores the importance of further scrutinizing the quality and effectiveness of these tools, many of which are freely available, in order to ensure their suitability for public health and fitness programs.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 2","pages":"19-30"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficience et productivité des établissements publics hospitaliers en Algérie.","authors":"Ahcene Ouali, Ahcène Zehnati, Martine Audibert","doi":"10.3917/spub.252.0089","DOIUrl":"https://doi.org/10.3917/spub.252.0089","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the technical efficiency and change in productivity of 120 public hospitals (établissements publics hospitaliers, EPH) in Algeria over the period 2011-2020, along with the factors influencing this efficiency.</p><p><strong>Methods: </strong>To measure efficiency scores, we used the output-oriented data envelopment analysis (DEA) method, based on the hypothesis of variable returns to scale. We also used the Malmquist index to assess changes in efficiency and productivity over the years, and the Simar-Wilson model to assess the determinants of efficiency.</p><p><strong>Results: </strong>The average efficiency scores for the study period were 0.788 and 0.710 in the classic DEA and bootstrap DEA models, respectively. Regarding the Malmquist index, we observed a 3% decline in total factor productivity during the study period, but an improvement in technical efficiency of 0.3%. As for the determinants of efficiency, six variables (bed occupancy rate, average length of stay, number of beds per doctor, number of beds per thousand inhabitants, number of doctors per thousand inhabitants, and budget) were significant.</p><p><strong>Conclusion: </strong>The results show an overall improvement in the technical performance of public hospitals during the study period. However, a decline in total factor productivity was observed over the same period, mainly due to technological change.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 2","pages":"89-99"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Élaboration d’un plaidoyer à destination des collectivités territoriales : promouvoir la santé des adultes à mi-vie.","authors":"Dagmar Soleymani, Clarisse Vignollet","doi":"10.3917/spub.hs1.2025.0047","DOIUrl":"https://doi.org/10.3917/spub.hs1.2025.0047","url":null,"abstract":"<p><strong>Introduction: </strong>Promoting the health of adults in mid-life, using a population-based and multifactorial approach, has until recently been poorly covered by public policy, despite the fact that the health indicators for such adults give cause for concern. This period of life also represents an opportunity to initiate changes in behaviour before the onset of disease. Against this backdrop, Santé publique France, together with its Steering and Dialogue Committee, has decided to launch an advocacy approach aimed at stakeholders working in and for the French regions.</p><p><strong>Aim of the study: </strong>To develop an 'advocacy' medium that includes the stages of multi-stakeholder construction required to identify the representations and perceived health problems present in the regions, the role that each stakeholder plays, as well as the health promotion tools and strategies already in place. To achieve this, Santé publique France carried out a qualitative survey of local stakeholders by means of semi-structured interviews and set up stakeholder consultation initiatives.</p><p><strong>Results: </strong>The methodology chosen is aimed at transferring epidemiological data, promoting the key actions arising from the qualitative survey and presenting the essential role played by the stakeholders working in and for the regions. It reflects the complexity of the population-based approach to mid-life adults in a context of multi-level responsibilities, characteristic of public health policies.</p><p><strong>Discussion: </strong>The results underline the legitimacy of Santé publique France's advocacy role in encouraging local stakeholders to work towards improving the health of mid-life adults, particularly the socio-economically disadvantaged.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 HS1","pages":"47-51"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Partenariat territorial et prévention santé chez les enfants : étude de l’action « CPS au cœur du Jura ».","authors":"Maude Noël, Edith Ruefly, Lou Greffet Vitrey","doi":"10.3917/spub.hs1.2025.0105","DOIUrl":"https://doi.org/10.3917/spub.hs1.2025.0105","url":null,"abstract":"<p><p>In a post-health crisis context that has affected children's mental health and well-being, a territorial analysis confirms these observations and highlights concerns about addictive behaviour among young people. Based on this fact, a dynamic partnership between various players has been created in order to build a joint action. The aim of the project is to raise awareness among professionals working in childcare and early childhood structures of the importance of developing psychosocial competencies, so as to influence their development and children's health. This study allows - through intervention analysis - to understand the issues, levers and obstacles to partnership collaboration and the co-construction work carried out by all the players involved. Despite the obstacles encountered, the results demonstrate the added value of this approach and highlight the determining factors in its success.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 HS1","pages":"105-115"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facteurs associés à la non-réalisation d’un entretien prénatal précoce, données de l’Enquête nationale périnatale 2021.","authors":"Marie Viaud, Nathalie Lelong, Camille Le Ray","doi":"10.3917/spub.255.0049","DOIUrl":"10.3917/spub.255.0049","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 3","pages":"49-59"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Connaissances, attitudes et pratiques du matériel d’ostéosynthèse chez les usagers du service de chirurgie au Centre Hospitalier Régional (CHR) de Dédougou (Burkina Faso).","authors":"Abdramane Berthe","doi":"10.3917/spub.251.0225","DOIUrl":"https://doi.org/10.3917/spub.251.0225","url":null,"abstract":"<p><strong>Introduction: </strong>Osteosynthesis materials (OSM) are raising concerns among patients and medical staff, influencing attitudes and practices related to their use. Research in sociology and anthropology on these materials is limited, justifying a study of the knowledge, attitudes, and practices (KAP) of users of the surgical department at the Regional Hospital Center (CHR) of Dédougou (Burkina Faso).</p><p><strong>Methods: </strong>This is a descriptive cross-sectional mixed-methods study. A sample of 310 users was selected for the administration of a digital questionnaire. Semi-structured interviews with 51 individuals explored detailed perceptions and experiences concerning osteosynthesis materials (OSM). The data were analyzed using QDA Miner, with strict adherence to ethical principles.</p><p><strong>Results: </strong>The majority of users (63%) had heard of OSM, mainly from informal sources, but only 53% understood its advantages and disadvantages. Attitudes were predominantly positive, with 82% willing to use OSM if necessary, although 18% expressed reluctance due to high costs and cultural prejudices. Nearly 29% of users had experienced a fracture, with 50% having been offered OSM. Effective communication between caregivers and patients is crucial to improving the understanding and acceptance of OSM.</p><p><strong>Conclusion: </strong>The study highlights the need to strengthen communication and education strategies for better understanding of OSM. Efforts should include policies to make OSM financially accessible, integrate cultural concerns into care planning, and improve the training of healthcare professionals.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"225-237"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manifestations cutanées de la trypanosomiase humaine africaine gambiense (THA).","authors":"Ansoumane Kourouma, Mamadou Camara, Mariama Layba Camara, Mamadou Baïlo Diallo, Omar Camara, Moïse Kagbadouno, Bruno Bucheton","doi":"10.3917/spub.251.0173","DOIUrl":"https://doi.org/10.3917/spub.251.0173","url":null,"abstract":"<p><strong>Introduction: </strong>Cutaneous manifestations of HAT are common and often go unrecognized by healthcare providers. The objective of this research was to describe the epidemiological, therapeutic, and progressive aspects of the cutaneous manifestations of HAT.</p><p><strong>Patients and methods: </strong>This is an ambispective, descriptive, and analytical study of HAT patients presentingcutaneous manifestations, treated and monitored at the center from 01/01/2018 to 12/31/2023. The variables analyzed were epidemiological, clinical, paraclinical, therapeutic, and progressive.</p><p><strong>Results: </strong>The prevalence of cutaneous signs was 67.9%, and the most represented data were: the age group ≥ 20 years (74.4%) with a sex ratio of 1.31; activities with lower risk of HAT (58.4%), passive patients (55.2%); patients in phase II (99.2%), pruritus (100%) of severe intensity (50%), scratching lesions (78.4%) localized on the thorax (82.6%), upper (75 .5%) and lower (54.1%) limbs, and abdomen (50.9%); therapeutic abstinence (82.4%), and the association of other dermatological diseases (23.2%). The average evolution of skin signs was six months, and on average after two months 96.7% of the patients monitored were completely cured. The factors significantly associated with scratching lesions in multivariate analysis were thoracic location (p: 0.0006), age group from 0 to 19 years (p: 0.03), activities with a higher risk of HAT (p: 0.03), and leukorachia ≥100cel/μl (p: 0.01).</p><p><strong>Conclusion: </strong>Scraping lesions on the thorax are highly indicative of HAT.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"173-181"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Doubles Perspectives : analyse des interventions des assistants sociaux auprès des femmes victimes de violence conjugale.","authors":"Laila Mrabti, Zouhair Belamfedel Alaoui","doi":"10.3917/spub.251.0141","DOIUrl":"https://doi.org/10.3917/spub.251.0141","url":null,"abstract":"<p><strong>Objective: </strong>This study assesses the effectiveness of psychosocial interventions by social workers in the Integrated Units for the Care of Women and Children Victims of Violence (UIPFEVV) in Morocco by examining their impact, as well as the organizational structures and operational processes involved. It also explores institutional and social power dynamics, as well as cultural influences affecting service delivery to better understand the mechanisms of response to domestic violence.</p><p><strong>Methods: </strong>A qualitative exploratory approach was adopted, including semi-structured interviews with 13 social workers and 10 victims of domestic violence in the Fès-Meknès region. Data were analyzed using inductive thematic analysis, employing the Donabedian Model to evaluate the quality of care and feminist critical theory to examine the institutional and cultural structures of care.</p><p><strong>Results: </strong>The study identifies five main themes regarding social workers' interventions: improving reception and confidentiality, empathy and interview techniques, balancing administrative and emotional support, challenges in orientation and referral, and gaps in post-intervention follow-up. The results show efforts to create a safe and empathetic environment, but also highlight challenges related to resource allocation, personalized support adaptation, and maintaining a continuous relationship with the victims. The Donabedian Model helped identify strengths and weaknesses in structures and processes, while feminist critical theory revealed systemic imbalances affecting the quality of services.</p><p><strong>Conclusions: </strong>The study emphasizes the need to adapt interventions to the cultural and personal contexts of victims to enhance service effectiveness. It recommends enhanced professional training, better resource allocation, and the implementation of rigorous follow-up protocols to adequately meet the needs of women victims of domestic violence. These adjustments are essential to ensure continuous and effective support, thus facilitating recovery and well-being for victims, while taking into account the institutional and power dynamics influencing these interventions.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"141-150"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recrutement actif de seniors socio-économiquement défavorisés pour des ateliers de prévention : la procédure INVITE.","authors":"Clélia M Bianchi, Aurélie Bocquier, Chloé Cogordan, Hélène Tréhard, Mélissa Badiou, Dolorès Nadal, Julie Dessirier, Guillaume Briclot, Christelle Trotta, Christophe Dubois, Pierre Verger, Nicole Darmon","doi":"10.3917/spub.251.0089","DOIUrl":"https://doi.org/10.3917/spub.251.0089","url":null,"abstract":"<p><strong>Introduction: </strong>The risk of aging in poor health is greater among disadvantaged people, but they benefit less from health prevention actions focused on diet and physical activity.</p><p><strong>Purpose of the study: </strong>The INVITE research-action aims to [1] develop an active recruitment procedure to encourage older adults identified as disadvantaged to attend diet and physical activity prevention workshops in the French region Provence-Alpes Côte d'Azur (PACA), [2] evaluate the feasibility and acceptability of this procedure, and [3] measure the effective participation in the workshops of the identified older adults.</p><p><strong>Results: </strong>The INVITE procedure was co-developed by researchers, social workers, and older adults. It includes six steps: identification, invitation letter, telephone contact, home visit, phone call confirmation, and welcome session during the workshop. A pre-test phase made it possible to identify the barriers facing older adults and their motivations at each step, and thus to improve the procedure. The evaluation phase of the effective participation showed that, for 9 workshops, 47 home visits were carried out and 11 older adults participated in the workshops.</p><p><strong>Conclusion: </strong>The INVITE procedure is well received and makes it possible to reach out to disadvantaged older adults and bring them to prevention workshops. Since the prevention workshops promote social diversity, this procedure could be an effective lever to avoid widening social inequalities in health. A larger-scale deployment would help to better characterize participants' sociodemographic profiles and to evaluate costs.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"89-99"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}