Valery Ridde
Biographic Data
| ID | 390549 |
|---|---|
| NAME | Valery Ridde |
| GIVEN NAMES | Valery |
| FAMILY NAME | Ridde |
| SIGNATURE | RIDDE V |
| AFFILIATIONS | Inserm |
| ORCID | 0000-0001-9299-8266 |
| VERIFIED | Yes |
| TOTAL WORKS | 202 |
| TOTAL CITATIONS | 227 |
| AUTHOR COUNT | 202 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 8 |
Added value of routine pulse oximetry use within Integrated Management of Childhood Illness guidelines in primary care in West Africa
BACKGROUND: <90%), a predictor of mortality in children under five. The AIRE (Améliorer l'Identification des Détresses Respiratoires chez l'Enfant; in English, Improving Identification of Respiratory Distress in Children) operational research project introduced routine use of pulse oximetry (PO) within IMCI consultations in Burkina Faso, Guinea, Mali and Niger. We estimated the added value of incorporating PO within IMCI (IMCI+PO) for improving t…
Examining the effect of nearby armed conflict on access to maternal and child health services in Burkina Faso’s primary healthcare facilities
BACKGROUND: Armed conflict is increasing in sub-Saharan Africa, impacting access to vital health services. However, scant evidence exists on the effects of the recently escalated conflict in Burkina Faso, a country severely affected by rising violence. METHODS: We conducted a longitudinal study, aligning conflict event data from the Uppsala Conflict Data Program with Burkina Faso's Health Management Information System data spanning from 2013 to 2…
Prevalence and factors associated with severe illness in West African children under 5 years of age detected with routine pulse oximetry in primary care
BACKGROUND: The Integrated Management of Childhood Illness (IMCI) guidelines are symptom-based algorithms used to identify critically ill children under five in primary health centres (PHC) in resource-limited countries. Hypoxaemia, a life-threatening event, is clinically underdiagnosed. The Amélioration de l'Identification des détresses Respiratoires de l'Enfant/Improving Identification of Respiratory Distress in Children (AIRE) project implemen…
Missed opportunities for hospital referral of young children with severe pneumonia identified at primary care using pulse oximetry
Background In line with the Integrated Management of Childhood Illness (IMCI) guidelines, healthcare workers (HCWs) should refer all severe pneumonia among children under 5 seen in primary care in resource-limited settings. We investigated the frequency and correlates of missed opportunities for hospital referral (MOHR) of clinical severe pneumonia. Our study was embedded within the Améliorer l'Identification des détresses Respiratoires chez l'En…
Care management and determinants of day 14 mortality in severely ill children aged under 5 years subsequent to hypoxaemia diagnosed using routine pulse oximetry in primary care
BACKGROUND: The Amélioration de l'Identification des détresses Respiratoires de l'Enfant (AIRE) project introduced the routine use of pulse oximetry (PO) into Integrated Management of Childhood Illness (IMCI) consultations within primary health centres (PHCs) in Burkina Faso, Guinea, Mali and Niger. We analysed how severe cases were managed and 14-day mortality by hypoxaemia severity. METHODS: <90%) were eligible for referral and enrolled in a 14…
Understanding health innovation adoption
INTRODUCTION: Hypoxaemia is an important contributor to child mortality, particularly in low-resource settings where diagnostic tools are scarce. The Améliorer l'Identification des détresses Respiratoires chez l'Enfant project introduced pulse oximeters (POs) into 202 primary healthcare centres (PHCs) in Burkina Faso, Guinea, Mali and Niger, integrating them into the Integrated Management of Childhood Illness guidelines. This initiative aimed to …
Factors associated with Senegalese health workers’ willingness to receive mobile digital payments
INTRODUCTION: Although Senegal began digitising servants' salaries in 2004, payments to community health workers have not yet followed suit. This study explored factors associated with health professionals' and community health workers' willingness to receive payments via mobile digital systems. METHODOLOGY: We carried out a cross-sectional study, from October to December 2023 among healthcare staff and community health workers using telephone su…
Acceptability of the routine use of pulse oximetry by healthcare workers and caregivers within primary healthcare in West Africa
INTRODUCTION: To better identify severe hypoxaemia as a major risk factor for specific illnesses in children aged under 5 years, the Améliorer l'Identification des détresses Respiratoires chez l'Enfant (AIRE) project implemented routine use of pulse oximetry within implementation of Integrated Management of Childhood Illness (IMCI) guidelines at primary health centres (PHCs) in Burkina Faso, Guinea, Mali and Niger. We aimed to measure and underst…
Household costs of care in children under five attending primary care in Burkina Faso, Guinea, Mali and Niger
INTRODUCTION: Out-of-pocket payments limit access to care in Africa. The Amélioration de l'Identification des détresses Respiratoires de l'Enfant/Improving Identification of Respiratory Distress in Children (AIRE) project evaluated the implementation of pulse oximetry within Integrated Management of Childhood Illness (IMCI) guidelines at primary health centres (PHCs) in Burkina Faso and Niger (with total exemption policies) and in Mali and Guinea…
Challenges and needs before implementing routine pulse oximetry within primary care for sick children in West Africa
BACKGROUND: The Integrated Management of Childhood Illness (IMCI) guidelines are implemented within primary health centres (PHCs) in resource-limited settings. These symptom-based algorithms under-diagnose severe hypoxemia, which contributes to the under-five'mortality in sub-Saharan Africa. To improve the diagnosis and management of severe hypoxaemia, the Améliorer l'Identification des détresses Respiratoires chez l'Enfant (AIRE) project impleme…
What factors shape an individual’s probability to be enrolled in a professionally-managed community-based health insurance? Results from a cross-sectional case-control study in two districts in Mali
Across West Africa, countries are promoting new models of community-based health insurance (CBHI) to overcome the challenges faced by existing schemes. We investigated factors associated with an individual’s probability to be enrolled in one of two professionally-managed CBHI in Mali. We carried out a case-control methodology and used multi-stage sampling to select CBHI members and non-members. The primary outcome variable was being enrolled or n…
High coverage and equitable distribution of Covid-19 vaccine uptake in two vulnerable areas in Bangladesh
Bangladesh completed a primary series of COVID-19 vaccinations for about 86 individuals per 100 population as of 5 July 2023. However, ensuring higher coverage in vulnerable areas is challenging. We report on the COVID-19 vaccine uptake and associated factors among adults in two vulnerable areas in Bangladesh. We conducted a cross-sectional study between August and September 2022 in Duaripara, a slum in northeast Dhaka (in-migration site), and Ta…
Understanding the political economy of reforming global health initiatives – insights from global and country levels
INTRODUCTION: Since 2000, the number and role of global health initiatives (GHIs) has been growing, with these platforms playing an increasingly important role in pooling and disbursing funds dedicated to specific global health priorities. While recognising their important contribution, there has also been a growth in concerns about distortions and inefficiencies linked to the GHIs and attempts to improve their alignment with country health syste…
How to formulate high-quality lessons learned
appears in the titles of thousands of scientific articles, most do not describe how these lessons were produced or the level of rigor involved in their development. As part of a project aimed at deriving lessons from hospitals' resilience during the COVID-19 pandemic in five countries (the HoSPiCOVID project), we sought to systematised the process of producing these lessons. To do so, we conducted a rapid review to identify the best ways of devel…
A systematic process to formulate quality lessons learned about hospital resilience during the Covid-19 pandemic
BACKGROUND: The urgency of the COVID-19 pandemic forced hospitals to adjust swiftly to the health crisis. They adopted a variety of solutions and encountered numerous challenges. To enhance hospitals' readiness for future crises, the HoSPiCOVID research project documented the experiences of seven hospitals in five countries (Brazil, Canada, France, Japan, Mali) to extract quality lessons learned (QLLs). These were subsequently refined through wor…
The evolution of facility-based deliveries at primary healthcare centres during an insecurity and conflict crisis in Burkina Faso
This research provides crucial insights for strengthening Burkina Faso's health system resilience to conflict by spatially identifying how facility characteristics and geo-spatial determinants shape healthcare disruptions. Mapping these elements at a fine scale enables adaptive policy interventions and dynamic resource allocation based on evolving conflict dynamics, enhancing obstetric care during conflict. By integrating the applied geospatial m…
Care pathways for critically ill children aged 0–5 years arriving at district hospitals in Burkina Faso, Guinea, Mali, and Niger (2022)
The recommended pathway is largely adhered to, yet parallel pathways require attention, notably in Guinea and Mali. A better understanding of healthcare-seeking behaviours can help remove barriers to care, improving the likelihood that a sick child will receive optimal care
Response to the letter ‘Impact of the free health care policies in Burkina Faso
Thit Thit Aye, Hoa Thi Nguyen, Laurène Petitfour, Valéry Ridde, Felix Amberg, Emmanuel Bonnet, Mariam Seynou, Joël Arthur Kiendrébéogo, Manuela De Allegri
Health Care Financing Instruments during the Colonial Period in Senegal
There has been limited research on African policy instruments’ historical and institutional nature in health policy literature. However, in the field of health systems research, there are many examples that show the permanent use of financing instruments inspired by liberal (pro-market) ideas such as user fees, performance bonuses, or private practice of medicine in Africa. Through an analysis of archives (1840–1960), this article shows the prese…
Comprehensive assessment of the impact of mandatory community-based health insurance in Burkina Faso
Health coverage for informal workers in Sub-Saharan Africa remains a major challenge. This study evaluates an alternative approach: bundling health insurance with microcredit. We conducted a randomized controlled trial in Ouagadougou, Burkina Faso, to assess the impact of mandatory health insurance linked to microcredit. The study covered 88 microcredit groups (44 treated, 44 control), analyzing outcomes for 1,095 individuals who reported illness…
Improving healthcare accessibility for pregnant women and children in the context of health system strengthening initiatives and terrorist attacks in Central Mali
INTRODUCTION: The Health and Social Development Program of the Mopti Region (PADSS2) project, launched in Mali's Mopti region, targeted Universal Health Coverage (UHC). The project addressed demand-side barriers by offering an additional subsidy to household contributions, complementing existing State support (component 1). Component 2 focused on supply-side improvements, enhancing quality and coverage. Component 3 strengthened central and decent…
Preparing for pandemics needs a dose of public health and a booster of “complex thought” (Errare humanum est, perseverare diabolicum)
The COVID‐19 pandemic has triggered unprecedented governmental responses worldwide, revealing weaknesses in health systems and public health policies due to lack of “complex thought” required to manage complex adaptive systems. Understanding COVID‐19 response strategies' multiple effects is particularly important now that pandemic preparedness and response (PPR) is on top of the global health political agenda. Here, we adopt a complex adaptive sy…
The moderating role of support for innovation in sub-Saharan African healthcare teams
Climate change and women’s mental health in two vulnerable communities of Bangladesh
Climate change is one of the most significant challenges humanity faces in the 21st century, with its health impacts being profoundly felt in the most vulnerable countries. However, the mental health impacts of climate change, particularly concerning social inequality and gender dynamics, are less documented in the Global South. This paper focuses on the impact of climate change on women’s mental health in two vulnerable communities in Bangladesh…
Cross-sectional study on intention to be vaccinated against Coronavirus Disease 2019 (Covid-19) in Benin and Senegal
Vaccination is considered one of the solutions to the Coronavirus Disease 2019 (COVID-19) pandemic. However, a small proportion of the population were fully vaccinated in Benin (20.9%) and Senegal (7.6%) by December 2022. This study explores the determinants of intent to vaccinate. This was a cross-sectional, descriptive, and analytical study of 865 Beninese and 813 Senegalese aged 18 years and older. Marginal quota sampling by age, gender and re…
Policy Implementation in an African State
Kingdon's multiple‐streams framework, which emerged in the mid‐1980s, today forms one of the indispensable analytical frameworks for understanding public policy agenda‐setting. However, it is only in the context of wealthy countries that this approach has been validated for setting the agenda of national and international policies. This article reports the results of empirical research in an African state studying the transferability of a threefo…
The problem of the worst-off is dealt with after all other issues
The national subsidy for deliveries and emergency obstetric care in Burkina Faso
INTRODUCTION: To reduce financial barriers to health care services presented by user fees, Burkina Faso adopted a policy to subsidize deliveries and emergency obstetric care for the period 2006-2015. Deliveries and caesarean sections are subsidized at 80%; women must pay the remainder. The worst-off are fully exempted. METHODS The aim of this article is to document this policy's entire process using a health policy analytical framework. Qualitati…
How do diffusion entrepreneurs spread policies? Insights from performance-based financing in Sub-Saharan Africa
L'efficacité Des Politiques Publiques De Santé Dans Un Pays De l'Afrique De L'Ouest
RESUME. Cet article analyse l'efficacite des deux principales composantes de la politique de sante mise en oeuvre au Burkina Faso, > et l' >, a partir des resultats de deux etudes regionales et d'une revue documentaire national. L'efficacite de ces deux politiques est mise en doute: aucune n'a pu, malgre un important investissement des pouvoirs publics, ameliorer les conditions d'acces aux soins pour tous. Pour mieux comprendre leur relative inef…
Contextual factors as a key to understanding the heterogeneity of effects of a maternal health policy in Burkina Faso
Burkina Faso implemented a national subsidy for emergency obstetric and neonatal care (EmONC) covering 80% of the cost of normal childbirth in public health facilities. The objective was to increase coverage of facility-based deliveries. After implementation of the EmONC policy, coverage increased across the country, but disparities were observed between districts and between primary healthcare centres (PHC). To understand the variation in covera…
Exploratory study of the impacts of Mutual Health Organizations on social dynamics in Benin
Immediate and sustained effects of user fee exemption on healthcare utilization among children under five in Burkina Faso
L’approche réaliste pour l’évaluation de programmes et la revue systématique
L’approche réaliste gagne en popularité auprès des chercheurs en sciences sociales, notamment auprès de ceux dont les objets de recherche sont complexes : programmes, projets ou politiques publiques qui visent à améliorer une situation sociale. En effet, l’approche réaliste a été récemment adaptée à la pratique de l’évaluation de programmes et à celle de la revue systématique. Ces pratiques de recherche ancrées dans le réalisme critique semblent …
L'exemption de paiement des soins au Burkina Faso, Mali et Niger
Face aux problèmes d’accès aux soins liés au recouvrement des coûts, de nombreux pays africains organisent aujourd’hui des politiques d’exemption du paiement pour certaines catégories vulnérables. Fondé sur l’étude des politiques publiques et l’enquête de terrain socio-anthropologique, cet article dresse un bilan comparatif pour le Burkina Faso, le Mali et le Niger, qui ont choisi des dispositifs d’exemption relativement différents. Les problèmes…
Do community health workers perceive mechanisms associated with the success of community case management of malaria? A qualitative study from Burkina Faso
The use of community health workers to administer prompt treatments is gaining popularity in most sub-Saharan African countries. Their performance is a key challenge because it varies considerably, depending on the context, while being closely associated with the effectiveness of case management strategies. What determines community health workers' performance is still under debate. Based on a realist perspective, a systematic review recently hyp…
The unintended consequences of community verifications for performance-based financing in Burkina Faso
Performance-based financing (PBF) is being widely implemented to improve healthcare services in Africa. An essential component of PBF involves conducting community verifications, wherein investigators from local associations attempt to trace samples of patients. Community surveys are administered to patients to verify whether healthcare workers reported fictitious services to increase their revenue. At the same time, client satisfaction surveys a…
Réflexions sur les per diem dans les projets de développement en Afrique
La pratique des per diem dans les projets est largement connue de tous les acteurs concernés par l'aide publique au développement. En plus de leur salaire, des fonctionnaires touchent des primes fournies par des responsables de projets pour se réunir, pour participer à des ateliers et des formations ou pour réaliser des activités qui sont pourtant prévues dans leurs tâches officielles. D'un autre côté, des experts internationaux reçoivent des fra…
A community-based targeting approach to exempt the worst-off from user fees in Burkina Faso
BACKGROUND: To contend with the risk of exclusion created by user fees, those implementing the Bamako Initiative (BI) were asked to organise exemption schemes for the indigent. But those exemption schemes were never put in place in Africa due to difficulties identifying the indigent. An action research was implemented to test the hypothesis that a community-based process for selecting beneficiaries of user-fee exemptions in an African environment…
Mining revenue and access to health care in Africa
Various reforms undertaken during the 1980s significantly reduced the capacity of states to regulate health systems. Of the many policies implemented since then to increase access to health care, policies of exemption from direct payment are among the most important. These can be very effective in a well-funded and managed context. Beyond political will, are African states unable to afford policies of exemption from payment for health care? Our a…
Improving equity by removing healthcare fees for children in Burkina Faso
BACKGROUND: This study evaluated the effects on healthcare access inequities of an intervention exempting children under 5 years from user fees in Burkina Faso. METHODS: The design consisted of two complementary studies. The first was an interrupted time series (56 months before and 12 months after) study of daily curative consultations according to distance (<5, 5-9 and ≥10 km) in a stratified random sample of 18 health centres: 12 with the inte…
Politiques publiques de santé, logiques d' acteurs et ordre négocié au Burkina Faso
Les échecs relatifs des politiques de santé favorables à l' équité en Afrique sont souvent expliqués par le prisme de la déficience de leur contenu et des modalités de mise en œuvre au détriment d' une compréhension fine du jeu des acteurs dans ce processus. Or, l' analyse de tels échecs ne peut faire l' économie de l' étude des logiques de comportements des acteurs sociaux. Aussi, pour ce faire, une recherche est menée dans un district sanitaire…
L’accès des indigents aux services de santé au Burkina Faso
Au Burkina Faso, comme dans bien d’autres pays d’Afrique, les indigents demeurent exclus de l’accès aux services de santé, malgré la mise en oeuvre de politiques publiques qui s’étaient, entre autres objectifs, fixé celui d’améliorer leur sort. L’une des propositions d’explication à cette occultation de l’équité par les acteurs sociaux impliqués dans la mise en oeuvre de ces politiques est que la situation d’exclusion des indigents n’est pas comp…
Performance-based partnership Agreements for the reconstruction of the health system in Afghanistan
The reconstruction of the health system in Afghanistan is in its early stages, and donors have proposed Performance-based Partnership Agreements (PPAs) through which to subcontract the delivery of health services to private organisations, both for-profit and not-for-profit. Beyond ideological debates, this article sets out to explain the model underlying the PPA initiative and sheds light on empirical data concerning the assumed benefits of such …
Que cache le consensus des acteurs de la santé mondiale au sujet de la couverture sanitaire universelle? Une analyse fondée sur l’approche par les droits
La couverture sanitaire universelle fait l’unanimité sur la scène internationale. On y voit l’expression d’un souci partagé de contribuer au droit à la santé par la réalisation du droit aux soins. Néanmoins, des tensions persistent entre la volonté affichée des acteurs de la santé mondiale, dont les discours utilisent souvent un référentiel associé à l’approche fondée sur les droits, et les rares moyens d’action qu’ils se donnent. En outre, la di…
NGO-researcher partnerships in global health research
Partnerships involving NGOs and academic researchers (NGO–R partnerships) are increasing in global health research. Such collaborations present opportunities for knowledge translation in global health, yet are also associated with challenges for establishing and sustaining effective and respectful partnerships. We conducted a narrative review of the literature to identify benefits and challenges associated with NGO–R partnerships, as well as appr…
Combining user fees exemption with training and supervision helps to maintain the quality of drug prescriptions in Burkina Faso
To improve access to health care services, an intervention was implemented in Burkina Faso granting full exemption from user fees. Two further components, staff training and supervision, were added to support the intervention. Our aim in this study was to examine how this tripartite intervention affected the quality of drug prescriptions. Using a mixed methodology, we first conducted an interrupted time series over 24 months. Nine health centres …
La recherche en santé mondiale et les défis des partenariats Nord-Sud
How Can PhD Research Contribute to the Global Health Research Agenda
It felt like building a plane while in flight”
Les inégalités sociales de santé
Dix mille par an : c'est le nombre de décès prématurés que l'on pourrait éviter, si les ouvriers et employés avaient en France la mortalité des cadres supérieurs et des professions libérales. Ces données sont publiques, et pourtant, elles n'ont été jusqu'à présent que peu débattues publiquement. Alors même que la France fait partie des pays européens où les disparités devant la mort sont les plus fortes. D'où l'importance de ce livre, fruit d'un …
L’expérience d’une démarche pluraliste dans un pays en guerre
Participation is often essential for successfully appropriating the results of an evaluation. Afghanistan has been a country at war since 1979, and its successive governments have left the entire public health system in the hands of international aid agencies. Having experienced and evaluated an implementation of financing mechanisms for health services, we analyze how, in a context of international emergency aid, a pluralist approach was possibl…
Iraqi reconstruction
Humanitarian assistance in Iraq after the conflict Between my missions in Iraq in 1994/95 and the latest in May 2003, the health of the Iraqi population has dramatically deteriorated1 and what little remained of the healthcare system no longer exists. Total chaos reigns, healthcare centres have been looted,2 and patients are not receiving treatment. Twenty million dollars per month would be needed to revive the system.3 But for it to operate effe…
L'efficacité Des Politiques Publiques De Santé Dans Un Pays De l'Afrique De L'Ouest
RESUME. Cet article analyse l'efficacite des deux principales composantes de la politique de sante mise en oeuvre au Burkina Faso, > et l' >, a partir des resultats de deux etudes regionales et d'une revue documentaire national. L'efficacite de ces deux politiques est mise en doute: aucune n'a pu, malgre un important investissement des pouvoirs publics, ameliorer les conditions d'acces aux soins pour tous. Pour mieux comprendre leur relative inef…
Agir contre les inégalités sociales de santé
Une analyse comparative entre le Canada, le Québec et la France
À travers une étude critique des discours et de la rhétorique des politiques de santé publique quant aux rôles des déterminants sociaux et politiques dans l'explication de l'état de santé et des inégalités de santé des populations, nous tentons de rendre intelligible l'occultation de ces dimensions sociale et politique à l'aide d'une analyse comparative entre le Canada, le Québec et la France, ces lieux étant choisis comme des exemples « paradigm…
Kingdon à Bamako
Cet article est principalement d’ordre théorique. Il vise à voir comment une théorie issue de l’étude des politiques publiques associée à des concepts de l’anthropologie du développement permet de comprendre pourquoi l’implantation d’une politique de santé en Afrique de l’Ouest, l’initiative de Bamako, n’a pas produit les résultats escomptés (efficacité versus équité). L’application du prolongement de la théorie des courants de Kingdon proposée p…
Performance-based partnership Agreements for the reconstruction of the health system in Afghanistan
The reconstruction of the health system in Afghanistan is in its early stages, and donors have proposed Performance-based Partnership Agreements (PPAs) through which to subcontract the delivery of health services to private organisations, both for-profit and not-for-profit. Beyond ideological debates, this article sets out to explain the model underlying the PPA initiative and sheds light on empirical data concerning the assumed benefits of such …
Suggestions d’améliorations d’un cadre conceptuel de l’évaluation participative
Due to the diversity of practices in participatory evaluation, it is not always easy to teach or practice this evaluation approach. This article aims to provide a preliminary attempt to validate the Weaver and Cousins (2005) framework in order to characterize three forms of participatory evaluation (stakeholder-based, practical, empowerment). The application of this framework to three case studies resulted in two recommendations to enhance the fr…
La santé des femmes et la coopération hospitalière canadienne en Afghanistan
How Can PhD Research Contribute to the Global Health Research Agenda
L’accès des indigents aux services de santé au Burkina Faso
Au Burkina Faso, comme dans bien d’autres pays d’Afrique, les indigents demeurent exclus de l’accès aux services de santé, malgré la mise en oeuvre de politiques publiques qui s’étaient, entre autres objectifs, fixé celui d’améliorer leur sort. L’une des propositions d’explication à cette occultation de l’équité par les acteurs sociaux impliqués dans la mise en oeuvre de ces politiques est que la situation d’exclusion des indigents n’est pas comp…
How can PhD research contribute to the global health research agenda
We suggest that PhD and post-doctoral researchers are a strong, untapped resource with the potential to make a real contribution to global health research (GHR). However, we raise some ethical, institutional, and funding issues that either discourage new researchers from entering the field or diminish their capacity to contribute. We offer a number of recommendations to Canadian academic and non-academic institutions and funders, aiming to genera…
Réduire les inégalités sociales de santé
Si le Consortium sur la « community health promotion » suggère une définition de ce nouveau concept pour qualifier des pratiques sanitaires, nous nous interrogerons, dans cet article, sur la pertinence de son introduction, alors même que personne n'arrive encore véritablement à délimiter les trois processus habituellement rencontrés : santé publique, santé communautaire, promotion de la santé. A partir d'une recension des écrits et d'une analyse …
Un outil d’évaluation de l’empowerment
For many years, numerous attempts have been made to define empowerment, to identify its processes, and to suggest translations. Recently the debate has focussed on the complexity raised by its measurement and evaluation. The purpose of this article is to illustrate the contribution of Ninacs’s framework (2002) in evaluating empowerment, by presenting its application to the evaluation of a health promotion program in Haiti. The instrument designed…
Introduction du Rédacteur Invité
Le magicien du temps
A community organization in rural Québec, together with various inter-sectoral partners, wanted to make it possible for families to take their destiny into their own hands and improve their quality of life, in particular, their children’s quality of life. The goal of this article is to present the three main innovative aspects in the evaluation of this community project, namely the value of a developmental evaluation approach, the relevance of a …
Politiques publiques de santé et équité en Afrique de l’ouest. Le cas de l’Initiative de Bamako au Burkina Faso
Thèse parue aux Editions l’Harmattan en janvier 2007, sous le titre : Equité et mise en œuvre des politiques de santé au Burkina Faso. Résumé de la thèse : Depuis 30 ans en Afrique, de nombreuses politiques publiques de santé ont été formulées dans le but équitable d’améliorer l’accès aux soins des plus pauvres, que ce soit la stratégie des soins de santé primaires d’Alma-Ata en 1978 ou encore la politique de l’initiative de Bamako (IB) de 1987. …
Les inégalités sociales de santé au Québec
Partout dans le monde, on constate non seulement la persistance, mais bien le creusement des inégalités en matière de santé. Le Québec ne fait pas exception : on a estimé qu'environ cinq ans d'espérance de vie et près de quinze années de vie en bonne santé y séparent les populations les plus défavorisées des groupes les plus avantagés. Cet écart ne s'explique qu'en partie par l'inégale répartition des ressources matérielles. Les causes sont à l'é…
La méthode de cartographie conceptuelle pour identifier les priorités de recherche sur le transfert des connaissances en santé des populations
This article discusses methodological issues in the use of the concept mapping technique in a study that identifies research priorities for perspectives on knowledge transfer in the field of population health. This method proved appropriate, and the results produced clearly identify research priorities from the viewpoint of both research and practice. We propose a critical analysis of methodological issues in the use of this technique to facilita…
À l'épreuve des frontières
Driving the Global Public Health Research Agenda Forward by Promoting the Participation of Students and New Researchers
The value of presenting at scientific conferences
Homo academicus , to use a term coined by Pierre Bourdieu, is a special species and for those of us embarking on our careers, we must be able to demonstrate our potential ability to not only survive but to excel in the academic jungle if we hope to secure our first post as an assistant professor or a junior researcher. The selection criteria include a lengthy list of publications in journals with the highest possible impact factor, an established…
The problem of the worst-off is dealt with after all other issues
Policy Implementation in an African State
Kingdon's multiple‐streams framework, which emerged in the mid‐1980s, today forms one of the indispensable analytical frameworks for understanding public policy agenda‐setting. However, it is only in the context of wealthy countries that this approach has been validated for setting the agenda of national and international policies. This article reports the results of empirical research in an African state studying the transferability of a threefo…
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