Références bibliographiques

Schantz Clémence (2020) « Ce que la césarienne révèle de la violence structurelle », Colloque international présenté à Violences et soutiens à la maternité, octobre 15, EHESP - Rennes, France.

Schantz Clémence, Aboubakar Moufalilou, Traoré Abou Bakary, Ravit Marion, de Loenzien Myriam et Dumont Alexandre (2020) « Caesarean section in Benin and Mali: increased recourse to technology due to suffering and under-resourced facilities », Reproductive Biomedicine & Society Online, 10 (juin), p. 10-18. DOI : 10.1016/j.rbms.2019.12.001. https://linkinghub.elsevier.com/retrieve/pii/S2405661820300010.

Version acceptée 382.4 kio (source)

Schantz Clemence, Lhotte Marie et Pantelias Anne-Charlotte (2020) « Moving beyond the ethical tension of caesarean section on maternal request », Sante Publique, 32 (5-6) (septembre), p. 497-505.

Résumé : Introduction: In a legal context focused on the right and autonomy of the patient, some women wish to be able to choose their mode of childbirth. As midwives are primary care-givers for pregnant women with a physiological pregnancy, we wanted to find out whether it was ethically acceptable for them to accompany a woman in her decision to have a caesarean section. Purpose of research: This survey is an ancillary study of the CESARIA research program validated by the Comite de Protection des Personnes Sud Mediterranee IV and declared to the CNIL. Thirty-seven semi-directive interviews were conducted with midwives and women. Results: The majority of women and midwives share a vision of childbirth as "natural" and consider the request for caesarean section as a pathology. When formulated, this request places midwives in a situation of ethical tension. On the one hand, midwives wish to refer women to vaginal birth as the norm, and this choice embodies the ethical principles of beneficence and non-maleficence. On the other hand, midwives express a desire to respect patient choice and freedom, illustrating the ethical principle of respect for autonomy. Conclusions: The ethical issue of caesarean section on demand lies not so much in the decision to accept or not to accept a caesarean section but rather in listening to the request. Taking into consideration a medical indication more broadly than the simple obstetrical indication makes it possible to ethically support these requests while respecting the pregnant woman's autonomy.

Mots-clés : ⛔ No DOI found.

Schantz Clémence (2020) « Body symbolics, obstetric practices, and the improvement of maternal health in Cambodia », in The Anthropological Demography of Health, par Véronique Petit, Kaveri Qureshi, Yves Charbit, et Philip Kreager, Oxford University Press, p. 450-471.

Seppey Mathieu, Ridde Valéry et Somé Paul-André (2020) « Scaling-Up Performance-Based Financing in Burkina Faso: From PBF to User Fees Exemption Strategic Purchasing », Int J Health Policy Manag, p. 1-13. DOI : 10.34172/ijhpm.2020.209.

Sha Sohan et Quet Mathieu (2020) « From Expression to Expulsion: Digital Public Spaces as Theatres of Operations in Nepal », Science, Technology and Society (avril 22), p. 097172182091289. DOI : 10.1177/0971721820912896. http://journals.sagepub.com/doi/10.1177/0971721820912896.

Résumé : On 2 May 2016, Robert Penner, Canadian national residing in Nepal with a working visa, was arrested and then deported to Canada and his visa being cancelled. Based upon an analysis of the documentation related to his arrest and expulsion, this article analyses the articulation of different operations of control. A chain of public interventions and governmental actions makes the substance of the management of digital expression in Nepal and this has to be analysed with tools from media studies and science and technology studies. We present different operative regimes: Twitter accounts and discussions, police action and arrests, and court petitions. We analyse how operational levels are connected and how their interconnections lead to the criminalisation of one individual, most notably through the reformulations of the accusations by different groups of people via different devices. This in turn shows how specific technical interventions determine the control of the public space. These analyses then add to the debate upon the 'digital public sphere' by offering a critique of its spatial metaphor from a view focused on its performative stakes-public spaces not as sites of discussion, but as theatres of operations.

Sia D., Dondbzanga B.D.G., Carabali M., Bonnet Emmanuel, Enok Bonong P.R. et Ridde Valery (2020) « Effect of a free healthcare policy on health services utilization for non‐malarial febrile illness by children under five years in Burkina Faso: an interrupted time series analysis », Tropical Medicine & International Health (juillet 19), p. tmi.13468. DOI : 10.1111/tmi.13468. https://onlinelibrary.wiley.com/doi/abs/10.1111/tmi.13468.

Résumé : Objective To assess the effect of a free healthcare policy for children under five years old implemented in Burkina Faso since April 2016, on the use of healthcare of non‐malarial febrile illnesses (NMFI). Methods To assess the immediate and long‐term effect of the free healthcare policy in place, we conducted an interrupted time series analysis of routinely collected data on febrile illnesses from three urban primary health centers of Ouagadougou between January 1, 2015 and December 31, 2016. Results Of the 39,046 febrile cases reported in the study period, 17,017 NMFI were included in the study. Compared to the period before the intervention, we observed an immediate, non‐statistically significant increase of 7% in the number of NMFI (IRR=1.07; 95% CI= 0.75, 1.51). Compared to the trend that would have been expected in absence of the intervention, the results showed a small but sustained increase of 6% in the trend of monthly number of NMFI during the intervention period (IRR= 1.06; 95%CI= 1.01, 1.12). Conclusion Our study highlighted an increase in the uptake of health care services, specifically for NMFI by children under five years of age, after the implementation of a free care policy. This analysis contributes to informing decision‐makers on the need to strengthen the capacities of health care centers and to anticipate the challenges of the sustainability of this policy.

Sieleunou Isidore, De Allegri Manuela, Roland Enok Bonong Pascal, Ouédraogo Samiratou et Ridde Valéry (2020) « Does performance-based financing curb stock-outs of essential medicines? Results from a randomised controlled trial in Cameroon », Tropical Medicine & International Health (mai 23). DOI : 10.1111/tmi.13447. http://doi.wiley.com/10.1111/tmi.13447.

Résumé : Objectif En 2011, le gouvernement du Cameroun a lancé son programme de financement basé sur la performance (FBP). Notre étude a examiné les effets de l'intervention PBF sur la disponibilité des médicaments essentiels (EM). Les méthodes Essai de contrôle randomisé par lequel le PBF et trois groupes de comparaison distincts ont été randomisés dans un total de 205 établissements de santé dans trois régions. Les données de base ont été collectées entre mars et mai 2012 et les données finales 36 mois plus tard. Nous avons défini la disponibilité de plusieurs groupes EM en évaluant les ruptures de stock pendant au moins un jour au cours des 30 jours précédant la date de l'enquête et en estimant les changements attribuables au FBP à l'aide d'une série de modèles de régression de différence en différence, ajustés pour le niveau de l'établissement concerné co-varie. Les données ont été analysées stratifiées par région et zone pour évaluer l'hétérogénéité de l'effet. Résultats Nos estimations suggèrent que l'intervention PBF n'a eu aucun effet sur les ruptures de stock de médicaments de soins prénatals (p = 0,160), les vaccins (p = 0,396), la gestion intégrée des médicaments contre les maladies infantiles (p = 0,681) et les médicaments du travail et d'accouchement (p = 0,589). Cependant, l'intervention a été associée à une réduction significative de 34% des ruptures de stock de médicaments de planification familiale (p = 0,028). Nous avons observé une hétérogénéité des effets entre les régions et les zones, avec des diminutions significatives des ruptures de stock de produits de planification familiale dans la région du Nord-Ouest (p = 0,065) et dans les zones rurales (p = 0,043). Conclusions L'intervention du PBF au Cameroun a eu des effets limités sur la réduction des ruptures de stock des EM. Ces mauvais résultats étaient probablement la conséquence d'un échec partiel de la mise en œuvre, allant de l'interruption et de l'arrêt des services à l'autonomie limitée des installations dans la gestion de la prise de décision et au retard considérable dans le paiement de la performance.

Simo Fotso Arlette (2020) « COVID-19 pandemic, lockdown, restrictions and disability in Africa » (communication orale), présenté à IUSSP The COVID-19 Pandemic and Sexual & Reproductive Health in Africa, IUSSP webinar series. https://iussp.org/sites/default/files/Arlette%20-%20COVID-19%20pandemic%2C%20lockdown%2C%20restrictions%20and%20disability.pdf.

Sombié Issa, Degroote Stéphanie, Somé Paul André et Ridde Valéry (2020) « Analysis of the implementation of a community-based intervention to control dengue fever in Burkina Faso », Implementation Science, 15 (1) (mai 14), p. 32. DOI : 10.1186/s13012-020-00989-x. https://implementationscience.biomedcentral.com/articles/10.1186/s13012-020-00989-x.

Résumé : Background A community-based dengue fever intervention was implemented in Burkina Faso in 2017. The results achieved vary from one area to another. The objective of this article is to analyze the implementation of this intervention, to better understand the process, and to explain the contextual elements of performance variations in implementation. Methodology The research was conducted in the former sector 22 of the city of Ouagadougou. We adapted the Consolidated Framework for Implementation Research (CFIR) to take into account the realities of the context and the intervention. The data collected from the participants directly involved in the implementation using three techniques: document consultation, individual interview, and focus group. Results Two dimensions of CFIR emerge from the results as having had a positive influence on the implementation: (i) the characteristics of the intervention and (ii) the processes of the intervention implementation. The majority of the CFIR constructions were considered to have had a positive effect on implementation. The quality and strength of the evidence received the highest score. The dimension of the external context had a negative influence on the implementation of the intervention. Conclusion The objective of the study was to analyze the influence of contextual elements on the implementation process of a community-based dengue fever intervention. We used the CFIR framework already used by many studies for implementation analysis. Although it was not possible to test this framework in its entirety, it is useful for the analysis of the implementation. Its use is simple and does not require any special skills from users. Usability is indeed an essential criterion for the relevance of using an analytical framework in implementation science.

Spagnolo Jessica, Gautier Lara, Champagne François, Leduc Nicole, Melki Wahid, N’Guessan Konan et Charfi Fatma (2020) « Reflecting on knowledge translation strategies from global health research projects in Tunisia and the Republic of Côte d’Ivoire », International Journal of Public Health (octobre 17). DOI : 10.1007/s00038-020-01502-3.

Résumé : We describe the knowledge translation strategies in two projects and share lessons learned about knowledge sharing and uptake.

Spagnolo Jessica, Gautier Lara, Seppey Mathieu et D’souza Nicole Anne (2020) « Re-thinking global and public health projects during the COVID-19 pandemic context: Considerations and recommendations for early- and not-so-early-career researchers », Social Sciences & Humanities Open, 2 (1), p. 100075. DOI : 10.1016/j.ssaho.2020.100075. https://linkinghub.elsevier.com/retrieve/pii/S2590291120300644.

Résumé : This commentary aims to provide a glimpse into some of the early and continuing impacts of the COVID-19 pandemic on our global and public health projects: research in low-resourced settings; research with vulnerable populations, such as asylum seekers, Indigenous communities, children, and mental health service users; and research with healthcare professionals, frontline workers, and health planners. In the early context of restrictions caused by COVID-19, this commentary highlights our research setbacks and challenges, and the ways in which we are adapting research methodologies, while considering ethical implications related to the pandemic and their impacts on conducting global and public health research. As we learn to become increasingly aware of some of our limitations in the face of the pandemic, some positives are also worth highlighting: we are mobilizing our training and research skills to participate in COVID-19 projects and to disseminate knowledge on COVID-19, including through papers such as this one. However, we do acknowledge that these opportunities have not been equitable. Each thematic section of this commentary concludes with key recommendations related to research in the early and continuing context of the COVID-19 pandemic that we believe to be applicable to early- and not-so-early-career researchers working in the global and public health fields. Previous article in issueNext article in issue Keywords COVID-19ResearchersGlobal healthPublic health

Tabet Michel et Boulay Sébastien (2020) SAHARA - Les voix des martyrs, Numérique, Film ethnographique, IRD - Ceped.

Résumé : Le film se déroule dans les camps de réfugiés sahraouis installés depuis 1975 près de Tindouf, Sud-Ouest algérien, et traite de l’héritage des victimes de violences de masse au sein de la population sahraouie, de la fabrique de figures de martyrs et du sens politique du sacrifice aujourd’hui. Il nous entraîne dans une enquête filmée conduite par deux anthropologues et leur accompagnateur sahraoui auprès de familles de martyrs et de grands blessés de la guerre du Sahara (1975-1991). Au fil des rencontres, la narration évoque l’histoire d’un centre de réhabilitation de blessés de guerre connu de tous sous le nom énigmatique d’Al-Madrasa, « l’école ». Dans cette « école », improvisée au début des années 1980, en pleine guerre du Sahara, ont été formées des centaines de fonctionnaires, d’instituteurs, de cadres du jeune État sahraoui à quelques kilomètres du siège du gouvernement à Rabouni. A travers l’histoire de ce centre et au cours de ce roadtrip saharien, c’est l’histoire de ceux qui se sont sacrifiés pour la libération de leur terre qui se déploie, ce sont les conditions de vie de réfugiés de leurs proches (aidants et familles) qui apparaissent, c’est la mémoire des martyrs sahraouis qui émerge des poèmes composés et mis en musique en leur honneur, c’est la question de la transmission de la lutte politique entre trois générations qui traverse les discussions. La narration se veut ouverte et déambulatoire, capte des scènes de la vie quotidienne, des paysages de désert et de camps de réfugiés ainsi que des propos glanés au gré des rencontres, le tout au rythme envoutant de la guitare électrique de Mahfoudh Ethman, musicien autodidacte sahraoui.

Tafuro Sara (2020) « An Economic Framework for Persisting Son Preference: Rethinking the Role of Intergenerational Support », Population Research and Policy Review (juillet 10). DOI : 10.1007/s11113-020-09594-8. http://link.springer.com/10.1007/s11113-020-09594-8.

Résumé : Son preference drives pre- and post-natal discrimination of daughters in many countries. It surprisingly survives in societies undergoing rapid transformation, and its correlates are not fully understood, particularly in the socio-economic sphere. This paper reviews the old-age security motive for son preference and proposes a new framework for this rationale. We argue that in patrilocal contexts, son preference survives where informal economic institutions (community and especially the family) persist as primary safety nets against various instances of income uncertainty, making up for the inefficiencies of state and market (formal institutions). This hypothesis is tested through a cross-country statistical analysis of ecological correlates of pre- and post-natal discrimination. Results confirm that, while son preference expresses through daughters' neglect in more traditional societies, it endures through prenatal selection in contexts of improving living standards and, at the same time, strong reliance on network solidarity and informal insurance strategies. In support of these findings, we briefly review the main country-cases of sex selection, namely South Korea, China, Vietnam, India and the South Caucasian region.

Tafuro Sara et Guilmoto Christophe Z. (2020) « Skewed sex ratios at birth: A review of global trends », Early Human Development, 141 (février), p. 104868. DOI : 10.1016/j.earlhumdev.2019.104868. https://linkinghub.elsevier.com/retrieve/pii/S0378378219305225.

Résumé : Several cultures in the world traditionally favor the birth of sons over that of daughters. This preference drives various forms of discrimination against female births ultimately reflected in demographic imbalances. Over the last decades, modern reproductive technology has made prenatal diagnosis widely accessible to parents. In certain Asian and Eastern European countries, this has led to skewed sex ratio at birth (SRB) as a result of sex-selective abortions. After reviewing motivations and circumstances associated to prenatal sex selection, our paper analyzes global trends in sex imbalances at birth as well as their parity, regional and socio-economic differentials. We focus our attention on the experience of Azerbaijan, India, and South Korea as instances of three distinct SRB trajectories. Finally, we discuss scenarios concerning the future of these sex imbalances and the implications of a consistent number of "missing women" for affected societies.

Tchetgnia Lucas, Charbit Yves et Libali Benoit (2020) « Sexuality and HIV Among Young Urban Congolese », in The Anthropological Demography of Health, éd. par Véronique Petit, Kaveri Qureshi, Yves Charbit, et Philip Kreager, Oxford : Oxford University Press, p. 427-449. ISBN : 978-0-19-886243-7.

Résumé : In the context of the country’s widespread HIV/AIDS epidemic, young Congolese women and men take remarkable risks in their sex lives. They do so aware of what Western biomedicine has shown about modes of AIDS infection and necessary protection against it. This chapter documents and explains the central problem that local risk behaviour raises: how can there be such a gap, in this life-and-death matter, between the awareness of risk and actual behaviour? The chapter argues that several factors are at play: their experience of condom use and other appropriate or inappropriate preventative behaviour in light of prevailing, accepted ideas of the body and sexuality; the main forms of sexual relationships in light of Congolese gender and age relations, combined with the powerful influence of relative poverty; their distrust of national and clinical institutions; and the role of religion and traditional healing practices that speak directly to young people’s understanding and experience of their sexuality and vulnerability. The findings do not provide a formal model of risk which effectively displaces the concepts of rational choice in preventing infection that prevail in clinical programmes. They do, however, show very powerfully that young people act in alignment with reasons that make good sense, given the limited options available to them.

Touré Laurence et Ridde Valery (2020) « The emergence of the national medical assistance scheme for the poorest in Mali », Global Public Health. DOI : 10.1080/17441692.2020.1855459.

Résumé : Background : Universal health coverage (UHC) is now high up the international agenda. There are still major needs to be met in West Africa, particularly in Mali, where providing health care for the poorest remains a big challenge. The majority of the region’s countries are currently seeking to define the content of their compulsory, contribution-based medical insurance system. However, very few countries apart from Mali have decided to, in parallel, develop a solution for poorest that is not based on contributions. Methods : This qualitative research article examines the historical process that has permitted the emergence of this ground-breaking public policy. Results : The research shows that the process has been very long, chaotic and sometimes suspended for long periods. One of the biggest challenges has been that of intersectoriality and the social construction of the groups to be targeted by this public policy (the poorest), as institutional tensions have evolved in accordance with the political issues linked to social protection. Eventually, the medical assistance scheme for the poorest (RAMED) saw the light of day in 2011, funded entirely by the government. Conclusions : RAMED emergence would appear to be attributable not so much to any new concern for the poorest in society but rather to a desire to give the social protection policy engaged in a guarantee of universality. The RAMED nonetheless remains an innovation within French-speaking West Africa.

Note

Valente Pablo K., Morin Céline, Roy Melissa, Mercier Arnaud et Atlani-Duault Laetitia (2020) « Sexual transmission of Zika virus on Twitter: A depoliticised epidemic », Global Public Health (mai 21), p. 1-13. DOI : 10.1080/17441692.2020.1768275. https://www.tandfonline.com/doi/full/10.1080/17441692.2020.1768275.

Résumé : During global health crises, different narratives regarding infectious disease epidemics circulate in traditional media (e.g. news agencies, television channels) and social media. Our study investigated the narratives related to sexual transmission of Zika virus that circulated on Twitter during a public health emergency and analyzed the relationship between information on Twitter and on traditional media. We examined 10,748 tweets posted during the peaks of Twitter activity between January and March 2016. Posts in English, Spanish, French, and Portuguese and websites linked to tweets were manually reviewed and analyzed thematically. During the study period, there were three peaks of Twitter activity related to the sexual transmission of Zika. Most tweets in the first peak (n = 412) had humorous/sarcastic content (55%). Most tweets in the second and third peaks (n = 5,154 and n = 5,182, respectively) disseminated information (>93%). Across languages, textual and visual content on the websites were predominantly placed online by traditional media and highlighted epidemiological narratives published by public health agencies, with little or no mention of the concerns or experiences of individuals most affected by Zika. Prioritising epidemiological/clinical aspects of epidemics may have a depoliticising effect and contribute to overlooking socio-economic determinants of the Zika epidemic and issues related to reproductive justice.

Vampo Charlotte (2020) « Itinéraires de réussite de cheffes d'entreprise contemporaines au pays des Nana Benz de Lomé (Togo). Du modèle de l'empowerment des femmes par le marché à l'étude des rapports sociaux de sexe », Thèse de doctorat en ethnologie, Paris : Université de Paris.

Résumé : Dans le contexte de mondialisation néolibérale, l’accès par les femmes au marché économique est perçu comme la clef de leur « émancipation » et de leur « empowerment ». C’est à partir d’une enquête ethnologique de longue durée auprès de nouvelles générations de cheffes d’entreprise à Lomé que la thèse interroge ce modèle du développement qui associe entrepreneuriat des femmes et transformations des rapports sociaux de sexe. À la différence des « Nana Benz » de Lomé et d’autres commerçantes africaines au faible capital scolaire traitées dans la littérature sur l’entrepreneuriat, les cheffes d'entreprise de l'enquête présentent un profil inédit. Elles sont diplômées du supérieur, d’origine sociale le plus souvent favorisée, de l’économie formelle, et engagées par ailleurs dans des associations d’entrepreneures visant à promouvoir « le renforcement des capacités des femmes ». La thèse analyse les effets de l’autonomisation économique des femmes, associée à un gain d’argent pour elles-mêmes, mais aussi de plus en plus à destination du ménage, sur les rapports de pouvoir entre les femmes et les hommes. Dans cette perspective, les itinéraires d’accumulation des cheffes d’entreprise sont décrits afin de voir les moyens de la réussite sociale, et le poids du contexte international sur leurs idéaux de la réussite au-delà du seul aspect économique. La thèse donne ainsi un éclairage sur la circulation du concept de genre dans le développement. Elle questionne le rapport entre autonomisation, individualisation et émancipation à travers l’étude des conséquences du travail professionnel des femmes dans les couples et les familles, en croisant notamment les rapports sociaux de sexe avec ceux de classe. Elle apporte une réflexion sur la catégorie travail, en contexte, appréhendé à la fois dans sa dimension productive et reproductive. Les données mettent au jour la difficulté des femmes à faire accepter leur travail professionnel au regard de la perpétuation de la division sexuelle du travail et de l’importance du statut masculin de chef de famille.

Vautier Anthony, Rouveau Nicolas, Diallo Sanata, Traore Marinette, Geoffroy Olivier, Kanku Kabemba Odé, Doumenc Aïdara Clémence et Larmarange Joseph (2020) « Is manufacturer’s Instructions-For-Use sufficient in a multilingual and low literacy context? The example of HIV self-testing in West Africa » (poster), présenté à INTEREST 2020, online. http://interestworkshop.org/.

Résumé : Background: The ATLAS project aims to promote the use of HIV self-testing (HIVST) in Côte d'Ivoire, Mali and Senegal. In order to ensure accurate HIVST use, it was necessary to evaluate if the manufacturer’s Instructions-For-Use (IFUs), standardized at the international level, provides complete, accessible and adapted information in the 3 countries’ contexts. Materials & Methods: In December 2018, cognitive interviews were conducted with 64 participants, mostly Men who have Sex with Men (40,6%) and Female Sex Workers (43,8%) in Côte d'Ivoire, Mali and Senegal. Among them, 17,2 % never performed HIV test before and 38% of participants cannot read. They were invited to perform an oral HIVST (OraQuick®) and were requested, at each step of the procedure to share their understanding of the IFU for HIVST use, of the result interpretation and of related actions to be taken. All participants had in hands the manufacturer's IFUs in French, including the free national hotline number. Half of them additionally received manufacturer's demonstration video translated into local languages. Directive interviews guide included 50 questions to collect participants’ perception of what was missing or unclear in the supporting tools. The methodology was validated with all national AIDS programmes and ministries of health. Results: Out of 64 HIVST performed, 5 results were positive (7,8%) and confirmed with additional tests. Overall, the IFU was well understood: 58 participants (92%) were able to interpret their HIVST result correctly without assistance. However, some misuses were observed at various stages, particularly for people who cannot read, with some instructions misunderstood or perceived as not adapted. Only participants who can read have access to information as “do not eat” or “do not use the test if you are on ART” as it is not illustrated in the IFUs. Most of the participants did not spontaneously identify the promotion of the free hotline number and/or the link to the demonstration video. Some procedure’s steps were misinterpreted: 7 participants (11%) did not swab correctly the flat pad along the gum, 3 participants (5%) have read the result at inaccurate time (at 20 seconds, at 5 minutes or after 40 minutes), 13 participants (20%) did not put the stand (for the tube including the liquid) in the right way and 8 other participants struggled to slide tube into the stand. Among 42 participants who can not read and/or who had not seen the video beforehand, 14 of them (33%) had at least one difficulty to interpret the result or to understand what to do after the test/result. On the other hand, the results of the cognitive interviews showed that demonstration video provides a real added value to the user’s understanding and accurate HIVST use (31 participants out of 32 found it very easy to understand with 9 of them who felt they do not need the IFUs if they previously watched the demonstration video). The video translation into local languages, produced by the ATLAS project, was very much appreciated by the participants. Conclusion: The manufacturer's IFUs alone appear not to be sufficient in a multilingual, low-literacy context to ensure accurate HIVST use. Access to additional supporting tools (complementary leaflet, demonstration video or free hotline) is essential in the 3 countries’ contexts.

Velasco-Pufleau Luis et Atlani-Duault Laëtitia (2020) « Sounds of survival, weaponization of sounds », Violence: An International Journal (special issue), 1 (2) (décembre), p. 265-272. DOI : 10.1177/2633002420976479. http://journals.sagepub.com/doi/10.1177/2633002420976479.

Résumé : In this article, we argue that sonic experiences in contexts of organized violence can be understood as sonic lieux de mémoire (sonic sites of memory). Exploring how these sonic sites are indissociable from the individual and collective experience of places, we show how they form networks of relationships within which the memory of silences and sounds is constructed and actualized. We also argue that these sonic lieux de mémoire can be seen from two perspectives, representing the dark and bright sides of the same phenomenon. On one hand, sound, music, and silence are used as weapons in organized violence, for example, in detention facilities or during wars or political conflicts. On the other hand, they constitute symbolic resources, positive tools that contribute to the (re)construction of subjectivities and thus can serve as tools for survival and resistance. In both cases, sound and musical practices are essential facets of what makes us human.

Velasco-Pufleau Luis et Atlani-Duault Laëtitia (2020) « Sounds of survival, weaponization of sounds: Exploring sonic - lieux de mémoire », Violence: An International Journal, 1 (2) (octobre), p. 265-272. DOI : 10.1177/2633002420976479. http://journals.sagepub.com/doi/10.1177/2633002420976479.

Résumé : In this article, we argue that sonic experiences in contexts of organized violence can be understood as sonic lieux de mémoire (sonic sites of memory). Exploring how these sonic sites are indissociable from the individual and collective experience of places, we show how they form networks of relationships within which the memory of silences and sounds is constructed and actualized. We also argue that these sonic lieux de mémoire can be seen from two perspectives, representing the dark and bright sides of the same phenomenon. On one hand, sound, music, and silence are used as weapons in organized violence, for example, in detention facilities or during wars or political conflicts. On the other hand, they constitute symbolic resources, positive tools that contribute to the (re)construction of subjectivities and thus can serve as tools for survival and resistance. In both cases, sound and musical practices are essential facets of what makes us human.

Willcox Merlin L, Price Jessica, Scott Sophie, Nicholson Brian D, Stuart Beth, Roberts Nia W, Allott Helen, Mubangizi Vincent, Dumont Alexandre et Harnden Anthony (2020) « Death audits and reviews for reducing maternal, perinatal and child mortality », éd. par Cochrane Effective Practice and Organisation of Care Group, Cochrane Database of Systematic Reviews (mars 25). DOI : 10.1002/14651858.CD012982.pub2. http://doi.wiley.com/10.1002/14651858.CD012982.pub2.

Résumé : Background The United Nations' Sustainable Development Goals (SDGs) include reducing the global maternal mortality rate to less than 70 per 100,000 live births and ending preventable deaths of newborns and children under five years of age, in every country, by 2030. Maternal and perinatal death audit and review is widely recommended as an intervention to reduce maternal and perinatal mortality, and to improve quality of care, and could be key to attaining the SDGs. However, there is uncertainty over the most cost-effective way of auditing and reviewing deaths: community-based audit (verbal and social autopsy), facility-based audits (significant event analysis (SEA)) or a combination of both (confidential enquiry). Objectives To assess the impact and cost-effectiveness of different types of death audits and reviews in reducing maternal, perinatal and child mortality. Search methods We searched the following from inception to 16 January 2019: CENTRAL, Ovid MEDLINE, Embase OvidSP, and five other databases. We identified ongoing studies using ClinicalTrials.gov and the World Health Organization (WHO) International Clinical Trials Registry Platform, and searched reference lists of included articles. Selection criteria Cluster-randomised trials, cluster non-randomised trials, controlled before-and-after studies and interrupted time series studies of any form of death audit or review that involved reviewing individual cases of maternal, perinatal or child deaths, identifying avoidable factors, and making recommendations. To be included in the review, a study needed to report at least one of the following outcomes: perinatal mortality rate; stillbirth rate; neonatal mortality rate; mortality rate in children under five years of age or maternal mortality rate. Data collection and analysis We used standard Cochrane Effective Practice and Organisation of Care (EPOC) group methodological procedures. Two review authors independently extracted data, assessed risk of bias and assessed the certainty of the evidence using GRADE. We planned to perform a meta-analysis using a random-effects model but included studies were not homogeneous enough to make pooling their results meaningful. Main results We included two cluster-randomised trials. Both introduced death review and audit as part of a multicomponent intervention, and compared this to current care. The QUARITE study (QUAlity of care, RIsk management, and TEchnology) concerned maternal death reviews in hospitals in West Africa, which had very high maternal and perinatal mortality rates. In contrast, the OPERA trial studied perinatal morbidity/mortality conferences (MMCs) in maternity units in France, which already had very low perinatal mortality rates at baseline. The OPERA intervention in France started with an outreach visit to brief obstetricians, midwives and anaesthetists on the national guidelines on morbidity/mortality case management, and was followed by a series of perinatal MMCs. Half of the intervention units were randomised to receive additional support from a clinical psychologist during these meetings. The OPERA intervention may make little or no difference to overall perinatal mortality (low certainty evidence), however we are uncertain about the effect of the intervention on perinatal mortality related to suboptimal care (very low certainty evidence).The intervention probably reduces perinatal morbidity related to suboptimal care (unadjusted odds ratio (OR) 0.62, 95% confidence interval (CI) 0.40 to 0.95; 165,353 births; moderate-certainty evidence). The effect of the intervention on stillbirth rate, neonatal mortality, mortality rate in children under five years of age, maternal mortality or adverse effects was not reported. The QUARITE intervention in West Africa focused on training leaders of hospital obstetric teams using the ALARM (Advances in Labour And Risk Management) course, which included one day of training about conducting maternal death reviews. The leaders returned to their hospitals, established a multidisciplinary committee and started auditing maternal deaths, with the support of external facilitators. The intervention probably reduces inpatient maternal deaths (adjusted OR 0.85, 95% CI 0.73 to 0.98; 191,167 deliveries; moderate certainty evidence) and probably also reduces inpatient neonatal mortality within 24 hours following birth (adjusted OR 0.74, 95% CI 0.61 to 0.90; moderate certainty evidence). However, QUARITE probably makes little or no difference to the inpatient stillbirth rate (moderate certainty evidence) and may make little or no difference to the inpatient neonatal mortality rate after 24 hours, although the 95% confidence interval includes both benefit and harm (low certainty evidence). The QUARITE intervention probably increases the percent of women receiving high quality of care (OR 1.87, 95% CI 1.35 - 2.57, moderate-certainty evidence). The effect of the intervention on perinatal mortality, mortality rate in children under five years of age, or adverse effects was not reported. We did not find any studies that evaluated child death audit and review or community-based death reviews or costs. Authors' conclusions A complex intervention including maternal death audit and review, as well as development of local leadership and training, probably reduces inpatient maternal mortality in low-income country district hospitals, and probably slightly improves quality of care. Perinatal death audit and review, as part of a complex intervention with training, probably improves quality of care, as measured by perinatal morbidity related to suboptimal care, in a high-income setting where mortality was already very low. The WHO recommends that maternal and perinatal death reviews should be conducted in all hospitals globally. However, conducting death reviews in isolation may not be sufficient to achieve the reductions in mortality observed in the QUARITE trial. This review suggests that maternal death audit and review may need to be implemented as part of an intervention package which also includes elements such as training of a leading doctor and midwife in each hospital, annual recertification, and quarterly outreach visits by external facilitators to provide supervision and mentorship. The same may also apply to perinatal and child death reviews. More operational research is needed on the most cost-effective ways of implementing maternal, perinatal and paediatric death reviews in low- and middle-income countries

Zemirli Zohra Aziadé (2020) Le statut juridique des non-musulmans en Algérie· L'exemple des évangéliques et des ahmadis, PARIS, France : L'Harmattan, 470 p. (Le droit aujourd'hui). ISBN : 978-2-343-21408-5. https://www.editions-harmattan.fr/livre-le_statut_juridique_des_non_musulmans_en_algerie_l_exemple_des_evangeliques_et_des_ahmadis_zohra_aziade_zemirli-9782343214085-67347.html.

Résumé : Cet ouvrage, portant sur la situation antérieure à 2019, donne des clés d'explication quant aux origines du mouvement de protestation populaire, le hirak. Il montre comment l'État contrôle la société, laquelle, majoritairement sunnite, connaît une pluralité religieuse. La présence des protestants s'est fait connaître en 2004 suite à des conversions massives vers l'évangélisme ; les ahmadis sont apparus dans le paysage juridique en 2016, après une série d'arrestations. À travers l'étude du statut juridique des Algériens non-musulmans, ce travail examine le droit algérien au regard des engagements internationaux de l'Algérie. Il repose sur l'analyse de la jurisprudence, un solide travail de terrain et de nombreux entretiens. Il en ressort que l'État contrôle le champ religieux et que l'Islam sert de référent identitaire dans une Algérie rejetant toute forme religieuse stigmatisée comme étrangère à sa société.

Zinszer Kate, Caprara Andrea, Lima Antonio, Degroote Stéphanie, Zahreddine Monica, Abreu Kellyanne, Carabali Mabel, Charland Katia, Dantas Mayana Azevedo, Wellington José, Parra Beatriz, Fournet Florence, Bonnet Emmanuel, Pérez Denis, Robert Emilie, Dagenais Christian, Benmarhnia Tarik, Andersson Neil et Ridde Valéry (2020) « Sustainable, healthy cities: protocol of a mixed methods evaluation of a cluster randomized controlled trial for Aedes control in Brazil using a community mobilization approach », Trials, 21 (1) (décembre). DOI : 10.21203/rs.2.9928/v3. https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-019-3714-8.

Résumé : BACKGROUND: Dengue is increasing in its global presence with an estimated 4 billion people at-risk of infection in at least 128 countries. Despite the promising results of EcoHealth and community mobilization approaches to Aedes reduction, more evidence of their efficacy on reducing dengue risk is needed. The principal research question is to determine if interventions based upon community mobilization reduce the risk of dengue virus infection among children 3 to 9 years old compared to usual dengue control practice in Fortaleza, Brazil. METHODS: The present study will follow a pragmatic cluster randomized controlled trial (cRCT) design with randomization at the census tract level with equal allocation to the two arms. In each arm, there will be 34 clusters of 86 children between 3 to 9 years old for an expected total of 5848 children enrolled in the study, assuming a risk reduction of 29.5% based upon findings from a previous multi-site cRCT. The primary outcomes are rates of anti-dengue Immunoglobulin G (IgG) seroconversion and adult female Aedes density. The intervention is based upon a participatory health research approach, Socializing Evidence for Participatory Action (SEPA), where the research evidence is used to foster community engagement and ownership of the health issue and solution. Following allocation, intervention communities will develop and implement their own solutions that will likely include a wide variety of collective events and media approaches. Data collection activities over a period of 3 years include household visits for blood collection, household surveys, and entomological surveys; and qualitative activities including focus groups, in-depth interviews, and document analysis to evaluate the process, acceptability, fidelity, and sustainability of the intervention. Study participants will be aware of their assignment and all research staff will be blinded although the intervention assignment will likely be revealed to field staff through interaction with participants. DISCUSSION: The results of our study will provide evidence on community mobilization as an intervention for dengue control. We anticipate that if community mobilization is effective in Fortaleza, the results of this study will help develop evidence-based vector control programs in Brazil, and also in other countries struggling with Aedes-transmitted diseases. KEYWORDS: Aedes mosquitos; Brazil; Cluster randomized controlled trial; Community empowerment; Community-based intervention; Dengue; Mixed methods; Vector control

Zombré David, Allegri Manuela De et Ridde Valéry (2020) « No effects of pilot performance-based intervention implementation and withdrawal on the coverage of maternal and child health services in the Koulikoro region, Mali: an interrupted time series analysis », Health Policy and Planning, 35 (4) (janvier 31), p. 379-387. DOI : 10.1093/heapol/czaa001. https://academic.oup.com/heapol/advance-article/doi/10.1093/heapol/czaa001/5718845.

Résumé : Performance-based financing (PBF) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. However, the evidence of the impact of PBF is mixed and varies substantially across settings. Thus, further rigorous investigation is needed to be able to draw broader conclusions about the effects of this health financing reform. We examined the effects of the implementation and subsequent withdrawal of the PBF pilot programme in the Koulikoro region of Mali on a range of relevant maternal and child health indicators targeted by the programme. We relied on a control interrupted time series design to examine the trend in maternal and child health service utilization rates prior to the PBF intervention, during its implementation and after its withdrawal in 26 intervention health centres. The results for these 26 intervention centres were compared with those for 95 control health centres, with an observation window that covered 27 quarters. Using a mixed-effects negative binomial model combined with a linear spline regression model and covariates adjustment, we found that neither the introduction nor the withdrawal of the pilot PBF programme bore a significant impact in the trend of maternal and child health service use indicators in the Koulikoro region of Mali. The absence of significant effects in the health facilities could be explained by the context, by the weaknesses in the intervention design and by the causal hypothesis and implementation. Further inquiry is required in order to provide policymakers and practitioners with vital information about the lack of effects detected by our quantitative analysis. © The Author(s) 2020. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. KEYWORDS: Mali; Performance-based financing; health services coverage; interrupted time series; policy evaluation

Publications des membres du Ceped

2020

2019

Flux

Outils internes