Publications des membres du Ceped

2019



  • Chabrol Fanny, Albert Lucien et Ridde Valéry (2019) « 40 years after Alma-Ata, is building new hospitals in low-income and lower-middle-income countries beneficial? », BMJ Global Health, 3 (Suppl 3) (avril), p. e001293. DOI : 10/gfz79z. http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2018-001293.


  • Degroote Stéphanie, Ridde Valery et De Allegri Manuela (2019) « Health Insurance in Sub-Saharan Africa: A Scoping Review of the Methods Used to Evaluate its Impact », Applied Health Economics and Health Policy (juillet 30), p. 1-16. DOI : 10/gf5thd. http://link.springer.com/10.1007/s40258-019-00499-y.
    Résumé : We conducted a scoping review with the objective of synthesizing available literature and mapping what designs and methods have been used to evaluate health insurance reforms in sub-Saharan Africa. We systematically searched for scientific and grey literature in English and French published between 1980 and 2017 using a combination of three key concepts: “Insurance” and “Impact evaluation” and “sub-Saharan Africa”. The search led to the inclusion of 66 articles with half of the studies pertaining to the evaluation of National Health Insurance schemes, especially the Ghanaian one, and one quarter pertaining to Community-Based Health Insurance and Mutual Health Organization schemes. Sixty-one out of the 66 studies (92%) included were quantitative studies, while only five (8%) were defined as mixed methods. Most studies included applied an observational design (n = 37; 56%), followed by a quasi-experimental (n = 27; 41%) design; only two studies (3%) applied an experimental design. The findings of our scoping review are in line with the observation emerging from prior reviews focused on content in pointing at the fact that evidence on the impact of health insurance is still relatively weak as it is derived primarily from studies relying on observational designs. Our review did identify an increase in the use of quasi-experimental designs in more recent studies, suggesting that we could observe a broadening and deepening of the evidence base on health insurance in Africa over the next few years.


  • Fête Margaux, Aho Josephine, Benoit Magalie, Cloos Patrick et Ridde Valéry (2019) « Barriers and recruitment strategies for precarious status migrants in Montreal, Canada », BMC Medical Research Methodology, 19 (1) (décembre), p. 41. DOI : 10.1186/s12874-019-0683-2. https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-019-0683-2.
  • Fillol Amandine, Djiguinde Amadou, Coulibaly Abdourahmane, Zitti Tony et Ridde Valéry (2019) « Les problèmes de mise en œuvre nuisent à l’augmentation de la motivation des agents de santé au Mali », ONG MISELI.
    Résumé : Au Mali, un programme de financement basé sur les résultats (FBR) a été mis en oeuvre dans la région de Koulikoro en 2016-2017. Cette note présente les résultats d’une étude qui a permis d’observer que ce programme pourrait augmenter la motivation du personnel de santé. L’idée des primes est très appréciée par les agents mais les problèmes de mise en oeuvre sont un obstacle important. Nous avons proposé plusieurs recommandations à la fin de cette note afin de limiter les effets des problèmes de mise en œuvre.


  • Fillol Amandine, Lagrange Solène, Benoît Magalie, Ridde Valery et Cloos Patrick (2019) « Accès aux soins de santé des femmes enceintes et des enfants migrants au Québec et en France : tirer des leçons d’ailleurs », Revue d'Épidémiologie et de Santé Publique, 67 (février), p. S57. DOI : 10/gft83c. https://linkinghub.elsevier.com/retrieve/pii/S0398762018314408.


  • Fillol Amandine, Lohmann Julia, Turcotte-Tremblay Anne-Marie, Somé Paul-André et Ridde Valéry (2019) « The Importance of Leadership and Organizational Capacity in Shaping Health Workers’ Motivational Reactions to Performance-Based Financing: A Multiple Case Study in Burkina Faso », International Journal of Health Policy and Management, 8 (5), p. 277-279. DOI : 10.15171/ijhpm.2018.133. http://www.ijhpm.com/article_3593.html.
    Résumé : Background Performance-based financing (PBF) is currently tested in many low- and middle-income countries as a health system strengthening strategy. One of the main mechanisms through which PBF is assumed to effect change is by motivating health workers to improve their service delivery performance. This article aims at a better understanding of such motivational effects of PBF. In particular, the study focused on organizational context factors and health workers’ perceptions thereof as moderators of the motivational effects of PBF, which to date has been little explored. Methods We conducted a multiple case study in 2 district hospitals and 16 primary health facilities across three districts. Health facilities were purposely sampled according to pre-PBF performance levels. Within sampled facilities, 82 clinical skilled healthcare workers were in-depth interviewed one year after the start of the PBF intervention. Data were analyzed using a blended deductive and inductive process, using self-determination theory (SDT) as an analytical framework. Results Results show that the extent to which PBF contributed to positive, sustainable forms of motivation depended on the “ground upon which PBF fell,” beyond health workers’ individual personalities and disposition. In particular, health workers described three aspects of the organizational context in which PBF was implemented: the extent to which existing hierarchies fostered as opposed to hindered participation and transparency; managers’ handling of the increased performance feedback inherent in PBF; and facility’s pre-PBF levels in regards to infrastructure, equipment, and human resources. Conclusion Our results underline the importance of leadership styles and pre-implementation performance levels in shaping health workers’ motivational reactions to PBF. Ancillary interventions aimed at fostering participatory as opposed to directional leadership or start-up support to low-performing health facilities will likely boost PBF effects in regards to the development of valuable motivational capacities.
    Mots-clés : ⛔ No DOI found.


  • Gautier Lara, Coulibaly Abdourahmane, De Allegri Manuela et Ridde Valéry (2019) « From Amsterdam to Bamako: a qualitative case study on diffusion entrepreneurs’ contribution to performance-based financing propagation in Mali », Health Policy and Planning (septembre 16), p. czz087. DOI : 10.1093/heapol/czz087. https://academic.oup.com/heapol/advance-article/doi/10.1093/heapol/czz087/5570539.
    Résumé : For the past 15 years, several donors have promoted performance-based financing (PBF) in Africa for improving health services provision. European and African experts known as ‘diffusion entrepreneurs’ (DEs) assist with PBF pilot testing. In Mali, after participating in a first pilot PBF in 2012–13, the Ministry of Health and Public Hygiene included PBF in its national strategic plan. It piloted this strategy again in 2016–17. We investigated the interactions between foreign experts and domestic actors towards PBF diffusion in Mali from 2009 to 2018. Drawing on the framework on DEs (Gautier et al., 2018), we examine the characteristics of DEs acting at the global, continental and (sub)national levels; and their contribution to policy framing, emulation, experimentation and learning, across locations of PBF implementation. Using an interpretive approach, this longitudinal qualitative case study analyses data from observations (N = 5), interviews (N = 33) and policy documentation (N = 19). DEs framed PBF as the logical continuation of decentralization, contracting policies and existing policies. Policy emulation started with foreign DEs inspiring domestic actors’ interest, and succeeded thanks to longstanding relationships and work together. Learning was initiated by European DEs through training sessions and study tours outside Mali, and by African DEs transferring their passion and tacit knowledge to PBF implementers. However, the short-time frame and numerous implementation gaps of the PBF pilot project led to incomplete policy learning. Despite the many pitfalls of the region-wide pilot project, policy actors in Mali decided to pursue this policy in Mali. Future research should further investigate the making of successful African DEs by foreign DEs advocating for a given policy.


  • Gautier Lara, De Allegri Manuela et Ridde Valéry (2019) « How is the discourse of performance-based financing shaped at the global level? A poststructural analysis », Globalization and Health, 15 (1) (décembre). DOI : 10/gfth5f. https://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-018-0443-9.
    Résumé : Background Performance-based financing (PBF) in low- and middle-income settings has diffused at an unusually rapid pace. While many studies have looked at PBF implementation processes and effects, there is an empirical research gap investigating the ways PBF has diffused. Discursive processes are paramount elements of policy diffusion because they explain the origins of essential elements of the political debate on PBF. Using Bacchi’s poststructural approach that emphasises problem representations embedded in the discourse, the present study analyses the construction of the global discourse on PBF. Methods A rich corpus of qualitative data (57 in-depth interviews and 10 observation notes) was collected. The transcribed material was coded using QDAMiner©. Codes were assembled to populate analytical categories informed by the framework on diffusion entrepeneurs and Bacchi’s poststructural approach. Results Our results feature problem representations shaped and spread by PBF global diffusion entrepreneurs. We explain how these representations reflected diffusion entrepreneurs’ own belief systems and interests, and conflicted with those of non-diffusion entrepreneurs. This research also reveals the specific strategies global diffusion entrepreneurs engaged in to effectively diffuse PBF, through reflecting problem representations based on the discourse on PBF, and inducing certain forms of policy experimentation, emulation, and learning. Conclusions Bacchi’s poststructural approach is useful to analyse the construction of global health problem representations and the strategies set by global diffusion entrepreneurs to spread these representations. Future research is needed to investigate the belief systems, motivations, resources, and strategies of actors that shape the construction of global health discourses.


  • Guichard Anne et Ridde Valéry (2019) « Equity at all cost—and any price—for research funding in Canada? », Canadian Journal of Public Health, 110 (1) (février), p. 114-117. DOI : 10/gd8cgv. http://link.springer.com/10.17269/s41997-018-0136-4.

  • Guillard Etienne, Kadio Kadiatou, Mc Sween-Cadieux Esther et Ridde Valéry (2019) « Cinquième symposium global sur la recherche sur les systèmes de santé, Liverpool (Royaume Uni), 8-12 octobre 2018 », Médecine et Santé Tropicales, 29 (1) (janvier), p. 9-14. DOI : 10.1684/mst.2019.0869.
    Résumé : Le dernier symposium mondial sur la recherche sur les systèmes de santé s’est tenu à Liverpool en octobre 2018 sur le thème de la promotion de systèmes de santé pour toutes et tous à l’ère des objectifs de développement durable (ODD). Cet événement bisannuel est l’occasion de réunir l’ensemble des acteurs de ce domaine, chercheurs, décideurs, opérateurs de terrain et d’en partager les travaux les plus récents. De nombreux sujets ont été abordés dont certains sont évoqués dans l’article : la qualité des soins dans les systèmes de santé passant par une nécessaire amélioration des pratiques des professionnels de santé, les enjeux du passage à l’échelle des interventions en santé, la mobilisation des connaissances pour l’élaboration des politiques publiques ou la place du secteur privé. Alors que ce domaine s’est fortement développé au cours des vingt dernières années et est devenu central dans l’aide au développement et en santé mondiale, il reste encore relativement peu connu dans le monde francophone et la France en est grandement absente.


  • Kaboré Charles, Ridde Valéry, Chaillet Nils, Yaya Bocoum Fadima, Betrán Ana Pilar et Dumont Alexandre (2019) « DECIDE: a cluster-randomized controlled trial to reduce unnecessary caesarean deliveries in Burkina Faso », BMC Medicine, 17 (1) (décembre), p. 87. DOI : 10.1186/s12916-019-1320-y. https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-019-1320-y.
    Résumé : Background In Burkina Faso, facility-based caesarean delivery rates have markedly increased since the national subsidy policy for deliveries and emergency obstetric care was implemented in 2006. Effective and safe strategies are needed to prevent unnecessary caesarean deliveries. Methods We conducted a cluster-randomized controlled trial of a multifaceted intervention at 22 referral hospitals in Burkina Faso. The evidence-based intervention was designed to promote the use of clinical algorithms for caesarean decision-making using in-site training, audits and feedback of caesarean indications and SMS reminders. The primary outcome was the change in the percentage of unnecessary caesarean deliveries. Unnecessary caesareans were defined on the basis of the literature review and expert consensus. Data were collected daily using a standardized questionnaire, in the same way at both the intervention and control hospitals. Caesareans were classified as necessary or unnecessary in the same way, in both arms of the trial using a standardized computer algorithm.ResultsA total of 2138 and 2036 women who delivered by caesarean section were analysed in the pre and post-intervention periods, respectively. A significant reduction in the percentage of unnecessary caesarean deliveries was evident from the pre- to post-intervention period in the intervention group compared with the control group (18.96 to 6.56% and 18.27 to 23.30% in the intervention and control groups, respectively; odds ratio [OR] for incremental change over time, adjusted for hospital and patient characteristics, 0.22; 95% confidence interval [CI], 0.14 to 0.34; P<0.001; adjusted risk difference, -17.02%; 95% CI, -19.20 to -13.20%).The intervention did not significantly affect the rate of maternal death (0.75 to 0.19% and 0.92 to 0.40% in the intervention and control groups, respectively; adjusted OR 0.32; 95% CI 0.04 to 2.23; P=0.253) or intrapartum-related neonatal death (4.95 to 6.32% and 5.80 to 4.29% in the intervention and control groups, respectively, adjusted OR 1.73; 95% CI 0.82 to 3.66; P=0.149). The overall perinatal mortality data were not available.Conclusion Promotion and training on clinical algorithms for decision-making, audit and feedback and SMS reminders reduced unnecessary caesarean deliveries, compared with usual care in a low-resource setting.
    Pièce jointe Texte intégral 690.8 ko (source)


  • Lechat Lucie, Bonnet Emmanuel, Queuille Ludovic, Traoré Zoumana, Somé Paul-André et Ridde Valéry (2019) « Relevance of a Toll-Free Call Service Using an Interactive Voice Server to Strengthen Health System Governance and Responsiveness in Burkina Faso », International Journal of Health Policy and Management, 8 (6) (mars 19), p. 353-364. DOI : 10.15171/ijhpm.2019.13. http://www.ijhpm.com/article_3605.html.
    Résumé : Background: In Africa, health systems are poorly accessible, inequitable, and unresponsive. People rarely have either the confidence or the opportunity to express their opinions. In Burkina Faso, there is a political will to improve governance and responsiveness to create a more relevant and equitable health system. Given their development in Africa, information and communication technologies (ICTs) offer opportunities in this area. Methods: This article presents the results of an evaluation of a toll-free call service coupled with an interactive voice server (TF-IVS) tested in Ouagadougou, Burkina Faso, to assess its relevance for improving health systems governance. The approach consisted of a 2-phased action research project to test 2 technologies: recorded messages and touch keypad. Using a concurrent mixed approach, we assessed the technological, social, and instrumental relevance of the service. Results: The call service is available everywhere, 24 hours per day, seven days per week. The equipment and its physical location were not adequately protected against technological hazards. Of the 278 days of operation, 49 were non-functional. In 8 months, there were 13 877 calls, which demonstrated the popularity of ICTs and the ease of access to telephone networks and mobile technologies. The TF-IVS was free, anonymous, and multilingual, which fostered the expression of public opinion. However, cultural context (religion, ethnic culture) and fear of reprisals may have had a negative influence. In the end, questions remained regarding people’s capacity to use this innovative service. In the first trial, 49% of callers recorded their message and in the second, 48%. Touch key technology appeared more relevant for automated and real-time data collection and analysis, but there was no comprehensive strategy for translating the information collected into a response from healthcare actors or the government. Conclusion: This study showed the relevance and feasibility of implementing a TF-IVS to strengthen health system responsiveness in one of the world’s poorest countries. Public opinion expressed through data collected in real-time is helpful for improving system responsiveness to meet care needs and enhance equity. However, the strategy for developing this tool must take into account the implementation context and the activities needed to influence the mechanisms of social responsibility (eg, information provision, citizen action, and state response).


  • Lee Jung-Seok, Mogasale Vittal, Lim Jacqueline K., Ly Sowath, Lee Kang Sung, Sorn Sopheak, Andia Esther, Carabali Mabel, Namkung Suk, Lim Sl-Ki, Ridde Valéry, Njenga Sammy M., Yaro Seydou et Yoon In-Kyu (2019) « A multi-country study of the economic burden of dengue fever based on patient-specific field surveys in Burkina Faso, Kenya, and Cambodia », éd. par Olaf Horstick, PLOS Neglected Tropical Diseases, 13 (2) (février 28), p. e0007164. DOI : 10/gfv56f. http://dx.plos.org/10.1371/journal.pntd.0007164.


  • Mc Sween-Cadieux Esther, Dagenais Christian, Somé Donmozoun Télesphore et Ridde Valéry (2019) « A health knowledge brokering intervention in a district of Burkina Faso: A qualitative retrospective implementation analysis », éd. par Irene Agyepong, PLOS ONE, 14 (7) (juillet 26), p. e0220105. DOI : 10/gf5thb. http://dx.plos.org/10.1371/journal.pone.0220105.
    Résumé : Background A knowledge brokering (KB) intervention was implemented in Burkina Faso. By creating partnerships with health system actors in one district, the broker was expected to assess their knowledge needs, survey the literature to provide the most recent research evidence, produce various knowledge translation tools, and support them in using research to improve their actions. The purpose of this study was to analyze the key factors that influenced the KB project and to make recommendations for future initiatives. Methods The qualitative design involved a single case study in which the KB intervention implementation was evaluated retrospectively. Data came from interviews with the intervention team (n = 4) and with various actors involved in the intervention (n = 16). Data from formative evaluations conducted during the KB implementation and observation data from a two-month field mission were also used. Two conceptual frameworks were combined to guide the analysis: the Consolidated Framework for Implementation Research (Damschroder et al., 2009) and the Ecological Framework (Durlak & DuPre, 2008). Results Various KB activities were conducted during the first two years of implementation at the local level. The project came to an early end following vain efforts to relocate the intervention at the central level in order to further influence the policy process. Certain shortcomings in the implementation team negatively influenced the implementation: inadequate leadership, no shared vision regarding the reorientation of the intervention, challenges related to the KB role, and lack of frank communications internally. Other impediments to the intervention’s deployment included local actors' lack of decision-making authority, the unavailability of resources and of organizational incentives for involvement in the KB intervention, and contextual challenges in accessing the central level. However, the KB strategy presented several strengths: collaborative development, support provided to local partners by the broker, and training opportunities and support provided to the broker. Conclusions More attention must be paid to intervention planning, partners’ engagement, human, financial and technical resources availability, continuous development of skills and of communications within the KB team, and periodic assessment of potential obstacles related to the complexity of the system within which the intervention has been implemented. Using implementation science frameworks when developing KB strategies in the West African context should be promoted.


  • McLaren Lindsay, Braitstein Paula, Buckeridge David, Contandriopoulos Damien, Creatore Maria I., Faulkner Guy, Hammond David, Hoffman Steven J., Kestens Yan, Leatherdale Scott, McGavock Jonathan, Norman Wendy V., Nykiforuk Candace, Ridde Valéry et Smylie Janet (2019) « Why public health matters today and tomorrow: the role of applied public health research », Canadian Journal of Public Health, 110 (3) (mars 18), p. 317-322. DOI : 10.17269/s41997-019-00196-2. http://link.springer.com/10.17269/s41997-019-00196-2.


  • Meda Ivlabèhiré Bertrand, Baguiya Adama, Ridde Valéry, Ouédraogo Henri Gautier, Dumont Alexandre et Kouanda Seni (2019) « Out-of-pocket payments in the context of a free maternal health care policy in Burkina Faso: a national cross-sectional survey », Health Economics Review, 9 (1) (décembre), p. 11. DOI : 10.1186/s13561-019-0228-8. https://healtheconomicsreview.springeropen.com/articles/10.1186/s13561-019-0228-8.
    Résumé : Background In April 2016, Burkina Faso introduced a free health care policy for women. Instead of reimbursing health facilities, as many sub-Saharan countries do, the government paid them prospectively for covered services to avoid reimbursement delays, which are cited as a reason for the persistence of out-of-pocket (OOP) payments. This study aimed to (i) estimate the direct expenditures of deliveries and covered obstetric care, (ii) determine the OOP payments, and (iii) identify the patient and health facility characteristics associated with OOP payments. Methods A national cross-sectional study was conducted in September and October 2016 in 395 randomly selected health facilities. A structured questionnaire was administered to women (n = 593) who had delivered or received obstetric care on the day of the survey. The direct health expenditures included fees for consultations, prescriptions, paraclinical examinations, hospitalization and ambulance transport. A two-part model with robust variances was performed to identify the factors associated with OOP payments. Results A total of 587 women were included in the analysis. The median direct health expenses were US$5.38 [interquartile range (IQR):4.35–6.65], US$24.72 [IQR:16.57–46.09] and US$136.39 [IQR: 108.36–161.42] for normal delivery, dystocia and cesarean section, respectively. Nearly one-third (29.6%, n = 174) of the women reported having paid for their care. OOP payments ranged from US$0.08 to US$98.67, with a median of US$1.77 [IQR:0.83–7.08]). Overall, 17.5% (n = 103) of the women had purchased drugs at private pharmacies, and 11.4% (n = 67) had purchased cleaning products for a room or equipment. OOP payments were more frequent with age, for emergency obstetric care and among women who work. The women’s health region of origin was also significantly associated with OOP payments. For those who made OOP payments, the amounts paid decreased with age but were higher in urban areas, in hospitals, and among the most educated women. The amounts paid were lower among students and were associated with health region. Conclusion The policy is effective for financial protection. However, improvements in the management and supply system of health facilities’ pharmacies could further reduce OOP payments in the context of the free health care policy in Burkina Faso.
    Pièce jointe Texte intégral 861.6 ko (source)


  • Ouattara Lissy Parfait Eric, Sangaré Ibrahim, Namountougou Moussa, Hien Aristide, Ouari Ali, Soma Dieudonné Diloma, Kassié Daouda, Diabaté Abdoulaye, Gnankiné Olivier, Bonnet Emmanuel, Ridde Valéry, Akré Maurice Adja, Fournet Florence et Dabiré Kounbobr Roch (2019) « Surveys of Arboviruses Vectors in Four Cities Stretching Along a Railway Transect of Burkina Faso: Risk Transmission and Insecticide Susceptibility Status of Potential Vectors », Frontiers in Veterinary Science, 6 (mai 28), p. 140. DOI : 10.3389/fvets.2019.00140. https://www.frontiersin.org/article/10.3389/fvets.2019.00140/full.


  • Pérez Dennis, Van der Stuyft Patrick, Ridde Valéry et Lefèvre Pierre (2019) « To the bone: Comment on “I wanted a skeleton … they brought a prince”: A qualitative investigation of factors mediating the implementation of a Performance Based Incentive program in Malawi », SSM - Population Health (mai), p. 100305. DOI : 10.1016/j.ssmph.2018.10.005. https://linkinghub.elsevier.com/retrieve/pii/S2352827318301137.
    Résumé : Recently, McMahon and colleagues set out to build on a widely-used fidelity framework, assessing the role of moderating factors during the implementation of performance-based financing programs in Malawi. Their attempt draws again the attention to the importance of approaching real word implementation issues from a theoretical perspective. It also highlights the importance of fidelity assessment within process evaluation of health programs. In this comment we argue that theoretical developments in the field of implementation science in global health would benefit from an accurate understanding of existing conceptual frameworks as well as from taking into account all contemporary contributions.


  • Ridde Valéry, Benmarhnia Tarik, Bonnet Emmanuel, Bottger Carol, Cloos Patrick, Dagenais Christian, De Allegri Manuela, Nebot Ariadna, Queuille Ludovic et Sarker Malabika (2019) « Climate change, migration and health systems resilience: Need for interdisciplinary research », F1000Research, 8 (avril 1), p. 22. DOI : 10/gfz79x. https://f1000research.com/articles/8-22/v2.
    Résumé : Climate change is one of today's major challenges, and among the causes of population movement and international migration. Climate migrants impact health systems and how their ability to respond and adapt to their needs and patterns.  To date, the resilience of health systems in the context of climate change has barely been explored. The purpose of this article is to show the importance of studying the relationship between climate change, migration, and the resilience of health systems from an interdisciplinary perspective. Resilience is an old concept, notably in the field of psychology, and is increasingly applied to the study of health systems. Yet, no research has analysed the resilience of health systems in the context of climate change. While universal health coverage is a major international goal, little research to date focused on the existing links between climate, migration, health systems and resilience. We propose an interdisciplinary approach relying on the concept of health system resilience to study adaptive and transformative strategies to articulate climate change, migration and health systems.

  • Ridde Valéry et Bonnet Emmanuel (2019) « Pour un grand débat sur l’augmentation de l’aide publique française en santé mondiale », AOC. https://aoc.media/opinion/2019/03/11/grand-debat-laugmentation-de-laide-publique-francaise-sante-mondiale/.

  • Ridde Valéry et Dagenais Christian (2019) Évaluation des interventions de santé mondiale. Méthodes avancées, Zenodo. https://zenodo.org/record/3241866.
    Résumé : Une couverture universelle des soins de santé en 2030 pour tous les êtres humains, du Nord au Sud? Réaliser cet objectif de développement durable aussi ambitieux que nécessaire exigera une exceptionnelle volonté politique, mais aussi de solides données probantes sur les moyens d’y arriver, notamment sur les interventions de santé mondiale les plus efficaces. Savoir les évaluer est donc un enjeu majeur. On ne peut plus se contenter de mesurer leur efficacité : il nous faut comprendre pourquoi elles l’ont été (ou pas), comment et dans quelles conditions. Cet ouvrage collectif réunissant 27 auteurs et 12 autrices de différents pays et de disciplines variées a pour but de présenter de manière claire et accessible, en français, un florilège d’approches et de méthodes avancées en évaluation d’interventions : quantitatives, qualitatives, mixtes, permettant d’étudier l’évaluabilité, la pérennité, les processus, la fidélité, l’efficience, l’équité et l’efficacité d’interventions complexes. Chaque méthode est présentée dans un chapitre à travers un cas réel pour faciliter la transmission de ces savoirs précieux.
    Mots-clés : Évaluation, Méthodologie, Santé mondiale.
    Note Note
    <h2>Other</h2> Éditions science et bien commun
    Note Note
    <h2>Other</h2> Éditions science et bien commun


  • Ridde Valery, Dagenais Christian et Daigneault Isabelle (2019) « It’s time to address sexual violence in academic global health », BMJ Global Health, 4 (2) (avril), p. e001616. DOI : 10.1136/bmjgh-2019-001616. http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2019-001616.


  • Ridde Valéry (2019) « Les inégalités: de la (dé)mesure aux théories de la justice sociale en passant par la résilience… des chercheurs », in Inégalités en perspectives., éd. par Etienne Gérard et Nolwen Henaff, PARIS, France : Editions des archives contemporaines, p. 1-9. ISBN : 10.17184/eac.1616 - ISBN : 91782813002310. http://eac.ac/articles/1616.


  • Robert Emilie, Ridde Valery, Rajan Dheepa, Sam Omar, Dravé Mamadou et Porignon Denis (2019) « Realist evaluation of the role of the Universal Health Coverage Partnership in strengthening policy dialogue for health planning and financing: a protocol », BMJ Open, 9 (1) (janvier), p. bmjopen-2018-022345. DOI : 10/gftjxh. http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-022345.
    Résumé : Introduction In 2011, WHO, the European Union and Luxembourg entered into a collaborative agreement to support policy dialogue for health planning and financing; these were acknowledged as core areas in need of targeted support in countries’ quest towards universal health coverage (UHC). Entitled ‘Universal Health Coverage Partnership’, this intervention is intended to strengthen countries’ capacity to develop, negotiate, implement, monitor and evaluate robust and integrated national health policies oriented towards UHC. It is a complex intervention involving a multitude of actors working on a significant number of remarkably diverse activities in different countries. Methods and analysis The researchers will conduct a realist evaluation to answer the following question: How, in what contexts, and triggering what mechanisms, does the Partnership support policy dialogue for health planning and financing towards UHC? A qualitative multiple case study will be undertaken in Togo, Liberia, Democratic Republic of Congo, Cape Verde, Burkina Faso and Niger. Three steps will be implemented: (1) formulating context–mechanism–outcome explanatory propositions to guide data collection, based on expert knowledge and theoretical literature; (2) collecting empirical data through semistructured interviews with key informants and observations of key events, and analysing data; (3) specifying the intervention theory. Ethics and dissemination The primary target audiences are WHO and its partner countries; international and national stakeholders involved in or supporting policy dialogues in the health sector, especially in low-income countries; and researchers with interest in UHC, policy dialogue, evaluation research and/or realist evaluation. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
  • Ridde Valéry (2019) « Tentative de prospective pour l'Observatoire de population de Ouagadougou », in Inégalités de santé à Ouagadougou, éd. par Clémentine Rossier, Abdramane Soura, et Géraldine Duthè, INED, Paris, p. 255-264.


  • Storeng Katerini T, Abimbola Seye, Balabanova Dina, McCoy David, Ridde Valery, Filippi Veronique, Roalkvam Sidsel, Akello Grace, Parker Melissa et Palmer Jennifer (2019) « Action to protect the independence and integrity of global health research », BMJ Global Health, 4 (3) (juin), p. e001746. DOI : 10/gf343k. http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2019-001746.


  • Turenne C. Pailliard, Gautier Lara, Degroote Stéphanie, Guillard Etienne, Chabrol Fanny et Ridde Valéry (2019) « Conceptual analysis of health systems resilience: A scoping review », Social Science & Medicine (avril), p. S0277953619302205. DOI : 10.1016/j.socscimed.2019.04.020. https://linkinghub.elsevier.com/retrieve/pii/S0277953619302205.


  • Zitti Tony, Gautier Lara, Coulibaly Abdourahmane et Ridde Valéry (2019) « Stakeholder Perceptions and Context of the Implementation of Performance-Based Financing in District Hospitals in Mali », International Journal of Health Policy and Management, 8 (10) (juin 30), p. 583-592. DOI : 10.15171/ijhpm.2019.45. http://www.ijhpm.com/article_3637.html.
    Résumé : Background: To improve the performance of the healthcare system, Mali's government implemented a pilot project of performance-based financing (PBF) in the field of reproductive health. It was established in the Koulikoro region. This research analyses the process of implementing PBF at district hospital (DH) level, something which has rarely been done in Africa. Methods: This qualitative research is based on a multiple, explanatory, and contrasting case study with nested levels of analysis. It covered three of the 10 DHs in the Koulikoro region. We conducted 36 interviews: 12 per DH with council of circle's members (2) and health personnel (10). We also conducted 24 non-participant observation sessions, 16 informal interviews, and performed a literature review. We performed data analysis using the Consolidated Framework for Implementation Research (CFIR). Results: Stakeholders perceived the PBF pilot project as a vertical intervention from outside that focused solely on reproductive health. Local actors were not involved in the design of the PBF model. Several difficulties regarding the quality of its design and implementation were highlighted: too short duration of the intervention (8 months), choice and insufficient number of indicators according to the priority of the donors, and impossibility of making changes to the model during its implementation. All health workers adhered to the principles of PBF intervention. Except for members of the district health management team (DHMT) involved in the implementation, respondents only had partial knowledge of the PBF intervention. The implementation of PBF appeared to be easier in District 3 Hospital compared to District 1 and District 2 because it benefited from a pre-pilot project and had good leadership. Conclusion: The PBF programme offered an opportunity to improve the quality of care provided to the population through the motivation of health personnel in Mali. However, several obstacles were observed during the implementation of the PBF pilot project in DHs. When designing and implementing PBF in DHs, it is necessary to consider factors that can influence the implementation of a complex intervention.
    Pièce jointe Texte intégral 649.2 ko (source)


  • Zizien Zawora Rita, Korachais Catherine, Compaoré Philippe, Ridde Valéry et De Brouwere Vincent (2019) « Contribution of the results-based financing strategy to improving maternal and child health indicators in Burkina Faso », The International Journal of Health Planning and Management, 34 (1) (janvier), p. 111-129. DOI : 10.1002/hpm.2589. http://doi.wiley.com/10.1002/hpm.2589.
    Résumé : In response to the poor performance of its public health care provision, Burkina Faso decided, to implement results-based financing (RBF). This strategy relies on a strategic purchase of the quantity and quality of services provided by health workers, monitored by a set of indicators. However, there is a lack of evidence on its effects. The objective of this article is to appreciate the effect of RBF on a set of maternal and child health (MCH) indicators in Burkina Faso. The study design is quasi-experimental comparative with a control group before and after the implementation of the RBF. To estimate the effect of RBF, we used two methods of analysis: (1) the segmented regression to measure the effect of RBF in the health districts (HD) implementing RBF (RBF HD) and (2) the differencein-difference test to estimate the effect of RBF considering the differences in mean between RBF HD and HD that did not implement RBF (non-RBF HD). We found among five indicators studied that only the postnatal consultation coverage in RBF HD was significantly higher (7.68%; P = 0.04) than in the non-RBF HD. Overall, our findings do not clearly demonstrate the effectiveness of RBF in improving MCH indicators in Burkina Faso.

2018


  • Atchessi Nicole, De Allegri Manuela, Kadio Kadidiatou, Pigeon-Gagné Emilie, Ouédraogo Samiratou et Ridde Valéry (2018) « Du concept d’indigence aux interventions de santé publique réflexions du Burkina Faso », in Femmes, enfants et santé à Madagascar. Approche anthropologiques comparées, éd. par Dolorès Pourette, Chiarella Mattern, Christine Bellas Cabane, et Bodo Ravololomanga, Paris : L'Harmattan, p. 211-222. (Anthropologie & Médecines). ISBN : 978-2-343-14681-2.


  • Atchessi Nicole, Ridde Valéry, Abimbola Seye et Zunzunegui Maria-Victoria (2018) « Factors associated with the healthcare-seeking behaviour of older people in Nigeria », Archives of Gerontology and Geriatrics, 79 (novembre), p. 1-7. DOI : 10.1016/j.archger.2018.07.015. https://linkinghub.elsevier.com/retrieve/pii/S016749431830150X.
    Résumé : This study aimed to examine the factors associated with healthcare-seeking behaviour of Nigeria's older adult population. Data were retrieved from the Nigeria General Household Survey (GHS - year 2013) database, representative at the national level. Bivariate analysis and Poisson regression were performed. Among 3587 adults aged 50 years and over, 850 reported having been sick in the previous four weeks, and 53% of those had consulted a health practitioner in that period. Those consulting were more likely to be women (PR = 1.30, 95% CI [1.1-1.15]), older than 65 (PR = 1.25, 95% CI [1.1-1.5]), and unemployed (PR = 1.24, 95% CI [1.0-1.4]), whereas lack of education (PR = 0.73, 95% CI [0.6 0-0.8]), low household income (PR = 0.72, 95% CI [0.5-0.9]) and living in the South East (PR = 0.59 95% CI [0.4-0.7]) and in the South South zones (PR = 0.60 95% CI [0.4-0.7]) were associated with lower consultation rates. Our results suggest that improving older adults' healthcare-seeking behaviour in Nigeria will require the lifting of financial barriers and improvements to education. More studies are needed to better understand geographic differences and the low consultation rate by men.


  • Beaugé Yvonne, Koulidiati Jean-Louis, Ridde Valéry, Robyn Paul Jacob et De Allegri Manuela (2018) « How much does community-based targeting of the ultra-poor in the health sector cost? Novel evidence from Burkina Faso », Health Economics Review, 8 (1) (décembre). DOI : 10.1186/s13561-018-0205-7. https://healtheconomicsreview.springeropen.com/articles/10.1186/s13561-018-0205-7.
    Résumé : Background: Targeting efforts aimed at increasing access to care for the poorest by reducing to a minimum or completely eliminating payments at point of use are increasingly being adopted across low and middle income countries, within the framework of Universal Health Coverage policies. No evidence, however, is available on the real cost of designing and implementing these efforts. Our study aimed to fill this gap in knowledge through the systematic assessment of both the financial and economic costs associated with designing and implementing a pro-poor community-based targeting intervention across eight districts in rural Burkina Faso. Methods: We conducted a partial retrospective economic evaluation (i.e. estimating costs, but not benefits) associated with the abovementioned targeting intervention. We adopted a health system perspective, including all costs incurred by the government and its development partners as well as costs incurred by the community when working as volunteers on behalf of government structures. To trace both financial and economic costs, we combined Activity-Based Costing with Resource Consumption Accounting. To this purpose, we consulted and extracted information from all relevant design/implementation documents and conducted additional key informant structured interviews to assess the resource consumption that was not valued in the documents. Results: For the entire community-based targeting intervention, we estimated a financial cost of USD 587,510 and an economic cost of USD 1,213,447. The difference was driven primarily by the value of the time contributed by the community. Communities carried the main economic burden. With a total of 102,609 ultra-poor identified, the financial cost and the economic cost per ultra-poor person were respectively USD 5,73 and USD 11,83. Conclusion: The study is first of its kind to accurately trace the financial and economic costs of a community-based targeting intervention aiming to identify the ultra-poor. The financial costs amounted to USD 5,73 and the economic costs to USD 11,83 per ultra-poor person identified. The financial costs of almost USD 6 represents 21% of the per capita government expenditure on health.


  • Belaid Loubna, Mahaman Moha, Dagenais Christian et Ridde Valery (2018) « Motivations des agents obstétricaux qui décident d’exercer en milieu rural au Niger », Santé Publique, 30 (S), p. 141-149. DOI : 10.3917/spub.180.0141. http://www.cairn.info/revue-sante-publique-2018-HS-page-141.htm.
    Résumé : Objectives: The objective of this study was to determine the individual motivations influencing health professionals' decisions to work in rural areas. This study was conducted in three of the six districts of the Tillabery region in Niger (Tillabery, Tera and Ouallam). Methods: We conducted 102 in-depth interviews with health professionals (physicians, nurses and midwives), which were analysed according to thematic analysis with a mixed approach (inductive and deductive). Results: Multiple individual motivations influence the choice to work in rural areas: the health professional's rural origin, the low cost of living, development of the professional career (to acquire a position of responsibility and to gain experience, working in the public health system) and social relations (superiors and communities). Conclusion: This study highlighted the complexity of individual motivation, which depends on a multitude of factors and is expressed differently according to individual trajectories. Improving access to public health service status, and a position of responsibility providing support to health personnel by district managers through positive and formative supervision could be initiatives to support the retention of health personnel in rural areas.


  • Bodson Oriane, Barro Ahmed, Turcotte-Tremblay Anne-Marie, Zanté Nestor, Somé Paul-André et Ridde Valéry (2018) « A study on the implementation fidelity of the performance-based financing policy in Burkina Faso after 12 months », Archives of Public Health, 76 (1) (décembre), p. 4. DOI : 10.1186/s13690-017-0250-4. https://archpublichealth.biomedcentral.com/articles/10.1186/s13690-017-0250-4.
    Résumé : Performance-based financing (PBF) in the health sector has recently gained momentum in low- and middle-income countries (LMICs) as one of the ways forward for achieving Universal Health Coverage. The major principle underlying PBF is that health centers are remunerated based on the quantity and quality of services they provide. PBF has been operating in Burkina Faso since 2011, and as a pilot project since 2014 in 15 health districts randomly assigned into four different models, before an eventual scale-up. Despite the need for expeditious documentation of the impact of PBF, caution is advised to avoid adopting hasty conclusions. Above all, it is crucial to understand why and how an impact is produced or not. Our implementation fidelity study approached this inquiry by comparing, after 12 months of operation, the activities implemented against what was planned initially and will make it possible later to establish links with the policy’s impacts.


  • Bodson Oriane, Barro Ahmed, Turcotte-Tremblay Anne-Marie, Zanté Nestor, Somé Paul-André et Ridde Valéry (2018) « A study on the implementation fidelity of the performance-based financing policy in Burkina Faso after 12 months », Archives of Public Health, 76 (1) (janvier 11), p. 4. DOI : 10.1186/s13690-017-0250-4. https://doi.org/10.1186/s13690-017-0250-4.
    Résumé : Performance-based financing (PBF) in the health sector has recently gained momentum in low- and middle-income countries (LMICs) as one of the ways forward for achieving Universal Health Coverage. The major principle underlying PBF is that health centers are remunerated based on the quantity and quality of services they provide. PBF has been operating in Burkina Faso since 2011, and as a pilot project since 2014 in 15 health districts randomly assigned into four different models, before an eventual scale-up. Despite the need for expeditious documentation of the impact of PBF, caution is advised to avoid adopting hasty conclusions. Above all, it is crucial to understand why and how an impact is produced or not. Our implementation fidelity study approached this inquiry by comparing, after 12 months of operation, the activities implemented against what was planned initially and will make it possible later to establish links with the policy’s impacts.
  • Bodson Oriane, Deville Céline, Paul Elisabeth, Ridde Valéry et Fetcher Fabienne (2018) « Mind the gap. Analyse de la mise en œuvre du « FBR-demande » au Sénégal et appréhension des écarts d’implantation et normatifs » (Communication orale), présenté à Cinquièmes Rencontres des Études Africaines en France. 9 au 12 juillet 2018, Marseille.


  • Bonnet Emmanuel, Fillol Amandine, Nikiema Aude, Lechat Lucie, Tall Mohamed, Da Songahir Christophe et Ridde Valery (2018) « Évaluation des inégalités sociales de santé des traumatisés de la route à Ouagadougou au Burkina Faso », Santé Publique, S2 (HS2), p. 131. DOI : 10.3917/spub.184.0131. http://www.cairn.info/revue-sante-publique-2018-HS2-page-131.htm.
    Résumé : Chaque année, plus de 1,2 million de décès sont dus aux accidents de la route dans le monde. C’est la première cause de mortalité des jeunes de 15 à 29 ans. Les accidents de la route et les traumatismes associés ont un impact majeur sur la santé et le développement. De nombreux rapports internationaux évaluent la mortalité et la morbidité des accidents, mais ces études reposent sur une faible disponibilité des données, souvent peu robustes. À partir d’une recherche réalisée à Ouagadougou, la capitale du Burkina Faso, pour estimer la mortalité et la morbidité des accidentés de la route, l’objectif de cet article est d’évaluer les inégalités sociales, spatiales et sanitaires des populations blessées ou tuées lors d’un accident de la route.Méthodes : Entre février et juillet 2015, un enregistrement des accidents de la route par les policiers a été réalisé en utilisant un système de collecte par téléphonie mobile incluant la géolocalisation des accidents. Trois phases d’enquêtes, quantitatives et prospectives, ont ensuite été réalisées auprès des blessés transférés à l’hôpital Yalgado Ouedraogo, le centre de référence pour ces patients.Résultats : Au total, 1 867 entrées aux urgences ont été recensées. La majorité (95 %) des blessés était des usagers vulnérables. Un quartier central et deux périphériques concentrent plus de 30 % des accidents. Le temps de prise en charge moyen est de 1 h 03 pour les victimes secourues par les pompiers et de 3 h 10 pour ceux qui s’y rendaient seuls. Le coût total moyen de la prise en charge est de 126 799 F CFA (193 €) [400-2 000 000 F CFA].Discussion : Ces résultats identifient les leviers d’actions possibles pour réduire les traumatismes de la route et ses conséquences. Ils démontrent que la mise en place de systèmes de surveillance communs aux forces de police, aux services de secours et de soins sont indispensables pour produire des données probantes.


  • Bonnet Emmanuel, Lechat Lucie et Ridde Valéry (2018) « What interventions are required to reduce road traffic injuries in Africa? A scoping review of the literature », éd. par Tayyab Ikram Shah, PLOS ONE, 13 (11) (novembre 30), p. e0208195. DOI : 10.1371/journal.pone.0208195. http://dx.plos.org/10.1371/journal.pone.0208195.
    Résumé : Road traffic accidents are the major cause of mortality among people aged 15-29 years in Africa. World Health Organisation (WHO) and the World Bank launched a Decade of Action for Road Safety in 2011 with the goal of halving the number of injuries and deaths on the roads. No progress has been reported in Low and Middle Income Countries (LMICs) and the number of deaths remains very high. To reach the target set, there is a need for interventions in several areas. This scoping review proposes to produce a synthesis by identifying the kinds of interventions and outcomes which have been carried out on the African continent. Using the scoping studies method, 23 articles were selected and analysed. The study shows that interventions were developed in four fields: road safety policy, health education, safety equipment and data collection. It shows also that there were records of interventions in only twelve countries, mostly in Eastern and Southern Africa. The main conclusion of this study reveals both a lack of road safety interventions and shortcomings in the assessment of those performed and selected for our study.
  • Bonnet Emmanuel, Nikiema A., Lechat L. et Ridde Valéry (2018) « Surveiller et évaluer les traumatismes de la route à Ouagadougou au Burkina, », présenté à XI° édition des journées géographiques, Institut de Géographie Tropicale, Abidjan, Côte d'Ivoire.

  • Bossyns Paul, Ladrière Fabienne et Ridde Valéry (2018) Une assurance maladie à grande échelle pour le secteur informel en Afrique subsaharienne Six ans d’expérience au Sénégal rural 2012 – 2017., Vol., 34, Antwerp, Belgium. : ITGPress, 260 p. ISBN : 978-90-76070-46-9.

  • Bujold Mathieu, Hong Quan Nha, Bourque Claude Julie, Dogba Maman Joyce, Ridde Valéry, Turcotte Emmanuelle, Vedel Isabelle et Pluye Pierre (2018) « Méthodes mixtes francophonie (MMF) : vers un développement interdisciplinaire et interculturel des méthodes mixtes », in Oser les défis des méthodes mixtes en sciences sociales et sciences de la santé, éd. par Mathieu Bujold, Quan Nha Hong, Valéry Ridde, Claude Julie Bourque, Maman Joyce Dogba, Isabelle Vedel, et Pierre Pluye, Montréal : ACFAS, p. 263-266. (Cahiers scientifiques de l’ACFAS). http://www.acfas.ca/sites/default/files/documents_utiles/ACFAS_Cahier-scientifique-117_M%C3%A9thodes-mixtes.pdf.

  • Bujold Mathieu, Quan Nha Hong, Ridde Valéry, Bourque Claude Julie, Dogba Maman Joyce, Vedel Isabelle, Pluye Pierre et Mc Sween-Cadieux Esther, ss la dir. de (2018) Oser les défis des méthodes mixtes en sciences sociales et sciences de la santé, Montréal : ACFAS, 267 p. (Cahiers scientifiques de l’ACFAS). http://www.acfas.ca/sites/default/files/documents_utiles/ACFAS_Cahier-scientifique-117_M%C3%A9thodes-mixtes.pdf.

  • Mc Sween-Cadieux Esther, Dagenais Christian, Bonnet Emmanuel, Somé Paul-André et Ridde Valéry (2018) « Enjeux de l’évaluation mixte en transfert de connaissances : un exemple en sécurité routière au Burkina Faso », in Oser les défis des méthodes mixtes en sciences sociales et sciences de la santé, éd. par Mathieu Bujold, Hong Quan Nha, Valéry Ridde, Claude Julie Bourque, Maman Joyce Dogba, Isabelle Vedel, et Pierre Pluye, Montréal : ACFAS, p. 157-172. (Cahiers scientifiques de l’ACFAS). http://www.acfas.ca/sites/default/files/documents_utiles/ACFAS_Cahier-scientifique-117_M%C3%A9thodes-mixtes.pdf.


  • Campeau Laurence, Degroote Stéphanie, Ridde Valery, Carabali Mabel et Zinszer Kate (2018) « Containment measures for emerging and re-emerging vector-borne and other infectious diseases of poverty in urban settings: a scoping review », Infectious Diseases of Poverty, 7 (95) (décembre), p. 1-16. DOI : 10.1186/s40249-018-0478-4. https://idpjournal.biomedcentral.com/articles/10.1186/s40249-018-0478-4.

  • Chabrol Fanny, Albert Lucien et Ridde Valery (2018) « Afrique francophone : à quoi servent tous ces hôpitaux ? », The Conversation, novembre 14. http://theconversation.com/afrique-francophone-a-quoi-servent-tous-ces-hopitaux-106459.
    Résumé : Les difficultés accrues que connaissent les hôpitaux demeurent peu visibles et rarement discutées dans les arènes internationales. Ne devrait-on pas revoir le rôle et la place de ces infrastructures ?


  • Cloos Patrick et Ridde Valéry (2018) « Research on climate change, health inequities, and migration in the Caribbean », The Lancet Planetary Health, 2 (1) (janvier), p. e4-e5. DOI : 10.1016/S2542-5196(17)30176-6. http://linkinghub.elsevier.com/retrieve/pii/S2542519617301766.


  • Cole Claire B., Pacca Julio, Mehl Alicia, Tomasulo Anna, van der Veken Luc, Viola Adalgisa et Ridde Valéry (2018) « Toward communities as systems: a sequential mixed methods study to understand factors enabling implementation of a skilled birth attendance intervention in Nampula Province, Mozambique », Reproductive Health, 15 (1) (décembre), p. 132. DOI : 10.1186/s12978-018-0574-8. https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-018-0574-8.
    Résumé : Skilled birth attendance, institutional deliveries, and provision of quality, respectful care are key practices to improve maternal and neonatal health outcomes. In Mozambique, the government has prioritized improved service delivery and demand for these practices, alongside “humanization of the birth process.” An intervention implemented in Nampula province beginning in 2009 saw marked improvement in institutional delivery rates. This study uses a sequential explanatory mixed methods case study design to explore the contextual factors that may have contributed to the observed increase in institutional deliveries.

  • Craig Peter, Di Ruggiero Erica, Frohlich Katherine L, Mykhalovskiy Eric, White Martin, on behalf of the Canadian Institutes of Health Research (CIHR)–National Institute for Health Research (NIHR) Context Guidance Authors Group (listed alphabetically), Campbell Rona, Cummins Steven, Edwards Nancy, Hunt Kate, Kee Frank, Loppie Charlotte, Moore Laurence, Ogilvie David, Petticrew Mark, Poland Blake, Ridde Valéry, Shoveller Jeannie, Viehbeck Sarah et Wight Daniel (2018) Taking account of context in population health intervention research: guidance for producers, users and funders of research, Southampton : NIHR Evaluation, Trials and Studies Coordinating Centre, 50 p. https://www.journalslibrary.nihr.ac.uk/CIHR-NIHR/CIHR-NIHR-01.


  • Dagenais Christian, Degroote Stéphanie, Otmani Del Barrio Mariam, Bermudez-Tamayo Clara et Ridde Valéry (2018) « Establishing research priorities in prevention and control of vector-borne diseases in urban areas: a collaborative process », Infectious Diseases of Poverty, 7 (85) (décembre), p. 1-10. DOI : 10.1186/s40249-018-0463-y. https://idpjournal.biomedcentral.com/articles/10.1186/s40249-018-0463-y.
    Résumé : Background: In 2015, following a call for proposals from the Special Programme for Research and Training in Tropical Diseases (TDR), six scoping reviews on the prevention and control of vector-borne diseases in urban areas were conducted. Those reviews provided a clear picture of the available knowledge and highlighted knowledge gaps, as well as needs and opportunities for future research. Based on the research findings of the scoping reviews, a concept mapping exercise was undertaken to produce a list of priority research needs to be addressed. Methods: Members of the six research teams responsible for the "VEctor boRne DiseAses Scoping reviews" (VERDAS) consortium's scoping reviews met for 2 days with decision-makers from Colombia, Brazil, Peru, Pan-American Health Organization, and World Health Organization. A total of 11 researchers and seven decision-makers (from ministries of health, city and regional vector control departments, and vector control programs) completed the concept mapping, answering the question: "In view of the knowledge synthesis and your own expertise, what do we still need to know about vector-borne diseases and other infectious diseases of poverty in urban areas?" Participants rated each statement on two scales from 1 to 5, one relative to 'priority' and the other to 'policy relevance', and grouped statements into clusters based on their own individual criteria and expertise. Results: The final map consisted of 12 clusters. Participants considered those entitled "Equity", "Technology", and "Surveillance" to have the highest priority. The cluster considered the most important concerns equity issues, confirming that these issues are rarely addressed in research on vector-borne diseases. On the other hand, the "Population mobility" and "Collaboration" clusters were considered to be the lowest priority but remained identified by participants as research priorities. The average policy relevance scores for each of the 12 clusters were roughly the same as the priority scores for all clusters. Some issues were not addressed during the brain-storming. This is the case for governance and for access and quality of care. Conclusions: Based on this work, and adopting a participatory approach, the concept mapping exercise conducted collaboratively with researchers from these teams and high-level decision-makers identified research themes for which studies should be carried out as a priority.


  • Dagenais Christian et Ridde Valéry (2018) « Policy brief as a knowledge transfer tool: to “make a splash”, your policy brief must first be read », Gaceta Sanitaria (mars). DOI : 10.1016/j.gaceta.2018.02.003. http://linkinghub.elsevier.com/retrieve/pii/S0213911118300360.
    Résumé : Since 2010, the research teams that we work with have produced dozens of policy briefs (PB) with the purpose of informing the various stakeholders of the results of our studies and their usefulness regarding public health practices, decision-making and policy change. Because they are only aids to decision-making, “A policy brief is just a piece of paper, it doesn’t DO anything on its own”, preparing these PBs should always form part of a broader knowledge transfer process. Therefore, they often serve as discussion tools during deliberative workshops1 focusing on the manner in which the results could be incorporated into practices and public policies. Based on these experiences, we have developed a guide for preparing policy briefs, which we have used with researchers over and over again in our training workshops2. This training was offered in different formats lasting from three hours to two days. In this editorial, we use our different experiences to put forward a PB format intended for a non-scientific audience, to act as an influence on practices and policy-making.

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