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Master Thesis

Étude qualitative : le non-recours à la puéricultrice de PMI

Abstract : The PMI is a public service made to support parents and to provide a local health center where they can provide follow-up care for their children. Every family has the opportunity to meet a nurse from the PMI during their child’s first months, at home, or at the PMI center. This study focuses on the non-take up of these meetings. The objectives are to determine the type of non-take up it is and what could be the possible reasons for it. Data was collected from semi-structured interviews with health professionnals who assist parents in Grenoble, in between June 2014 and May 2015: three midwives, a maternity manager, three PMI nurses, and two link nurses (hospital/PMI) were interviewed for this study. The interview guide was composed of three questions: What are the objectives of this meeting with the PMI nurse? Which population is targeted by the PMI? What are your hypotheses for the reasons of the non-take up? The results showed that the objectives of these meetings were very broad and global for the final aim which is support for parenting. The first meeting typically allows the family to get to know the nurse so that the follow-up care is easier. The study reveals also that the PMI nurses seem to have recently reduced their target population due to a lack of resources. Four types of non-take up were stated: lack of awareness, the decision not to claim, non reception, non proposition. Five main hypotheses were shown for these non-take ups: the liberal midwife care, the lack of information, the lack of accessibility, the PMI's image, assimilated as child welfare agencies or as a care for poor. To conclude, the PMI's refocusing on those who are the most in need, and the increase of liberal midwives in Grenoble, have transformed the scheme of the care offer for parents. However, this evolution involves a risk of stigmatization of the targeted population and of endangering the principle of proportionate universalism of PMI.
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Submitted on : Wednesday, September 23, 2015 - 4:15:34 PM
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  • HAL Id : dumas-01203728, version 1


Charlotte Heysch. Étude qualitative : le non-recours à la puéricultrice de PMI. Gynécologie et obstétrique. 2015. ⟨dumas-01203728⟩



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