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Master Thesis

Contrat Local de Santé, étude d'une co-construction autour de l'obésité infantile

Abstract : Background: Childhood obesity is a national public health issue. At Reunion Island, in the town of La Possession, this is a Local Health Contract’s priority line signed in 2015, and it is at the heart of the Sakisoigne pluri-professional health center’s project opened in 2018. It is at the origin of a steering committee which purpose is to organize a coordinated prevention and care with all local actors from medical, social and institutional fields. The purpose of this study is to assess the actors’ experiences of this steering committee, to identify the obstacles and levers of its organization, to make it sustainable. Method: This is a qualitative phenomeno-pragmatic analysis from semi-directed interviews made with 9 professionals who had taken part of at least 2 meetings. Results: The possibility of a synergetic work and a shared learning has been a source of enthusiasm. A networking has been made. Yet, the initial enthusiasm has been curbed by organizational difficulties like a lack of availability because of incompatible temporalities, especially with GPs, and a lack of financing as well. Conclusion: The steering committee has persisted and its projects has been realized, through a shared will, as well as the Health Insurance’s experimentation “Find Your Direction Mission”. Nevertheless, it will be necessary to strengthen communication between the medical and socio-institutional worlds, to enable doctors to participate in social actions, and to find a source of funding in order to make long-term development.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03065899
Contributor : La Réunion Université Connect in order to contact the contributor
Submitted on : Tuesday, December 15, 2020 - 8:09:13 AM
Last modification on : Wednesday, October 27, 2021 - 4:37:31 AM
Long-term archiving on: : Tuesday, March 16, 2021 - 6:31:20 PM

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  • HAL Id : dumas-03065899, version 1
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Océane Bertrand. Contrat Local de Santé, étude d'une co-construction autour de l'obésité infantile. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03065899⟩

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