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Master Thesis

État des lieux des pratiques d’éducation sanitaire dans les antennes médicales face au risque de paludisme

Abstract : Introduction: malaria remains a major issue in the armed forces. There are therefore still many cases of infections, some fatal. The prevention of this disease can reduce its incidence. This is organized within the military institution, based on 3 pillars, which are vector control, chemoprophylaxis, and the duo early diagnosis and early treatment of the disease. The effectiveness of the employed preventive measures has been demonstrated, but the soldier’s compliance about their application remains weak. It seems that it is at the level of education that the effort has to be made. Therefore, we must understand how health education is made. Methods: we did an observational, multi-centric, descriptive study, by questionnaire, designed to produce an update on practice in health education organized within the infirmary. Results: we got 138 responses. It is mainly the forces GP (80-89.8%) who carries out health education, then the nurse (34.7% -56.0%). 56.9% promote individualized health information, 35.3% collective information. 84% of them think that individualized, small group or workshop-exchange methods would be more effective. Half of the practitioners spent less than 8 hours per year on health education. Discussion: our study shows that health education is mostly done on an individual way and/or in collective groups. These methods tend to lean towards paternalistic medicine. However, the current paradigm is about health promotion. Thus, several practices should be developed: exchange groups and e-learning. Educating managers in health issues would increase collective subscription. These practices requires that the GPs and nurses of the forces be better trained in these practices. Conclusion: the current malaria education practices do not fit into the current health promotion paradigm. It seems necessary to improve discussion groups, e-learning and paying particular attention to the education of contact managers. The caretaker staff of the SSA must be better prepared.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03203015
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Tuesday, April 20, 2021 - 2:06:20 PM
Last modification on : Thursday, May 13, 2021 - 3:18:16 AM

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Matthieu Lachard. État des lieux des pratiques d’éducation sanitaire dans les antennes médicales face au risque de paludisme. Médecine humaine et pathologie. 2021. ⟨dumas-03203015⟩

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