15. L’évaluation de la fidélité d’implantation

• Main Authors: Gautier, Lara, M. Pirkle, Catherine, Furgal, Christopher, Lucas, Michel
• Format: Book
• Language: French
• Published: ESBC 2020
• Subjects: méthodologie; santé; Amérique du Sud; Afrique; Asie; Amérique du Nord; évaluation; anthropologie de la santé; santé maternelle; couverture universelle; drogue; socio; demo; Arctic; Canada; Carroll; Chevalier; Nunavik; inuit; inuite; Omble chevalier
• Online Access: http://books.openedition.org/irdeditions/33713

In 2011, the Nunavik Regional Board of Health and Social Services began supporting the Arctic Char Distribution Project (AC/DP) for pregnant women. This initiative promoted consumption of a traditional Inuit food – the fish Arctic char – for pregnant women living in villages of Nunavik, an area in northern Quebec (Canada) inhabited predominantly by people of Inuit ethnicity. This intervention was intended to reduce exposure to environmental contaminants and improve nutriritional status and food security. The project’s implementation was assessed based on data collected from background documentation, field notes and qualitative interviews with project recipients and implementers. Themes emerging from the data were discussed in the light of the framework for implementation fidelity developed by Carroll et al in 2007. Pregnant women fully embraced the initiative for its cultural appropriateness. However, project implementation was incomplete because it did not cover all intended geographic areas, and there was a recurring inconsistency in the supply and distribution of the fish. In addition, the initiative has been inconsistently funded. This work highlights the extent to which project complexity can impede successful implementation, particularly in terms of communication and coordination. En 2011, la Régie régionale de la santé et des services sociaux du Nunavik a commencé à appuyer financièrement le Projet de Distribution d’Omble chevalier (Arctic Char Distribution Project ou AC/DP dans son acronyme en anglais) pour les femmes enceintes. Cette initiative favorisait la consommation d’une nourriture traditionnelle invite – le poisson « Omble chevalier » – pour les femmes enceintes vivant dans les villages du Nunavik, une région du nord du Québec peuplée majoritairement de personnes d’origine inuite. Cette intervention visait à réduire l’exposition aux contaminants environnementaux et à améliorer l’état nutritionnel et la sécurité alimentaire. La mise en œuvre du projet a été évaluée sur la base des données ...