000 02679cam a2200325 4500500
005 20250817003842.0
041 _afre
042 _adc
100 1 0 _aAstier, Camille
_eauthor
700 1 0 _a Denoual, Hélène
_eauthor
700 1 0 _a Cornelissen, Claire
_eauthor
700 1 0 _a Guevel, Marie Rénée
_eauthor
245 0 0 _aUne approche collective de la santé au cœur des territoires ruraux et insulaires de Bretagne : le savoir-faire communautaire des Semeurs de Santé
260 _c2025.
500 _a7
520 _aIntroduction: Thinking about health at the local level by involving local stakeholders makes it possible to move beyond the traditional sectoral boundaries to build meaningful interventions. This requires creating a supportive environment for collaboration. Les Semeurs de Santé seeks to address these challenges through a cooperative methodology that includes human support, training in cooperation, and a range of health-related actions. Methodology: Based on a case study approach combining different sources of qualitative data, this study (2018–2022) aims to document 1) the rollout of the intervention; 2) the contribution of each component to the creation of collaborative dynamics; and 3) the factors that influenced its implementation. Results: In each of the municipalities involved, groups of people got together to take action on the problems they themselves had identified. Each component of the intervention played a specific role in this mobilization. Two categories of factors were identified: 1) factors related to the implementation of the intervention itself and its ability to create a supportive environment for collective action; and 2) contextual factors related to the local context and the specific features of each municipality. Conclusion: Les Semeurs de Santé challenge the conditions of engagement and power relations within health systems. This experience shows that the collective dimension and citizen participation are intrinsically linked to encountering and recognizing others. It highlights the importance of learning processes as well as the need for continued investment.
690 _acoopération
690 _aÉvaluation.
690 _ainégalités en matière de santé
690 _aparticipation
690 _asanté communautaire
690 _a.
690 _acommunity health
690 _acooperation
690 _aevaluation
690 _ahealth inequalities
690 _aparticipation
786 0 _nSanté Publique | 37 | HS1 | 2025-08-14 | p. 65-74 | 0995-3914
856 4 1 _uhttps://shs.cairn.info/revue-sante-publique-2025-HS1-page-65?lang=fr&redirect-ssocas=7080
999 _c1406284
_d1406284