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Open Access Autonomy of the Volunteer Sector in the Evaluation of Public Health Programs: An Exploration From the Perspective of an HIV/AIDS Coalition L'autonomie du secteur bénévole relativement à l'évaluation des programmes de santé publique : une exploration, selon la perspective d'une coalition pour le VIH/sida

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As recommended in the Ottawa Charter, Canadian government agencies are counting on the involvement of grassroots organizations to implement federal public health programs at the local level. At issue is the forced acceptance by community organizations of the predefined role of suppliers of services. Because of the top-down issues of health promotion practice, the problem is crucial for public health nursing. The author uses reflexive analysis, grounded in the internal colonization framework, to explore the case of a Canadian public health program and its relations with a provincial coalition of volunteer organizations working on AIDS issues. Implementing the Ottawa Charter highlights the challenges of the meanings and actions inherent in the notion of partnership between public agencies and community organizations of volunteers. Participation suggests more democratic and egalitarian social organizations, with hierarchical structures in a broader image of a modern society.

Tel que recommandé par la Charte d'Ottawa, les agences gouvernementales canadiennes s'appuient sur les organismes communautaires pour mettre en œuvre des programmes de santé publique fédéraux à l'échelle locale. L'imposition aux organismes communautaires d'un rôle prédéfini les obligeant à fournir des services est un enjeu central. La logique hiérarchique descendante qui régit les pratiques structurées en promotion de la santé constitue un problème important pour les services infirmiers de santé publique. L'auteure réalise une analyse réflexive, ancrée dans le cadre de la colonisation interne pour explorer le cas d'un programme de santé publique canadien et ses liens avec une coalition provinciale d'organisations bénévoles travaillant sur des questions relatives au sida. La mise en vigueur de la Charte d'Ottawa met en lumière les défis liés à l'interprétation et aux actions inhérentes à la notion de partenariat entre les agences de santé publique et les organismes communautaires bénévoles. La notion de participation suggère la mise en place d'organismes sociaux plus démocratiques et égalitaires, avec des structures hiérarchiques basées sur une vision plus large d'une société moderne.

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Document Type: Research Article

Publication date: 2011-03-01

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