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A specific context combined with national devices and mechanisms, which are developed on a regional level, has proven to be favourable to the development of health promotion evaluation. The study presented here retraces the evolution of how this question has been approached in Brittany through a review of the regional literature. This work offered a means by which project funders, decision-makers and grass-roots workers and professionals in the field could obtain a better perception of what issues were at stake, the challenges posed and perspectives to which the process adheres within the timeframe of commitment. Certain steps mark this process: the difficulty in creating awareness of the need for evaluation of health promotion following the whims upon which the development and formulation of projects are based; projects coming forward slowly but surely in support of health promotion development, of its effectiveness and which support the regional health policy dynamic. The expression of strong expectations which have been incessantly repeated emphasises the necessity and readiness for action today, and above all a joint willingness and responsibility of the professionals on the ground along with the decision-makers.

A national network of health education information officers was established at the end of 2001. The aim and objective of this group is "to contribute to the development of a solid, coherent documentation service delivery for the health education field in France." The professionals decided to commence by undertaking an assessment of the documentation activities in both the regional and departmental health education committees in order to establish sub-working groups which would collaborate to better achieve this goal. The survey's results have shown that there are existing skills and competencies available within the different committees in spite of current gaps between the various regions and department in terms of their levels of qualifications, resources and information activities and practices. It is for this reason that the national network of health education information officers designed and implemented the smaller working groups in order to gradually enable them to solidify and strengthen the network to ensure that they have the capacity to meet the stated objectives. This approach could constitute the basis for a national health education documentation network as described and called for by the law delineating the missions of the French Institute for Prevention and Health Education (Inpes).