Les démarches Ateliers santé ville : la promotion de la santé à l’œuvre dans les territoires

Abstract

<ce:para>The &#8220;Urban Health Workshop&#8221; [&#8220;Atelier sant&#233; ville&#8221; (Asv)] approach, created in 2000 and interfacing between urban development policies and public health, is implemented in about 250&#160;territories. After more than fifteen years of implementation and development, it appeared useful to review experiences and analyse their effects.</ce:para><ce:para>Conducted in 2015, this research demonstrates the benefits of Asv, which created health territorial dynamics and local strategies to reduce social and territorial health inequalities. Fifty-one Asv coordinators participated in the study, 30 by answering a survey, 28 (7 of whom had already answered the survey) by a semi-structured interview. The high flexibility of the approach, essential to adapt to a complex reality, justifies a qualitative analysis.</ce:para><ce:para>Capitalising on these experiences defined the main lessons from implementation of the Asv approach and identified the &#8220;good practices&#8221; of some of the projects, with the objective of promotion and dissemination of the knowledge acquired. The main consequences observed are territorial dynamics, mobilization of diverse actors and transfer of people&#8217;s needs to policy-makers and elected representatives. Health promotion was a central part of all experiences: Asvs implement an approach that is inspired and guided by the five action areas for health promotion identified in the Ottawa Charter.</ce:para><ce:para>Moreover, the majority of Local Health Contracts (&#8220;Contrats locaux de sant&#233;&#8221;) are based on existing Asvs, indicating the effectiveness of the approach.</ce:para>.