Skip to Main content Skip to Navigation

L’appropriation communautaire des cases de santé selon la perspective des populations.

Abstract : The health hut model in Senegal is the result of a socio-historical process as well as the health policy evolution. It underpins the health pyramid and is integrated into the health system. Paradoxically, communities struggle to appropriate their health huts. The lack of understanding of the community appropriation process justified this research, which makes it original.The research hypothesis is that the dynamics of community participation influence the health hut appropriation.Through a qualitative, empirical and exploratory research using a multiple case study strategy, three cases were selected in the Thiès region. Four types of qualitative data were collected: in-depth interviews, focus groups, semi-structured interviews and direct observation.A relational perspective based on flexible conceptual framework inspired by Bourdieu’s theory and an Eliasian socio-historical approach guided the research.Data were analyzed by means of the grounded theory method using a coding based on progressive abstraction; which allowed the emerging of categories used to develop the theoretical framework.Results show that the appropriation process mechanisms are expressed through the capacity of communities to manage critical events; and the immersion of the health hut in the social fabric.The agency of action, the sense of community and the capacity of community members to mobilize their social practices of participation are the driving forces of the appropriation process, that is sustained by the interrelations between the cultural, social and symbolic capitals. The latter displays at the community level by coming into play in the appropriation construction as process and not as an aim, and by renewing the trust and reciprocity space that is essential for collective actions. Of originality, is the discursive building of identity, recognition; and space of trust and reciprocity.Are discussed, methodological aspects and the operationability of the appropriation concept: among others, appropriation appears as a process and not as an aim.The study opens new research paths as it relates to the widening of the geographical area of such type of study; and by taking into account the supra-community level factors. It recommends a paradigm shift from the part of development agents who need to consider communities as unit of participation, as systems full of potential and solutions that wait to be stimulated and mobilized; and not as problem nets to be addressed using imported solutions.
Document type :
Complete list of metadatas

Cited literature [343 references]  Display  Hide  Download
Contributor : Abes Star :  Contact
Submitted on : Friday, February 7, 2020 - 3:04:11 PM
Last modification on : Friday, October 9, 2020 - 9:51:03 AM
Long-term archiving on: : Friday, May 8, 2020 - 4:00:05 PM


Version validated by the jury (STAR)


  • HAL Id : tel-02470764, version 1



Mamadou Diaw. L’appropriation communautaire des cases de santé selon la perspective des populations.. Géographie. Université Paris-Saclay, 2019. Français. ⟨NNT : 2019SACLV074⟩. ⟨tel-02470764⟩



Record views


Files downloads