@article{fdi:010081744,
  title = {{D}efining an action-research's content to improve a policy supporting indigents' health in {M}ali : a concept mapping},
  author = {{S}eppey, {M}. and {T}our{\'e}, {L}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground : {C}oncept mapping ({CM}) is a method used to create consensus around a concept within a group of actors, which enables an empowering process for the participants through dialogues and shared information. {W}e performed a {CM}, aiming to improve the  operationalisation of a health policy, the {RAMED}, to promote healthcare access to the indigent population in {M}ali. {M}ethods : {T}he {CM} followed five steps leading to the conceptual map development: 1) brainstorming,  2) statements' scoring, 3) clustering, 4) statistical (hierarchical clustering and  multi-dimensional scaling) and qualitative analysis, and 5) validating the map. {T}wenty-seven participants took place in the {CM}, representing eighteen organisations  linked to the implementation of the policy. {R}esults : {W}e identified seven clusters of activities towards finding the concrete and collective solutions to improve healthcare access: 'funding strengthening,' 'integral management and care of indigents', 'expertise creation,' 'promotion and communication,' 'indigents' identification processes,' 'monitoring and evaluation,' and 'integration and coordination  of actors.' {A}ccording to scalability and priority scores, 'identification processes' was the most scalable and important cluster (3.03 [±0.51] and 3.26 [±0.47]/4 respectively), while  'funding strengthening' was the least scalable and important (2.59 [±0.47] and 2.76 [±0.42]/4 respectively). {C}onclusions : {A}lthough this method is primarily exploratory and a great starting point for further collaborative research, it managed to highlight the two fundamental issues in  action-research: the difficulty related to the knowledge transfer to vulnerable populations and their lack of participation in the research process. {I}t is particularly an issue in {W}est {A}frica, due to lack of empirical studies and high poverty levels. {R}esults of this study  demonstrate that {CM} offers an important starting point for improvements, which should  focus on knowledge transfer and inclusion of vulnerable populations' points of view},
  keywords = {{MALI}},
  booktitle = {},
  journal = {{J}ournal of {G}lobal {H}ealth {R}eports},
  volume = {5},
  numero = {},
  pages = {e2021031 [13  en ligne]},
  ISSN = {2399-1623},
  year = {2021},
  DOI = {10.29392/001c.21956},
  URL = {https://www.documentation.ird.fr/hor/fdi:010081744},
}