@article{fdi:010084670,
  title = {{C}onsidering social inequalities in health in large-scale testing for {COVID}-19 in {M}ontreal : a qualitative case study},
  author = {{G}agnon-{D}ufresne, {M}. {C}. and {G}autier, {L}. and {B}eaujoin, {C}. and {L}amothe, {A}. {S}. and {M}ikanagu, {R}. and {C}loos, {P}. and {R}idde, {V}al{\'e}ry and {Z}inszer, {K}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {E}vidence continues to demonstrate that certain marginalised populations are disproportionately affected by {COVID}-19. {W}hile many studies document the impacts of {COVID}-19 on social inequalities in health, none has examined how public health responses to the pandemic have unfolded to address these inequities in {C}anada. {T}he purpose of our study was to assess how social inequalities in health were considered in the design and planning of large-scale {COVID}-19 testing programs in {M}ontreal ({Q}uebec, {C}anada). {M}ethods {P}art of the multicountry study {H}o{SP}i{COVID}, this article reports on a qualitative case study of large-scale testing for {COVID}-19 in {M}ontreal. {W}e conducted semi-structured interviews with 19 stakeholders involved in planning large-scale testing or working with vulnerable populations during the pandemic. {W}e developed interview guides and a codebook using existing literature on policy design and planning, and analysed data deductively and inductively using thematic analysis in {NV}ivo. {R}esults {O}ur findings suggest that large-scale {COVID}-19 testing in {M}ontreal did not initially consider social inequalities in health in its design and planning phases. {C}onsidering the sense of urgency brought by the pandemic, participants noted the challenges linked to the uptake of an intersectoral approach and of a unified vision of social inequalities in health. {H}owever, adaptations were gradually made to large-scale testing to improve its accessibility, acceptability, and availability. {A}ctors from the community sector, among others, played an important role in supporting the health sector to address the needs of specific subgroups of the population. {C}onclusions {T}hese findings contribute to the reflections on the lessons learned from {COVID}-19, highlighting that public health programs must tackle structural barriers to accessing healthcare services during health crises. {T}his will be necessary to ensure that pandemic preparedness and response, including large-scale testing, do not further increase social inequalities in health.},
  keywords = {{COVID}-19 ; {SARS}-{C}o{V}-2 ; {C}anada ; {E}valuation ; {L}arge-scale testing ; {S}ocial inequalities in health ; {E}quity ; {H}ealth systems ; {CANADA}},
  booktitle = {},
  journal = {{BMC} {P}ublic {H}ealth},
  volume = {22},
  numero = {1},
  pages = {749 [13 ]},
  year = {2022},
  DOI = {10.1186/s12889-022-13163-3},
  URL = {https://www.documentation.ird.fr/hor/fdi:010084670},
}