@article{fdi:010090330,
  title = {{D}id the design and planning of testing and contact tracing interventions for {COVID}-19 consider social inequalities in health ? {A} multiple case study from {B}razil, {C}anada, {F}rance and {M}ali},
  author = {{G}agnon-{D}ufresne, {M}. {C}. and {G}autier, {L}. and {B}eaujoin, {C}. and {B}oivin, {P}. and {C}oulibaly, {A}. and {R}ichard, {Z}. and de {M}edeiros, {S}. {G}. and {D}a {N}óbrega, {R}. {E}. {D}. and {O}liveira, {S}. {R}. {D}. and {C}loos, {P}. and {C}habrol, {F}anny and {R}idde, {V}al{\'e}ry and {Z}inszer, {K}.},
  editor = {},
  language = {{ENG}},
  abstract = {{T}he {COVID}-19 pandemic has led to an unprecedented global crisis. {I}t has exposed and exacerbated weaknesses in public health systems worldwide, particularly with regards to reaching the most vulnerable populations, disproportionately impacted by the pandemic. {T}he objective of our study was to examine whether and how social inequalities in health ({SIH}) were considered in the design and planning of public health responses to {COVID}-19 in jurisdictions of {B}razil, {C}anada, {F}rance, and {M}ali. {T}his article reports on a qualitative multiple case study of testing and contact tracing interventions in regions with high {COVID}-19 incidence in each country, namely: {M}anaus ({B}razil), {M}ontre ' al ({C}anada), {I}<{SIC}>le-de-{F}rance ({F}rance), and {B}amako ({M}ali). {W}e conducted interviews with 108 key informants involved in these interventions in the four jurisdictions, focusing on the first and second waves of the pandemic. {W}e analyzed our data thematically using a theoretical bricolage framework. {O}ur analysis suggests that the lack of a common understanding of {SIH} among all actors involved and the sense of urgency brought by the pandemic eclipsed the prioritization of {SIH} in the initial responses. {T}he pandemic increased intersectoral collaboration, but decision-making power was often unequal between {M}inistries of {H}ealth and other actors in each jurisdiction. {V}arious adaptations to {COVID}-19 interventions were implemented to reach certain population groups, therefore improving the accessibility, availability, and acceptability of testing and contact tracing. {O}ur study contributes to identifying lessons learned from the current pandemic, namely that the ways in which {SIH} are understood shape how interventions are planned; that having clear guidelines on how to integrate {SIH} into public health interventions could lead to more inclusive pandemic responses; that for intersectoral collaboration to be fruitful, there needs to be sufficient resources and equitable decision-making power between partners; and that interventions must be flexible to respond to emerging needs while considering long-standing structural inequalities.},
  keywords = {{BRESIL} ; {CANADA} ; {FRANCE} ; {MALI}},
  booktitle = {},
  journal = {{S}ocial {S}cience and {M}edicine},
  volume = {335},
  numero = {},
  pages = {116230 [11 ]},
  ISSN = {0277-9536},
  year = {2023},
  DOI = {10.1016/j.socscimed.2023.116230},
  URL = {https://www.documentation.ird.fr/hor/fdi:010090330},
}