Estudio para un Modelo de Gestión de un Acuífero Costero, mediante Metodologías Participativas y Análisis Geoestadístico en el marco del Desarrollo Local. Manglaralto, Ecuador

El presente estudio se fundamenta en la investigación-acción-participativa (IAP), para buscar alternativas que tiendan al desarrollo local de un territorio. Se centra en la cuenca hidrográfica del rio Manglaralto-Santa Elena-Ecuador, aplicando un sistema metodológico participativo que considera las características peculiares del territorio, que se analizan geoespacialmente reconociendo la influencia de la dinámica de sus cambios y observando los móviles que la propiciaban. A través de mecanismos participativos, se conectan los aspectos técnicos para el conocimiento y el aprovechamiento racional del acuífero costero, con los valores de los habitantes del territorio, para mejorar su abastecimiento de agua y crear nuevas condiciones y oportunidades en el camino del desarrollo local, vislumbrando la sostenibilidad. Cabe indicar que el ente administrativo y propulsor es la Junta de Agua Potable Regional Manglaralto (JAPRM). La hipótesis del estudio considera, que los métodos participativos generan en la comunidad una respuesta basada en su identidad y sus deseos de mejorar, que propiciará una gestión del acuífero costero que conlleve al desarrollo local. Otra hipótesis complementaria estipula que las estrategias del gobierno respecto al turismo propicia un crecimiento en la demanda del agua del acuífero. En Manglaralto-Ecuador, una parroquia de 30.000 habitantes aproximadamente, donde la JAPRM, administra y suministra agua a 23.586 habitantes que cuenta en su organización, llevada por 6 representantes de las comunidades rurales que la conforman, empezaron hace 7 años a buscar una forma de lograr un cambio, de tener agua para el desarrollo de la comunidad. Buscaron ayuda por diferentes medios, políticos, económicas, sociales y encontraron como base fundamental a la cooperación con el Organismo Internacional de Energía Atómica (OIEA) y la Escuela Superior Politécnica del Litoral (ESPOL) para entrelazar aspectos técnicos, ambientales, sociales y culturales. La gestión del acuífero costero, desde la perspectiva del IAP repercute en el desarrollo de Manglaralto. También se realiza un análisis geoespacial-geoestadístico, para vislumbrar aspectos de cambios en el territorio ligados al crecimiento turístico, que afectan a la demanda del recurso agua proveniente del acuífero costero bajo la administración de la JAPRM. La tesis presenta el modelo integral y propio de la comunidad de Manglaralto, que refleja una evolución que alcanzó un apogeo en 2011 y parte del 2012, con 9 pozos de agua que daban servicio los 365 días del año, 24 horas al día ininterrumpidamente. Las condiciones externas (promociones turísticas de la ruta del Spondylus) han repercutido en nuevas problemáticas (crecimiento elevado de la demanda del agua). El acuífero costero se convierte en el emblema y móvil de solución, gracias a la gestión integral y a la interacción IAP que se amolda a la evolución de las condiciones, buscando soluciones para la comunidad y su entorno. El modelo integral del territorio con la participación de sus pobladores, considera el aspecto turístico, como un agente que propicia la mayor demanda del agua. Situación a la que hay que dar respuesta mediante la observación-reflexión en el ciclo del IAP para generar nuevas directrices estratégicas y gestionar el desarrollo local. ABSTRACT The present study is based on the participatory action research (PAR) methodology in order to look for alternatives which tend to the local development of a territory. It focuses on the Manglaralto hydrographic river basin located in Santa Elena-Ecuador through the application of the participatory methodology which considers the peculiar characteristics of the territory. These are geospatially analyzed recognizing the influence of its dynamic of changes and observing the causes that originated them. Through the use of participatory mechanisms, technical aspects are connected for stimulating knowledge and rational use of the coastal aquifer with the values of inhabitants of the territory to improve the water supply and create new conditions of sustainability. It is important to point out that the administrative organism and promoter is the Manglaralto Regional Fresh Water Board (JAPRM). In Manglaralto-Ecuador, a parish of approximately 30,000 inhabitants, the MRFWB manages and supplies water to 23.586 inhabitants. This organization is composed by 6 representatives of rural communities. It started 7 years ago looking for a way to achieve a change, from obtaining water to developing the community. They seeked for help in different fields such as: political, economic and social and they found International Atomic Energy Agency (IAEA) and Escuela Superior Politécnica del Litoral (ESPOL) as a fundamental basis for cooperation to bond technical, environmental, social and cultural aspects. Management of coastal aquifer, from the PAR perspective affects the development of Manglaralto. Also, a geospatial and geostatistical analysis is carried out to distinguish change aspects in territories related to touristy growth which affects the demand of water obtained from the coastal aquifer under the management of the MRFWB. The thesis presents a comprehensive model that belongs to the Manglaralto community and reveals an evolution that reached a peak in 2011 and part of 2012, with 9 water wells that operated the 365 days of the year 24 hours a day without interruption. The external conditions (touristic packages of Spondylus route) have created new problems (higher demand of water). The coastal aquifer is a symbol and solution, thanks to the comprehensive management and PAR interaction which fits the evolution of conditions, looking for solutions for the community and its surroundings. The comprehensive model of territory with the participation of inhabitants considers the touristic aspect as an agent which brings about a higher demand of water. This situation requests a response through the observation-reflection in the PAR cycle to generate new strategic guidelines and promote the local development.

Aprendizaje del baloncesto en Educación Secundaria utilizando el juego: Una propuesta de Investigación-acción.

El baloncesto es un deporte basado en unos principios de juego sencillos y unas exigencias físicas y técnicas en la iniciación asumibles por todos los alumnos. Ofreciendo las herramientas adecuadas y adaptando las tareas de aprendizaje al contexto se puede conseguir una competencia elevada. Es necesario llevar a cabo una planificación adecuada y una selección de tareas apropiadas. El juego posee unas características que le convierten en un elemento con gran potencial educativo, en especial para Educación Física, debido al placer que genera y al espacio que ofrece para expresarse y utilizar el cuerpo. A través de este trabajo se propone una Unidad Didáctica de Baloncesto vertebrada por el uso del juego como elemento vehicular. La Investigación-acción es un proceso que explora directamente sobre el terreno, siendo muy sencillo y práctico para aplicar en el ámbito educativo. Engloba de manera casi simultánea el proceso de investigación y el de búsqueda de soluciones. Para analizar el resultado de dicha metodología se exponen los elementos básicos para llevar a cabo un trabajo de Investigación-acción paralelo y adaptado al Baloncesto y la Unidad Didáctica. Basketball is a sport based on easy game principles. Every student is capable of reaching physical and technical request for amateur practice. High skills in basketball can be obtained with suitable tools and adapted activities to the current environment. Appropriate planning and tasks are required for that purpose. In education game activities turn to be an option with excellent opportunities, especially for physical education. It provides students a way to express feelings, practice with their body and have fun. The aim of this project is to propose a basketball teaching unit focused on gaming tasks. Participatory action research intervenes directly on the field, simple and practical to be used in educational context. This model links researching and problem solving on the same process. The basic path to perform a participatory action research is given to analyze the results of carrying out the proposed teaching unit.

Educación bilingüe del alumnado sordo: pilares para un cambio estratégico

Pese a los progresos logrados en la protección de los derechos fundamentales de salud y educación de las personas sordas usuarias de las lenguas de signos, a menudo se sigue negando a niños sordos su derecho a aprender y usar las lenguas de signos en su educación y en entornos físicos y psicosociales accesibles de conformidad con la Convención de los Derechos de las Personas con Discapacidad (CDPD) y con las recientes leyes 27/2007 y 17/2007. El objetivo principal de este estudio fue obtener información sobre los factores estratégicos que favorecen una escuela saludable e inclusiva, mediante programas de educación bilingüe sostenibles y de calidad para escolares sordos en España. La metodología utilizada consistió en un estudio descriptivo con componentes de investigación-acción participativa y un enfoque de análisis estratégico. Como resultados, cabe destacar que las principales macrotendencias que, en el ámbito internacional, han promovido el cambio hacia prácticas bilingües son dos: en primer lugar, los cambios sociales y políticos que tienden a una creciente aceptación de la diversidad y los temas relacionados con las personas sordas; y en segundo lugar, una tendencia a un activismo, una autoconciencia y un apoderamiento crecientes por parte de las personas sordas. Como contrapartida, las que lo han obstaculizado son, por un lado, la visión de la sordera como una condición médica, que puede solucionarse mediante la tecnología; y por otro lado, el fonocentrismo, unido a una cierta resistencia social a lo desconocido. Aunque en España algunas de las escuelas que han iniciado el cambio cumplen las recomendaciones de la CDPD, la mayoría están todavía en una fase preliminar de formulación o puesta en práctica de este nuevo modelo y distan mucho de encontrarse distribuidas de manera igualitaria en las diferentes comunidades autónomas. Como conclusión podemos decir que conseguir una educación más saludable e inclusiva para los escolares sordos implica poner en marcha una estrategia de actuación planificada en la que participen activamente todos los sectores y organismos relevantes implicados y, en particular, las comunidades sordas a través de las organizaciones que las representan. Sin un cambio radical de perspectiva, la salud y la educación no serán accesibles a todos y las desigualdades sociales se verán acentuadas.

Investigación acción participativa y compromiso social del arquitecto: estudio de un caso

Presentamos la Investigación Acción Participativa (IAP) que hemos llevado a cabo en un barrio de las afueras de Albacete, cuyo nombre popular, “las 500”, evidencia su condición marginal (perfil social, patologías constructivas, viviendas mínimas) de polígono de vivienda social promovido por la Obra Sindical del Hogar en los primeros 60. Ha consistido en aprovechar la oportunidad que nos brindaba la inauguración de su nueva iglesia para buscar la documentación y estudiar la arquitectura y el urbanismo del barrio, permitiendo su conocimiento y su valoración para darlo a conocer y a valorar y para irlo mejorando. La acción principal se ha concretado en una exposición itinerante que conmemora su 50 aniversario.

Societal transformation and climate change adaptation : PAR experiences in Portugal

Tese de doutoramento, Alterações Climáticas e Políticas de Desenvolvimento Sustentável (Sociologia), Universidade de Lisboa, Instituto de Ciências Sociais, 2016

Socio-Historical Factors Mediating Collaborative Teaching and Learning: A Design-Based Investigation and Intervention

Thesis (Ph.D.)--University of Washington, 2016-06

Striving for a common language: A white feminist parallel to Indigenous ways of knowing and researching

In Striving Towards a Common Language I outline an innovative methodology which consists of three strands encompassing an Indigenous-centred approach based on Indigenous Self-determination (participatory action research), relationship as central to socio-cultural dynamics, and feminist phenomenology. This methodology - which I call Living On the Ground was created in direct concert with 13 Indigenous women elders who were my hosts, teachers and walytja (family) as we worked together to create a dynamic cultural revitalisation project for their community, one of Australia's most remote Aboriginal settlements. I explain the processes I went through as a White Irish-Australian woman living with the women elders and their 11 dogs in a one room tin shed for two years, and tell of how the nexus of land, Ancestors, and the Tjukurrpa (Dreaming) combined with White cultural practices came to inspire a methodology which took the best from Indigenous and (White) feminist ways of knowing and of being. (c) 2005 Z. de Ishtar. Published by Elsevier Ltd. All rights reserved.

Community environmental preservation initiatives in Borgne, Haiti

The purpose of this thesis was to complete an analysis of the work and practices of the community organizations of Borgne, Haiti. While the work of several community organizations were examined, research specifically focused on the community’s tree-planting project. Given the current state of Haiti’s environment and the historic record of development efforts in Haiti, this project represents a unique model that may have larger implications on the way in trees are planted throughout Haiti. Field research was completed on site in Borgne in the summer months of 2010. The primary methods employed in data collection were Participatory Action Research and semi-structured interviewing.

Investigating the Effects of Cognitive Apprenticeship-Based Instructional Coaching on Science Teaching Efficacy Beliefs

The overall purpose of this collected papers dissertation was to examine the utility of a cognitive apprenticeship-based instructional coaching (CAIC) model for improving the science teaching efficacy beliefs (STEB) of preservice and inservice elementary teachers. Many of these teachers perceive science as a difficult subject and feel inadequately prepared to teach it. However, teacher efficacy beliefs have been noted as the strongest indicator of teacher quality, the variable most highly correlated with student achievement outcomes. The literature is scarce on strong, evidence-based theoretical models for improving STEB. This dissertation is comprised of two studies. STUDY #1 was a sequential explanatory mixed-methods study investigating the impact of a reformed CAIC elementary science methods course on the STEB of 26 preservice teachers. Data were collected using the Science Teaching Efficacy Belief Instrument (STEBI-B) and from six post-course interviews. A statistically significant increase in STEB was observed in the quantitative strand. The qualitative data suggested that the preservice teachers perceived all of the CAIC methods as influential, but the significance of each method depended on their unique needs and abilities. STUDY #2 was a participatory action research case study exploring the utility of a CAIC professional development program for improving the STEB of five Bahamian inservice teachers and their competency in implementing an inquiry-based curriculum. Data were collected from pre- and post-interviews and two focus group interviews. Overall, the inservice teachers perceived the intervention as highly effective. The scaffolding and coaching were the CAIC methods portrayed as most influential in developing their STEB, highlighting the importance of interpersonal relationship aspects in successful instructional coaching programs. The teachers also described the CAIC approach as integral in supporting their learning to implement the new inquiry-based curriculum. The overall findings hold important implications for science education reform, including its potential to influence how preservice teacher training and inservice teacher professional development in science are perceived and implemented. Additionally, given the noteworthy results obtained over the relatively short durations, CAIC interventions may also provide an effective means of achieving improvements in preservice and inservice teachers’ STEB more expeditiously than traditional approaches.

O turismo de base comunitária como vetor de etnodesenvolvimento: a comunidade Mebêngôkre-Kayapó na Terra Indígena Las Casas - PA

This study aims to analyze the contribution that the future implementation of community-based tourism can provide to Mebengokre-Kayapo, people of the village Tekrejarôti, they re-inhabiting the indigenous land Las Casas, located in southern of Pará, taking into consideration that tourism is as vector of ethnodevelopment, and it can also contribute to the conservation of Sociobiodiversity and local culture through experiences that will enable the realization of acquaintanceship, where there will be sharing of the daily activities of the customs of the local people, and cultural changes, which is the aim between visitors and the community, where these ones can promote the knowledge of non-indigenous people, and to consolidate the ethnic and cultural identity thereof too. Thus, this study guided by the participatory action research, it was used data obtained in 2012, that were results from the application of interviews with the community to make the diagnosis of tourism potential. It is an exploratory and descriptive research about the topic. The field research combined with participant observation, workshops and interviews contributed to it was possible to conduct a depth analysis about the environment studied. This research has the intention to obtain concrete results in the implementation and/or promotion of a cultural practice and environmentally sustainable ruled in organizational processes that permeates the guidelines of community-based tourism, however this depends on the conditions of human and forest resources, and infrastructure conditions in the community, providing in the short and medium terms, social activities and culturally positive for the culture of this people, and providing to long term, environmental and economic landmarks. As result, it was possible to identify that the community with its cultural events, parties and ceremonies being allied to their way of life and taken from their criteria, it is able to work with the tourism within their land and it can makes the tourism, a cultural affirmation opportunity and income generation. But, it concludes that for tourism to become ,in fact, there are required to be carried out some measures, that meets the new Regulatory Instruction IN 3/2015, this IN states that for the community to work with tourism in their land, it is necessary to be prepared a visitation plan that fits the established requirements. This research is constituted as an important tool in building this visitation plan, given that it was done from the community demand and it was conducted in a participatory manner, valuing the horizontal dialogue and the autonomy of this people.

O turismo de base comunitária como vetor de etnodesenvolvimento: a comunidade Mebêngôkre-Kayapó na Terra Indígena Las Casas - PA

This study aims to analyze the contribution that the future implementation of community-based tourism can provide to Mebengokre-Kayapo, people of the village Tekrejarôti, they re-inhabiting the indigenous land Las Casas, located in southern of Pará, taking into consideration that tourism is as vector of ethnodevelopment, and it can also contribute to the conservation of Sociobiodiversity and local culture through experiences that will enable the realization of acquaintanceship, where there will be sharing of the daily activities of the customs of the local people, and cultural changes, which is the aim between visitors and the community, where these ones can promote the knowledge of non-indigenous people, and to consolidate the ethnic and cultural identity thereof too. Thus, this study guided by the participatory action research, it was used data obtained in 2012, that were results from the application of interviews with the community to make the diagnosis of tourism potential. It is an exploratory and descriptive research about the topic. The field research combined with participant observation, workshops and interviews contributed to it was possible to conduct a depth analysis about the environment studied. This research has the intention to obtain concrete results in the implementation and/or promotion of a cultural practice and environmentally sustainable ruled in organizational processes that permeates the guidelines of community-based tourism, however this depends on the conditions of human and forest resources, and infrastructure conditions in the community, providing in the short and medium terms, social activities and culturally positive for the culture of this people, and providing to long term, environmental and economic landmarks. As result, it was possible to identify that the community with its cultural events, parties and ceremonies being allied to their way of life and taken from their criteria, it is able to work with the tourism within their land and it can makes the tourism, a cultural affirmation opportunity and income generation. But, it concludes that for tourism to become ,in fact, there are required to be carried out some measures, that meets the new Regulatory Instruction IN 3/2015, this IN states that for the community to work with tourism in their land, it is necessary to be prepared a visitation plan that fits the established requirements. This research is constituted as an important tool in building this visitation plan, given that it was done from the community demand and it was conducted in a participatory manner, valuing the horizontal dialogue and the autonomy of this people.

'Lines of flight': digital musical instruments, inclusive music bands, meaningful engagement in music-making and learning

In this study I examine the development of three inclusive music bands in Cork city. Derived from Jellison’s research on inclusive music education, inclusive music bands involve students with disabilities coming together with typically developing peers to make and learn music that is meaningful (Jellison, 2012). As part of this study, I established three inclusive music bands to address the lack of inclusive music making and learning experiences in Cork city. Each of these bands evolved and adapted in order to be socio-culturally relevant within formal and informal settings: Circles (community education band), Till 4 (secondary school band) and Mish Mash (third level and community band). I integrated Digital Musical Instruments into the three bands, in order to ensure access to music making and learning for band members with profound physical disabilities. Digital Musical Instruments are electronic music devices that facilitate active music making with minimal movement. This is the first study in Ireland to examine the experiences of inclusive music making and learning using Digital Musical Instruments. I propose that the integration of Digital Musical Instruments into inclusive music bands has the potential to further the equality and social justice agenda in music education in Ireland. In this study, I employed qualitative research methodology, incorporating participatory action research methodology and case study design. In this thesis I reveal the experiences of being involved in an inclusive music band in Cork city. I particularly focus on examining whether the use of this technology enhances meaningful music making and learning experiences for members with disabilities within inclusive environments. To both inform and understand the person centered and adaptable nature of these inclusive bands, I draw theoretical insights from Sen’s Capabilities Approach and Deleuze and Guatarri’s Rhizome Theory. Supported by descriptive narrative from research participants and an indepth examination of literature, I discover the optimum conditions and associated challenges of inclusive music practice in Cork city.

"On our way": identities and representations of African women seeking asylum in Ireland

This thesis provides the first explicit Postcolonial study of asylum in the Irish context that integrates Black Feminist analyses of intersectional identity with Postcolonial Feminist theories of representation. African women seeking asylum in the Republic of Ireland were key political instruments used by the state to re-draw racial lines. The study examines how, for a group of African women “On their Way” through asylum, identity and representation work hand in hand to force identities, subaltern spaces and bodies to occupy them. Rich biographical data is gathered through mixed art and drama methods over two intensive participatory research projects conducted in a small Irish city. Data analysis critically examines the poetics (practices that signify) and politics (the powers that govern these practices) and affective economies of global and local NGO visual representations, exposing how they consume, fragment, and appropriate African women’s identities and bodies. Though hypervisible, the women themselves “cannot speak”. The women in the study reported feeling “tired” and “used”. Asking “What work are they doing as they do asylum?” the study finds that black female identities and bodies are forced to perform political, cultural, emotional and material labour on their way through this context of Irish asylum. The author argues that Postcolonial Asylum is a performative encounter that re-scripts colonial race/class/gender discourse through a humanitarian alibi to naturalize European/white supremacy, reinscribe patriarchal power and justify racialised incarceration of bodies seeking asylum in the North. This study takes an interdisciplinary approach that centralizes Black and Postcolonial Feminist theory and innovates Participatory Art-Based Action methodology. Black and Postcolonial feminisms can recognize, theorize and replenish black female political and intellectual agency. Participatory Action research, if grounded in Black feminist epistemology and ethics, can allow participants to “speak back” to what is already said about them in spaces of convivial self-representation.

An overview of top-down vs. bottom-up models for informal settlement upgrading in South Africa

The paper explores informal settlement upgrading approaches in South Africa and presents a review of top-down vs. bottom-up models, using experience and lessons learned from the Durban metropolitan area. Reflections on past upgrading efforts suggest that top-down policies in South Africa have not been successful to date. By contrast, participatory techniques, such as planning activism, can be used to enhance community empowerment and a sense of local ownership. This paper reveals that although the notion of ‘bottom-up’, participatory methods for community improvement is often discussed in international development discourses, the tools, processes and new knowledge needed to ensure a successful upgrade are under-utilised. Participation and collaboration can mean various things for informal housing upgrading and often the involvement of local communities is limited to providing feedback in already agreed development decisions from local authorities and construction companies. The paper concludes by suggesting directions for ‘co-producing’ knowledge with communities through participatory, action-research methods and integrating these insights into upgrading mechanisms and policies for housing and infrastructure provision. The cumulative impacts emerging from these approaches could aggregate into local, regional, and national environmental, social and economic benefits able to successfully transform urban areas and ensure self-reliance for local populations.

Transformer les pratiques professionnelles vis-à-vis des personnes prestataires de l’aide sociale : développement participatif et évaluation d’une formation continue en cabinet dentaire

L’objectif de la présente thèse est de générer des connaissances sur les contributions possibles d’une formation continue à l’évolution des perspectives et pratiques des professionnels de la santé buccodentaire. Prônant une approche centrée sur le patient, la formation vise à sensibiliser les professionnels à la pauvreté et à encourager des pratiques qui se veulent inclusives et qui tiennent compte du contexte social des patients. L’évaluation de la formation s’inscrit dans le contexte d’une recherche-action participative de développement d’outils éducatifs et de transfert des connaissances sur la pauvreté. Cette recherche-action aspire à contribuer à la lutte contre les iniquités sociales de santé et d’accès aux soins au Québec; elle reflète une préoccupation pour une plus grande justice sociale ainsi qu’une prise de position pour une santé publique critique fondée sur une « science des solutions » (Potvin, 2013). Quatre articles scientifiques, ancrés dans une philosophie constructiviste et dans les concepts et principes de l’apprentissage transformationnel (Mezirow, 1991), constituent le cœur de cette thèse. Le premier article présente une revue critique de la littérature portant sur l’enseignement de l’approche de soins centrés sur le patient. Prenant appui sur le concept d’une « épistémologie partagée », des principes éducatifs porteurs d’une transformation de perspective à l’égard de la relation professionnel-patient ont été identifiés et analysés. Le deuxième article de thèse s’inscrit dans le cadre du développement participatif d’outils de formation sur la pauvreté et illustre le processus de co-construction d’un scénario de court-métrage social réaliste portant sur la pauvreté et l’accès aux soins. L’article décrit et apporte une réflexion, notamment sur la dimension de co-formation entre les différents acteurs des milieux académique, professionnel et citoyen qui ont constitué le collectif À l’écoute les uns des autres. Nous y découvrons la force du croisement des savoirs pour générer des prises de conscience sur soi et sur ses préjugés. Les outils développés par le collectif ont été intégrés à une formation continue axée sur la réflexion critique et l’apprentissage transformationnel, et conçue pour être livrée en cabinet dentaire privé. Les deux derniers articles de thèse présentent les résultats d’une étude de cas instrumentale évaluative centrée sur cette formation continue et visant donc à répondre à l’objectif premier de cette thèse. Le premier consiste en une analyse des transformations de perspectives et d’action au sein d’une équipe de 15 professionnels dentaires ayant participé à la formation continue sur une période de trois mois. L’article décrit, entre autres, une plus grande ouverture, chez certains participants, sur les causes structurelles de la pauvreté et une plus grande sensibilité au vécu au quotidien des personnes prestataires de l’aide sociale. L’article comprend également une exploration des effets paradoxaux dans l’apprentissage, notamment le renforcement, chez certains, de perceptions négatives à l’égard des personnes prestataires de l’aide sociale. Le quatrième article fait état de barrières idéologiques contraignant la transformation des pratiques professionnelles : 1) l’identification à l’idéologie du marché privé comme véhicule d’organisation des soins; 2) l’attachement au concept d’égalité dans les pratiques, au détriment de l’équité; 3) la prédominance du modèle biomédical, contraignant l’adoption de pratiques centrées sur la personne et 4) la catégorisation sociale des personnes prestataires de l’aide sociale. L’analyse des perceptions, mais aussi de l’expérience vécue de ces barrières démontre comment des facteurs systémiques et sociaux influent sur le rapport entre professionnel dentaire et personne prestataire de l’aide sociale. Les conséquences pour la recherche, l’éducation dentaire, le transfert des connaissances, ainsi que pour la régulation professionnelle et les politiques de santé buccodentaire, sont examinées à partir de cette perspective.