L’implication des parents de jeunes contrevenants au sein du programme de suivi intensif différencié dans la communauté du Centre jeunesse de Montréal-Institut universitaire

Rapport de stage présenté à la Faculté des études supérieures en vue de l’obtention du grade de Maîtrise ès science (M.Sc.) en criminologie option intervention clinique

L’efficacité contestée du recours aux agents de santé communautaires pour la prise en charge du paludisme : évaluation du programme burkinabé dans les districts de Kaya et de Zorgho

Contexte. Le paludisme provoque annuellement le décès d’environ 25 000 enfants de moins de cinq ans au Burkina Faso. Afin d’améliorer un accès rapide à des traitements efficaces, les autorités burkinabées ont introduit en 2010 la prise en charge du paludisme par les agents de santé communautaires (ASC). Alors que son efficacité a été démontrée dans des études contrôlées, très peu d’études ont évalué cette stratégie implantée dans des conditions naturelles et à l’échelle nationale. Objectif. L’objectif central de cette thèse est d’évaluer, dans des conditions réelles d’implantation, les effets du programme burkinabé de prise en charge communautaire du paludisme sur le recours aux soins des enfants fébriles. Les objectifs spécifiques sont : (1) de sonder les perceptions des ASC à l’égard du programme et explorer les facteurs contextuels susceptibles d’affecter leur performance ; (2) d’estimer le recours aux ASC par les enfants fébriles et identifier ses déterminants ; (3) de mesurer, auprès des enfants fébriles, le changement des pratiques de recours aux soins induit par l’introduction d’une intervention concomitante – la gratuité des soins dans les centres de santé. Méthodes. L’étude a été conduite dans deux districts sanitaires similaires, Kaya et Zorgho. Le devis d’évaluation combine des volets qualitatifs et quantitatifs. Des entrevues ont été menées avec tous les ASC de la zone à l’étude (N=27). Des enquêtes ont été répétées annuellement entre 2011 et 2013 auprès de 3002 ménages sélectionnés aléatoirement. Les pratiques de recours aux soins de tous les enfants de moins de cinq ans ayant connu un récent épisode de maladie ont été étudiées (N2011=707 ; N2012=787 ; N2013=831). Résultats. Les résultats montrent que le recours aux ASC est très modeste en comparaison de précédentes études réalisées dans des milieux contrôlés. Des obstacles liés à l’implantation du programme de prise en charge communautaire du paludisme ont été identifiés ainsi qu’un défaut de faisabilité dans les milieux urbains. Enfin, l’efficacité du programme communautaire a été négativement affectée par l’introduction de la gratuité dans les centres de santé. Conclusion. La prise en charge communautaire du paludisme rencontre au Burkina Faso des obstacles importants de faisabilité et d’implantation qui compromettent son efficacité potentielle pour réduire la mortalité infantile. Le manque de coordination entre le programme et des interventions locales concomitantes peut générer des effets néfastes et inattendus.

Effet de stress et compagnie, programme web de prévention du stress chronique, sur le stress et la santé psychologique des intervenants

Le stress chronique en milieu de travail est lié à une variété d’effets négatifs tant physiologiques que psychologiques tels l’anxiété, la dépression et l’épuisement professionnel (Taylor et al., 1997). Les professionnels de la santé et les travailleurs sociaux étant les plus touchés (Felton, 1998), les intervenants des centres de réadaptation de jeunes tels le Centre-Jeunesse de Montréal-Institut Universitaire (CJM-IU) sont donc une population particulièrement vulnérable. L’objectif principal de la présente étude était de tester auprès de 70 intervenants du CJM-IU l’effet d’un programme web de gestion de stress chronique auto-administré sur le stress psychologique et physiologique puisque nous le savons, le stress implique la sécrétion d’hormones et l’activation du système nerveux. Nous avions pour hypothèse que cet effet si présent, aura un impact subséquent sur la dépression, l’anxiété et l’épuisement professionnel. Le programme testé, Stress et Compagnie, développé par le Centre d’Études sur le Stress Humain de l’Institut Universitaire en Santé Mentale de Montréal est basé sur des récentes découvertes en psychoneuroendocrinologie. L’évaluation a été faite par un devis expérimental avec groupe expérimental et témoin avec un pré-test et deux post-test dont un directement après le programme et un autre un mois plus tard. Les résultats sans être significatifs tendent à suggérer que le programme permet de réduire le stress chronique psychologique chez un sous groupe d’intervenants, notamment ceux n’ayant pas été exposés à un évènement potentiellement traumatisant lors de la dernière année. Les effets sur le stress physiologique sont plus instables.

Description de l’évolution du profil socio-cognitif et clinique d’une cohorte d’adolescents diabétiques de type 1 ayant suivi un programme d’éducation thérapeutique

Thèse réalisée en cotutelle entre Aix-Marseille Université et l'Université de Montréal

A critical study of major construction projects in kerala vis-a-vis effectiveness in project implementation

Chapter 1 presents a brief note on the state at which the construction industry stands at present, bringing into focus the significance of the critical study. Relevance of the study, area of investigation and objectives of the study are outlined in this chapter. The 2nd chapter presents a review of the literature on the relevant areas. In the third chapter an analysis on time and cost overrun in construction highlighting the major factors responsible for it has been done. A couple of case studies to estimate loss to the nation on account of delay in construction have been presented in the chapter. The need for an appropriate estimate and a competent contractor has been emphasised for improving effectiveness in the project implementation. Certain useful equations and thoughts have been formulated on this area in this chapter that can be followed in State PWD and other Govt. organisations. Case studies on project implementation of major projects undertaken by Government sponsored/supported organizations in Kerala have been dealt with in Chapter 4. A detailed description of the project of Kerala Legislature Complex with a critical analysis has been given in this chapter. A detailed account of the investigations carried out on the construction of International Stadium, a sports project of Greater Cochin Development Authority is included here. The project details of Cochin International Airport at Nedumbassery, its promoters and contractors are also discussed in Chapter 4. Various aspects of implementation which led the above projects successful have been discussed in chapter 5. The data collected were analysed through discussion and perceptions to arrive at certain conclusions. The emergence of front-loaded contract and its impact on economics of the project execution are dealt with in this chapter. Analysis of delays in respect of the various project narrated in chapter 3 has been done here. The root causes of the project time and overrun and its remedial measures are also enlisted in this chapter. Study of cost and time overrun of any construction project IS a part of construction management. Under the present environment of heavy investment on construction activities in India, the consequences of mismanagement many a time lead to excessive expenditure which are not be avoidable. Cost consciousness, therefore has to be keener than ever before. Optimization in investment can be achieved by improved dynamism in construction management. The successful completion of coristruction projects within the specified programme, optimizing three major attributes of the process - quality, schedule and costs - has become the most valuable and challenging task for the engineer - managers to perform. So, the various aspects of construction management such as cost control, schedule control, quality assurance, management techniques etc. have also been discussed in this fifth chapter. Chapter 6 summarises the conclusions drawn from the above criticalr1 of rhajor construction projects in Kerala.

Analysis of successful modes for the implementation and use of open course ware (OCW) & open educational resources (OER) in higher education : the virtual mobility case

Resumen basado en el de la publicaci??n

Does the Stockholm Programme matter? The struggles over ownership of AFSJ multiannual programming. CEPS Paper in Liberty and Security No. 51/December 2012

Does the 2009 Stockholm Programme matter? This paper addresses the controversies experienced at EU institutional levels as to ‘who’ should have ownership of the contours of the EU’s policy and legislative multiannual programming in the Area of Freedom, Security and Justice (AFSJ) in a post-Lisbon Treaty landscape. It examines the struggles around the third multiannual programme on the AFSJ, i.e. the Stockholm Programme, and the dilemmas affecting its implementation. The latest affair to emerge relates to the lack of fulfilment by the European Commission of the commitment to provide a mid-term evaluation of the Stockholm Programme’s implementation by mid-2012, as requested by both the Council and the European Parliament. This paper shifts the focus to a broader perspective and raises the following questions: Is the Stockholm Programme actually relevant? What do the discussions behind its implementation tell us about the new institutional dynamics affecting European integration on the AFSJ? Does the EU actually need a new (post- Stockholm) multiannual programme for the period 2015–20? And last, what role should the EP play in legislative and policy programming in order to further strengthen the democratic accountability and legitimacy of the EU’s AFSJ?

Training to address attitudes and behaviour of rural bank managers in Madhya Pradesh, India: A programme to facilitate financial inclusion

Given their physical presence in India, banks are arguably well-placed to improve financial inclusion in rural areas. However, uncertain repayment capacities and high transaction costs mean formal financial institutions are often reluctant to lend to the rural poor. Conversely, high transaction costs in dealing with banks are also incurred by clients, through, for example, lengthy, cumbersome and potentially ignominious procedures. Negative attitudes towards poor clients can be an important component of such transaction costs. An applied research project funded by the Enterprise Development Innovation Fund (EDIF-DFID) developed an innovative training programme designed to encourage more positive attitudes of bank staff towards poor clients, and towards their own role in rural poverty alleviation and development. This paper examines the development of the training programme, its implementation, and the results of its evaluation. It is shown that training can bring about attitudinal change, which in turn is reflected in behaviour and social impact.

Training to address attitudes and behaviour of rural bank managers in Madhya Pradesh, India: a programme to facilitate financial inclusion

Given their physical presence in India, banks are arguably well-placed to improve financial inclusion in rural areas. However, uncertain repayment capacities and high transaction costs mean formal financial institutions are often reluctant to lend to the rural poor. Conversely, high transaction costs in dealing with banks are also incurred by clients, through, for example, lengthy, cumbersome and potentially ignominious procedures. Negative attitudes towards poor clients can be an important component of such transaction costs. An applied research project funded by the Enterprise Development Innovation Fund (EDIF-DFID) developed an innovative training programme designed to encourage more positive attitudes of bank staff towards poor clients, and towards their own role in rural poverty alleviation and development. This paper examines the development of the training programme, its implementation, and the results of its evaluation. It is shown that training can bring about attitudinal change, which in turn is reflected in behaviour and social impact. Copyright © 2007 John Wiley & Sons, Ltd.

Input for the preparation of a regional agenda for the programme of action of the International Conference on Population and Development: towards 2014 and beyond

Spanish version available at the Library

Energy efficiency potential in Jamaica: challenges, opportunities and strategies for implementation

Incluye Bibliografía

Draft biennial programme of regional and international cooperation activities of the Statistical Conference of the Americas of ECLAC, 2007-2009

Includes bibliography

Framework for implementation of the outcomes of the World Summit on Sustainable Development (WSSD) in the small island developing states of the Caribbean subregion

Includes bibliography

Subregional preparations for the 2004 international meeting that will undertake a full and comprehensive review of the implementation of the SIDS POA to ensure the most effective participation of Caribbean SIDS

In Part XV (Implementation Monitoring and Review);, of the Programme of Action of Small Island Developing States (SIDS POA);, which was adopted at the United Nations Global Conference on the Sustainable Development of Small Island Developing States (UNGCSIDS);, 26 April- 6 May 1994, in its paragraph 117, it is provided that the Commission on Sustainable Development (CSD); should, inter alia: Carry out an initial review of the progress achieved and steps taken to implement the Programme of Action, to be undertaken by the Commission on Sustainable Development in 1996 in accordance with its Multi-Year Thematic Programme of Work. Furthermore, in 1997, when the Commission will carry out the overall review of Agenda 21 with a view to preparing for the 1997 special session of the General Assembly, the Commission should recommend specific modalities for the full review of the Programme of Action in 1999. That full review would include the question of the convening of a second global conference in accordance with chapter 17, Section G of Agenda 21. At the twenty-second special session which convened on 27-28 September 1999 to undertake a "review and appraisal of the implementation of the Programme of Action for the Sustainable Development of Small Island Developing States", it was recommended, inter alia, that: "Although periodic reviews of certain aspects of the Programme of Action are envisaged within the context of the work of the Commission on Sustainable Development, a full and comprehensive review of these decisions and the implementation of the Programme of Action would be useful and required in 2004." In the Plan of Implementation adopted at the World Summit on Sustainable Development (WSSD);, which convened in Johannesburg, South Africa, over the period, 26 August-4 Septemeber 2002, the relevant recommendation was as follows: "Undertake a full and comprehensive review of the implementation of the Barbados Programme of Action for the Sustainable Development of Small Island Developing States in 2004, in accordance with the provisions set forth in General Assembly resolution S-22/2, and in this context requests the General Assembly at its fifty-seventh session to consider convening an international meeting for the sustainable development of small island developing States."