| Titre : | Assessing the contribution of a prevention fund to non-communicable disease prevention in French Polynesia: an ecological approach |
| Auteurs : | Juliette Estival ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2025 |
| Description : | 31p. |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | Maladie non transmissible ; Obésité ; Maladie chronique ; Prévention santé ; Financement ; Promotion santé ; Santé environnementale ; Polynésie ; Département et région d'outre mer (DROM) |
| Résumé : |
Background: Controlling the relentless rise of non-communicable diseases (NCD) is a major public health challenge in French Polynesia, where prevalence of obesity and related chronic pathologies are amongst the highest worldwide. Despite significant investments in prevention, little is known about the real contribution and public health reach of local funding mechanisms like the Fonds de Prévention Assurance Maladie (FPAM) led by the Caisse de Prévoyance Sociale (CPS). The ecological approach assesses how interventions address multiple levels of influence, including individual, organizational, community and policy environments.
Research question: To what extent do local NCD prevention projects funded by the FPAM align with public health priorities and incorporate an ecological approach? Methods: This is a retrospective study on projects funded by the FPAM between 2017 and 2024. Quantitative analysis described the distribution, themes and population reach of FPAM-funded projects for this period. Then, a qualitative analysis was conducted on two 2019 and 2023 samples, applying the ecological framework to identify the levels of influences targeted by projects and their intervention strategies adopted. Results: The FPAM funded a total of 115 projects between 2017 and 2024 with total investment reaching approximately 1 700 000€. The projects focused more on promoting physical activity, with mean exposures of 6.75 months. The ecological framework revealed that most projects targeted directly individual behaviour change, while only a small part addressed organizational, community or policy-level determinants with multi-level or structural strategies. Conclusion: While the FPAM has contributed to the implementation of a broad range of prevention initiatives, in line with the local public health priorities, they remained largely focused on individual level interventions. Expanding its support for projects that address multiple levels of influence is essential to enhance the effectiveness and sustainability of NCD prevention in French Polynesia. |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2025/mph/juliette_estival.pdf |
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