Theme
Cancers, Sexuality (contraception, abortion), HIV-AIDS STI, Hepatitis (HBV – HCV), Precariousness
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Programmes
- PRAPS 2018-2023 Program: Regional Program for Access to Prevention and Care
- Objective 2: Improving the effectiveness and efficiency of access to healthcare for the most disadvantaged
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Context
The Colette Mobile PASS aims to facilitate access to care thanks to a one-way trip, by offering care and social support in the perspective of a return to the provision of common law care. For this, we benefit from extended partnerships with intra-hospital establishments and associative solidarity actors which allow us to act both inside and outside the hospital to facilitate the identification and management of our patients. Our service, symbolized by our medicalized truck that crisscrosses Marseille, is the city-hospital interface that allows us to play an essential role with a vulnerable female public by reducing the risk of disruption in the care pathways.
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Objective of the action
– Promote empowerment in access to healthcare and common rights
– Promote prevention and screening of cervical cancer and STIs, access to contraception, mediation and referral to pregnancy monitoring and curative care in medical gynecology and primary health
* Intermediate objective
– Create a bond of trust and loyalty, identify needs and redirect towards health services
* Operational objective
– Implement a go-to approach with a medical truck, access to a technical, pharmacy and biomedical platform
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Description
* Colette Mobile Health Care Access Permanency
– Medical truck with medical, pharmacy and biomedical technical platform
– Medico-social interviews and multidisciplinary consultations (specialist doctor, social worker and nurse) for women and transgender groups from 18 years old
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Action partner
ADDAP 13 (Departmental Association for the Development of Preventive Actions); Jane Pannier (CHRS, LHSS, CADA); Sara Logisol (CAO, CAES, CADA, SAMU Social, Accueils de jour, 115, SIAO); Refugee Forum (First Reception of Asylum Seekers); SOS Group (LHSS, UHU, CHRS, CSAPA, Sleep’in); European Hospital (ASSAb); AIDES (women in action, Spot); Other Looks; Amicale du Nid (Orion, Day reception); Public Assistance of Marseille Hospitals; GAMS Sud (Group for the Abolition of Sexual Mutilation); Afrisanté; Aix-Marseille Universities; Friday 13 ; Heart’s Restaurant ; Cimade (Inter-Movement Committee for the Evacuees); Comede (Committee for the health of exiles); School of Higher Studies in Social Sciences; SOS Women; New Dawn; Family planning ; Department 13 (Family Planning and Education Centers, Maternal Child Protection, House of Solidarity); Doctors of the World ; MARSS (Movement and Action for Social and Health Recovery); FNARS (National Federation of Reception and Social Reintegration Associations); People Relief ; Catholic Relief ; Red Cross ; Family allowance ; Regional Health Agency; Marseille City Hall (Communal Center for Social Action, Pôle Emploi, events); National Information Center for Women’s and Family Rights – Point d’Appui; Police station; AVAD (Association for Aid to Victims of Crime Acts); Abbé Pierre Foundation; Children’s Home of Social Character; Primary Health Insurance Fund; Departmental House of Handicapped People; French Office for Immigration and Integration; Prefecture 13; Hospitality for Women; Consulates; Lawyers
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Year of start of production
2019
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Year of completion
2019
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Public
Adults 18-55 years old, People over 55 years old, Pregnant women, Patients, Travelers, Immigrants, Prostitutes, Homeless people, Unemployed, People in socio-economic difficulty, Other, Woman
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Public other
Transgender people
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Number of people involved
500 people (provisional)
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Type d’action
Communication, information, awareness, Screening consultation, Networking, Individualized prevention consultation or reception, Social support, Medical support, Reception, listening, guidance
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Action evaluation
* Quantitative indicators
– Number of prevention consultations
– Number of curative consultations
– Number of follow-up appointments
– Number of accompaniments per beneficiary
– Number of referrals to accommodation
– Number of entitlement to social security and regularization of the administrative situation
– Number of beneficiaries met per action
– Number of physical accompaniments
– Number of formal and informal interviews conducted by professionals
– Number of referrals to specialized or general medical services
– Number of referrals to associations, social structures and victim assistance
– Number of gynecological consultations
– Number of cervico-vaginal smears per patient 25 years – 65 years
– Number of oral contraceptives dispensed or prescribed
– Number of intrauterine device (IUD) and contraceptive implants
– Number of biological samples (vaginal and blood)
– Number of emergency contraception delivered
– Percentage of access to prescribed treatments
– Percentage of access to prescribed paraclinical examinations
– Number of referrals to obstetric consultations for pregnancy monitoring and social gynecology for voluntary termination of pregnancy (abortion)
– Number of referrals to specialist consultations within the framework of chronic disease management (oncology, infectious diseases, endocrinology, psychiatry, etc.)
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Activity area
Care center, health establishment, Establishment and medico-social service for people with specific difficulties, Intervention in the streets (marauding …), Squat, Other
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Place of intervention
Emergency Accommodation Unit (UHU); Accommodation and Social Reintegration Center (CHRS); Street, squat; Platform for asylum seekers; Day Care (ADJ); Permanent Access to Health Care (PASS)
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Geographic level
Communal
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Plan national
CONTRACEPTION – Strategy of actions in terms of contraception, HEPATITIS – National program for viral hepatitis C and B, PRECARITY – Strategy of actions in terms of health and precariousness, HIV / AIDS STI – National program to fight HIV / AIDS and STIs, CANCER – Cancer plan (2014-2019), SEXUAL HEALTH – National sexual health strategy (2018-2020)
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Categorization
A1
Development of health promotion offers
A2
Representation of interests, collaboration between organizations
A3
Social mobilization
A4
Development of personal skills
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B1
Health Promotion Offers
B2
Health promotion strategies in policy and institutions
B3
Social potential and commitment favorable to health
B4
Individual health-promoting skills
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C1
Healthy physical environment
C2
Social environment favorable to health
C3
Personal resources and types of healthy behavior
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D
Increase in healthy life expectancy – Improve quality of life – Decrease in morbidity and mortality (linked to risk factors)
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