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Articles 661 - 690 of 1157
Full-Text Articles in Gender and Sexuality
Securing South Africa's Future Grandmothers Against Poverty And Aids As A Model For Social Development Change, Savannah Lynn Eck
Securing South Africa's Future Grandmothers Against Poverty And Aids As A Model For Social Development Change, Savannah Lynn Eck
Graduate Program in International Studies Theses & Dissertations
Focusing on the role of elder women in South Africa as a lens to understand the central connections among HIV/ AIDS, poverty and Human Security provides a distinct approach to analyze women's contributions to community development and social change. Drawing from the theories of Gender and Development and Human Security, this research aims to highlight HIV/ AIDS as a social and political security issue, while underscoring the vitality of the inclusion of women in the processes of peace building, reconciliation, education and social development. Furthermore, the influential role of elder women in South Africa will serve as a model in …
Barriers, Control And Identity In Health Information Seeking Among African American Women, Jennifer R. Warren, Lynette Kvasny, Michael L. Hecht, Diana Burgess, Jasjit S. Ahluwalia, Kolawole S. Okuyemi
Barriers, Control And Identity In Health Information Seeking Among African American Women, Jennifer R. Warren, Lynette Kvasny, Michael L. Hecht, Diana Burgess, Jasjit S. Ahluwalia, Kolawole S. Okuyemi
Journal of Health Disparities Research and Practice
Qualitative research methods were used to examine the role of racial, cultural, and socio-economic group (i.e., communal) identities on perceptions of barriers and control related to traditional and internet resources for seeking health information. Eighteen lower income, African American women participated in training workshops on using the internet for health, followed by two focus groups. Transcripts were analyzed using standardized coding methods. Results demonstrated that participants perceived the internet as a tool for seeking health information, which they believed would empower them within formal healthcare settings. Participants invoked racial, cultural, and socio-economic identities when discussing barriers to seeking health information …
Hiv/Sti Risk Factors Among African-American Students Attending Predominantly White Universities, Marya L. Shegog, Lisa Lindley, Melva Thompson-Robinson, David Simmons, Donna Richter
Hiv/Sti Risk Factors Among African-American Students Attending Predominantly White Universities, Marya L. Shegog, Lisa Lindley, Melva Thompson-Robinson, David Simmons, Donna Richter
Journal of Health Disparities Research and Practice
Introduction: The majority of African American college students in the U.S. attend predominantly white institutions (PWIs). However, there is minimal research examining this population’s HIV/STI risk behaviors. The purpose of this investigation was to assess HIV/STI behavioral risk factors among African American college students (aged 18 – 24years) attending PWIs. (n = 2,568)
Methods: Backwards step-wise logistic regression analyses were conducted to determine factors associated with a positive HIV/STI diagnosis (past year) among sexually active African American college students who participated in the Spring, 2006 National College Health Assessment.
Findings: Nine factors were significantly associated with an HIV/STI diagnosis among …
Pap Test Follow-Up Pattern Among American Indian Women In Arizona, Merrill Eisenberg, Kathryn Coe, Charlton Wilson, Kathleen Evans, Elizabeth Brewer
Pap Test Follow-Up Pattern Among American Indian Women In Arizona, Merrill Eisenberg, Kathryn Coe, Charlton Wilson, Kathleen Evans, Elizabeth Brewer
Journal of Health Disparities Research and Practice
Objective: To quantify the loss to follow-up rate after abnormal Pap test results at the Phoenix Indian Medical Center, an Indian Health Service regional facility, and identify barriers to follow-up from the patients’ point of view.
Materials and Methods: Patient records were used to identify women who had abnormal Pap tests in 2002 and to document the status of their follow-up care. Women who had no clinical record of follow-up were contacted by telephone to arrange a follow-up appointment and to request participation in a structured qualitative interview to identify barriers to follow-up at the individual, family, community, and health …
Comparing Risk Factors Of Hiv Among Hijra Sex Workers In Larkana And Other Cities Of Pakistan: An Analytical Cross Sectional Study, Arshad Altaf, Aysha Zahidie, Ajmal Agha
Comparing Risk Factors Of Hiv Among Hijra Sex Workers In Larkana And Other Cities Of Pakistan: An Analytical Cross Sectional Study, Arshad Altaf, Aysha Zahidie, Ajmal Agha
Community Health Sciences
Background
In 2005, Pakistan was first labeled as a country with concentrated epidemic of Human Immunodeficiency Virus (HIV). This was revealed through second generation surveillance conducted by HIV/AIDS Surveillance Project (HASP). While injection drug users (IDUs) were driving the epidemic, subsequent surveys showed that Hijra (transgender) sex workers (HSWs) were emerging as the second most vulnerable group with an average national prevalence of 6.4%. An exceptionally high prevalence (27.6%) was found in Larkana, which is a small town on the right bank of river Indus near the ruins of Mohenjo-Daro in the province of Sindh. This paper presents the risk …
Working Together: Recruiting African American Female Caregivers And Pre-Adolescent Girls For Longitudinal Study, Teri Aronowitz, Wendy Pavlovich
Working Together: Recruiting African American Female Caregivers And Pre-Adolescent Girls For Longitudinal Study, Teri Aronowitz, Wendy Pavlovich
Office of Community Partnerships Posters
The aim of this project is to implement an enhanced sexual communication intervention with mother-pre adolescent girls. It also aims to maintain the short term enhanced sexual communication intervention and evaluate the long term efficacy (9 months) of an enhanced sexual communication intervention with mothers and pre-adolescent girls. Finally the project aims to determine whether the constructs of the Information-Motivation-Behavioral skills (IBM) Model can account for variability in enhancing sexual communication intervention of mother and pre-adolescent girls.
Lo Personal Es Político: La Lucha Por La Legalización Del Aborto En Chile, A Través De La Organización Feminista, Católicas Por El Derecho A Decidir, Gavin Odabashian
Lo Personal Es Político: La Lucha Por La Legalización Del Aborto En Chile, A Través De La Organización Feminista, Católicas Por El Derecho A Decidir, Gavin Odabashian
Independent Study Project (ISP) Collection
This paper investigates the work of a small collective of women—Católicas por el Derecho a Decidir—and the practice of their activism in Valparaíso, Chile. I focus on the ways in which these women are strategically mobilizing as an organization to fight for justice for women in Chile—more specifically, for gender equality, access to reproductive rights, and the legalization of abortion in all cases. I examine the history of the organization, its form and structure, the projects and campaigns they are currently working on, the individual experiences of the women working within the organization, their perspectives on their work, …
Indicadores De Maduracion Sexual Y Su Relacion Con Indices De Masa Corporal (Imc) Y Habitos De Alimentacion En Escolares Femeninas De Arica, Chile, Melissa Colden
Independent Study Project (ISP) Collection
The basis of this investigation came from recent evidence that the age of puberty, specifically with respect to young girls, has fallen notably in the past decade. This trend exists in Chile, as well as other countries such as the United States, and has presented itself alongside a portentous epidemic of obesity and malnutrition. Knowing the risks of both disorders, and how their affects have already been manifested in the adolescent population in Chile and the city of Arica, this study sought to develop a relationship between body mass index (BMI) and pubertal development, including the appearance of secondary sexual …
Research Brief: "Bmi Trajectory Groups In Veterans Of The Iraq And Afghanistan Wars", Institute For Veterans And Military Families At Syracuse University
Research Brief: "Bmi Trajectory Groups In Veterans Of The Iraq And Afghanistan Wars", Institute For Veterans And Military Families At Syracuse University
Institute for Veterans and Military Families
This brief is about obesity rates among OEF/OIF veterans and how race, education level, gender, and use of the VA play a role in obesity rates. For practice and policy, a fitness education program should be implemented by the VA to help lower obesity rates since obesity can cause more serious health problems. Suggestions for future research include expanding the study to involve veterans from other military eras and expanding the study to look at more risks associated with obesity.
Using Capture-Recapture Methodology For Enumerating Most-At-Risk Populations (Marps), Population Council
Using Capture-Recapture Methodology For Enumerating Most-At-Risk Populations (Marps), Population Council
HIV and AIDS
Populations at higher risk for HIV infection are often the most difficult to reach and this is particularly true of men who have sex with men (MSM), injecting drug users, and female sex workers in sub-Saharan Africa. These subpopulations are frequently marginalized by society because of the illicit and/or illegal activities they engage in. Estimating the size of hard-to-reach populations is important to effectively plan, implement, monitor, and evaluate HIV and AIDS prevention and care programs. “Capture-recapture” is a method of estimating the prevalence of a trait in a population or more simply it’s a method that provides a good …
An Assessment Of Individual And Institutional Research Utilization By Policy-Makers And Programme Managers At State And National Levels In Nigeria, National Agency For The Control Of Aids
An Assessment Of Individual And Institutional Research Utilization By Policy-Makers And Programme Managers At State And National Levels In Nigeria, National Agency For The Control Of Aids
HIV and AIDS
This report undertakes a systematic assessment of the need for evidence by decision-makers working on HIV and AIDS funding and policymaking, and implementing organizations at the national and subnational levels in Nigeria. The assessment identifies barriers and constraints to data use, identifies best practices, and offers recommendations for the design and prioritization of strategic approaches to address barriers and constraints in data use and production. Tools to monitor the adoption of evidence in policy and practice are also offered. The need for evidence-based practice in the national response to HIV and AIDS has been widely acknowledged and incorporated into policy …
An Ethnographic Study Of Injecting Drug Users And Men Who Have Sex With Men In Selected States In Nigeria, Enhancing Nigeria's Hiv/Aids Response (Enr) Programme
An Ethnographic Study Of Injecting Drug Users And Men Who Have Sex With Men In Selected States In Nigeria, Enhancing Nigeria's Hiv/Aids Response (Enr) Programme
HIV and AIDS
An ethnographic pre-assessment study of the behavioral dynamics of men who have sex with men (MSM) and injecting drug users (IDU) was conducted in 2009 as an integral part of the 2010 Integrated Biological and Behavioural Surveillance Survey (IBBSS). The study took place in Northern and Southern Nigeria and provided rich contextual information on the logistic and scientific factors that would aid successful conduct of the IBBSS and secure buy-in for it among study respondents. The study utilized a combination of rapid assessment procedures that were suitable to prevailing time exigencies and could foster preliminary understanding of the local contexts …
Marps Sensitization: A Diversity Training Guide For Health Care Providers In Nigeria, Enhancing Nigeria's Hiv/Aids Response (Enr) Programme
Marps Sensitization: A Diversity Training Guide For Health Care Providers In Nigeria, Enhancing Nigeria's Hiv/Aids Response (Enr) Programme
HIV and AIDS
Men who have sex with men (MSM) present specific diagnostic and management challenges to counselors and health-care providers. High prevalence of HIV infection has been reported among MSM in Nigeria, driven partly by stigma, discrimination, lack of appropriate prevention strategies, limited research evidence, little recognition by policymakers, and inadequate knowledge and skills in dealing with MSM clients. In Nigeria, where homosexuality is illegal, the risk embodied in same-sex activities is high and makes hiding MSM activities almost a norm. Currently, health-care provider training materials that address most at-risk populations’ (MARPs) specific health needs are nonexistent in Nigeria. Knowledge of these …
Sexually Transmitted Diseases (Stds), Donald E. Greydanus, Jane Seyler, Hatim A. Omar
Sexually Transmitted Diseases (Stds), Donald E. Greydanus, Jane Seyler, Hatim A. Omar
Pediatrics Faculty Publications
High rates of unprotected sexual behavior in adolescents result in millions of cases of STDs in the world. This chapter reviews factors inducing high STD rates, specific STDs, and their management based on 2010 U.S. Centers for Disease Control and Prevention (CDC) STD guidelines. Clinicians should screen all their sexually active adolescent patients for STDs and provide preventive education as well as treatment measures.
Providers' And Key Opinion Leaders' Attitudes, Beliefs, And Practices Regarding Emergency Contraception In Nigeria, Babatunde A.O. Ahonsi, Salisu Mohammed Ishaku, Araoyinbo Idowu, Ayodeji Oginni
Providers' And Key Opinion Leaders' Attitudes, Beliefs, And Practices Regarding Emergency Contraception In Nigeria, Babatunde A.O. Ahonsi, Salisu Mohammed Ishaku, Araoyinbo Idowu, Ayodeji Oginni
Reproductive Health
Despite significant progress in product development, procurement, and distribution in the past few decades, emergency contraception’s (EC) capacity to benefit many women in countries such as Nigeria is hampered by a number of potential barriers, that are not well understood. The Population Council, with support from the International Consortium for Emergency Contraception, documented EC-related knowledge, attitudes, and practices among providers in Nigeria as well as perceptions of key opinion leaders who help shape the policy environment for EC and family planning in general. Findings suggest significant gaps in Nigeria, potentially necessitating continuous training and re-training to help dispel misperceptions and …
Contraception In Adolescents, Donald E. Greydanus, Carolyn M. Lentzsch-Parcells, Hatim A. Omar
Contraception In Adolescents, Donald E. Greydanus, Carolyn M. Lentzsch-Parcells, Hatim A. Omar
Pediatrics Faculty Publications
The age of adolescence is the time when most adolescents in the world begin to be sexually active with resultant millions of pregnancies and sexually transmitted diseases (STDs). This chapter considers methods of contraception for these adolescents, including oral contraceptives, transdermal contraception, minipills, intra-vaginal ring, injectable contraception, intrauterine devices (IUDs), barrier contraceptives, implants, and others. It is important for clinicians caring for sexually active youth to provide information regarding contraception and appropriate contraceptive prescriptions.
Teen Sexuality And Pregnancy In Nevada, Tiffany G. Tyler, Marie A. Wakefield, Sandra D. Owens, Lori Smith
Teen Sexuality And Pregnancy In Nevada, Tiffany G. Tyler, Marie A. Wakefield, Sandra D. Owens, Lori Smith
Social Health of Nevada Reports
The proliferation of sexually explicit materials has been the hallmark of North American culture for decades. The arrival of the Internet made access to such materials all the easier, and not only for adults but also for teenagers who learn at ever-early age that romantic relations are exciting and sexual encounters are a welcome part of life. When such exposure to sensual images is not accompanied by appropriate sex education, the consequences could be dire for teenagers and society alike.
Sex Industry And Sex Workers In Nevada, Jennifer Heineman, Rachel T. Macfarlane, Barbara G. Brents
Sex Industry And Sex Workers In Nevada, Jennifer Heineman, Rachel T. Macfarlane, Barbara G. Brents
Social Health of Nevada Reports
Las Vegas has long been known as the symbolic center of the commercial sex industry. Nevada is host to the only legal system of prostitution in the United States. From the early legalization of quickie divorce and marriage to the marketing of its large resorts, sexuality has been a key component of Nevada’s tourist economy. If trends continue, for good or for ill, the sex industry will be an even larger part of the economy in the future.
She’S A Survivor: Post-Operative Counseling And Its Importance To The Recovery Of A Woman Victimized By Female Genital Mutilation, Jacent Wamala
She’S A Survivor: Post-Operative Counseling And Its Importance To The Recovery Of A Woman Victimized By Female Genital Mutilation, Jacent Wamala
McNair Poster Presentations
The prevalence of Female Genital Mutilation and the difficulty in preventing its practice call for a fresh way of resolving the problem. As the availability of medical professionals equipped with the ability to correct clitoral mutilation grows, there is also an increasing need for professionals that can help the victims after the reconstructive surgery. Post-operative therapy for victims that have opted to receive reconstructive surgery is necessary in order to fully recover. Furthermore, more research in this area is needed to support the findings of this review and will fill the physical and emotional gap exhibited in prior studies related …
Study Guide For United In Anger: A History Of Act Up, Matt Brim
Study Guide For United In Anger: A History Of Act Up, Matt Brim
Open Educational Resources
The United in Anger Study Guide facilitates classroom and activist engagement with Jim Hubbard’s 2012 documentary, United in Anger: A History of ACT UP. The Study Guide contains discussion sections, projects and exercises, and resources for further research about the activism of the New York chapter of ACT UP (AIDS Coalition to Unleash Power). The Study Guide is a free, interactive, multimedia resource for understanding the legacy of ACT UP, the film’s role in preserving that legacy, and its meaning for viewers' lives.
Addis Birhan Wendoch ('New Light Boys'): Working With Boys And Young Men To Create Healthier Futures, Woldemariam Girma, Diane Rubino, Annabel Erulkar, Worku Ambelu, Ayenechew Kerie
Addis Birhan Wendoch ('New Light Boys'): Working With Boys And Young Men To Create Healthier Futures, Woldemariam Girma, Diane Rubino, Annabel Erulkar, Worku Ambelu, Ayenechew Kerie
Poverty, Gender, and Youth
The Population Council and the Ethiopian Ministry of Women, Children, and Youth Affairs designed Addis Birhan Wendoch to impart life skills and promote gender-equitable, nonviolent, and healthy behaviors among boys and young men aged 10 to 24. The program helps out-of school boys and young men in Ethiopia navigate toward a healthier future by providing them with trained, compassionate mentors and safe environments in which they can find the support needed to share ideas and take positive actions. Through frank and open discussions, boys have the opportunity to get the facts on a range of essential topics from financial literacy …
Priorities For Adolescent Girls' Education, Cynthia B. Lloyd
Priorities For Adolescent Girls' Education, Cynthia B. Lloyd
Poverty, Gender, and Youth
Adolescence is a time of rapid growth and development physically, emotionally, and cognitively. For girls it is a stage of life during which education, when effectively provided, can be transformative. One of the most significant problems in most developing countries is the failure of education systems to realize their potential for empowering adolescent girls by providing economically productive skills. Education during adolescence can protect girls from the risks of premature sexual initiation and allow them to postpone marriage and childbearing and experience a childhood without the burden of excessive domestic work. Schools have the potential to fully empower girls to …
The Health Of Vulnerable Adolescent Girls: A Strategic Investment For Double Return, Jennifer Catino
The Health Of Vulnerable Adolescent Girls: A Strategic Investment For Double Return, Jennifer Catino
Poverty, Gender, and Youth
Worldwide there are 1.2 billion adolescents between the ages of 10 and 19. Nearly 90 percent of them live in developing countries, and approximately 600 million are female. While adolescence is normally a time of good health, numerous developmental and social changes occur during this period, many of which have health implications, especially for girls. Most of the girls and young women in the developing world live in conditions that make them vulnerable to health and social risks. They are often poor, out-of-school, married, migrants, members of ethnic minorities, or engaged in unsafe labor. Girls from many of the poorest …
Filles Eveillées ('Girls Awakened'): A Pilot Program For Migrant Adolescent Girls In Domestic Service In Urban Burkina Faso, Sarah Engebretsen, Gisele Kaboré, Leah Jarvis
Filles Eveillées ('Girls Awakened'): A Pilot Program For Migrant Adolescent Girls In Domestic Service In Urban Burkina Faso, Sarah Engebretsen, Gisele Kaboré, Leah Jarvis
Poverty, Gender, and Youth
Young people in Burkina Faso, especially adolescent girls, have few economic opportunities, particularly in rural areas. This drives migration to urban areas in search of employment. In 2010, the Population council conducted formative research on migrant adolescent girls in domestic service in urban Burkina Faso. Findings revealed that girls typically live with their employers and spend long days performing arduous work, leaving little time for schooling, building social networks, and developing skills necessary for adulthood. Most programs designed for this population intervene after something has gone wrong rather than building girls’ protective assets. In response to these findings, the Population …
Baseline And Endline Findings Of Filles Eveillées ('Girls Awakened'): A Pilot Program For Migrant Adolescent Girls In Domestic Service. Cohort 1 (2011–2012), Bobo-Dioulasso, Sarah Engebretsen
Poverty, Gender, and Youth
Burkina Faso has the tenth youngest population in the world, with 45 percent of the population below the age of 15. Young people in Burkina Faso, especially adolescent girls, have few economic opportunities, particularly in rural areas. This drives migration to urban areas in search of employment. On their own, girls are physically and economically vulnerable and many are at heightened risk for gender-based violence. The Population Council conducted formative research in 2010 to better understand the situation of migrant adolescent girls in domestic service in urban Burkina Faso, and subsequently designed a safe spaces intervention. The Filles Éveillées (“Girls …
The Cost Of Reaching The Most Disadvantaged Girls: Programmatic Evidence From Egypt, Ethiopia, Guatemala, Kenya, South Africa, And Uganda, Jessica Sewall-Menon, Judith Bruce, Karen Austrian, Raven Brown, Jennifer Catino, Alejandra Colom, Angel Del Valle, Habtamu Demele, Annabel Erulkar, Kelly Hallman, Eva Roca, Nadia Zibani
The Cost Of Reaching The Most Disadvantaged Girls: Programmatic Evidence From Egypt, Ethiopia, Guatemala, Kenya, South Africa, And Uganda, Jessica Sewall-Menon, Judith Bruce, Karen Austrian, Raven Brown, Jennifer Catino, Alejandra Colom, Angel Del Valle, Habtamu Demele, Annabel Erulkar, Kelly Hallman, Eva Roca, Nadia Zibani
Poverty, Gender, and Youth
The most disadvantaged adolescent girls are the poorest girls from the poorest communities. They suffer from human rights abuses, lack education and economic opportunity, are affected by HIV/AIDS, and have poor reproductive and maternal health outcomes. To effectively reach these girls so that they can receive critical services such as gathering spaces, life skills, financial literacy, savings accounts, and reproductive health knowledge, they must be targeted as a distinct segment. It is important to invest in building the capacities of local partners and governments to deliver and scale-up low-cost, well-targeted programs. This technical report is intended to assist programmatic officers, …
Priorités Pour L'Éducation Des Adolescentes, Cynthia B. Lloyd
Priorités Pour L'Éducation Des Adolescentes, Cynthia B. Lloyd
Poverty, Gender, and Youth
L’adolescence marque une période de croissance et de développement rapides sur le plan physique, affectif, et cognitif. Côté féminin, il s’agit d’une étape de la vie durant laquelle l’éducation, si elle est efficace, peut être transformatrice. Un problème majeur, dans la plupart des pays en développement, est que les systèmes d’éducation en place ne cernent et ne réalisent pas leur potentiel d’autonomisation des adolescentes en les dotant de compétences économiquement productives. L’éducation des filles durant l’adolescence peut les tenir à l’abri des risques d’une initiation sexuelle précoce, différer le mariage et la maternité et leur permettre de vivre une enfance …
Recours Aux Données Pour Révéler Et Sélectionner Les Adolescentes Les Plus Vulnérables, Sarah Engebretsen
Recours Aux Données Pour Révéler Et Sélectionner Les Adolescentes Les Plus Vulnérables, Sarah Engebretsen
Poverty, Gender, and Youth
Il est crucial d’investir dans les adolescentes du monde en développement, où une proportion déjà importante et grandissante de la population tombe dans la catégorie des moins de 24 ans. Il est essentiel pour protéger les droits à la scolarité, à l'intégrité corporelle et au mariage légal et choisi, et pour réduire la fertilité tout en augmentant la capacité de production. Il est essentiel de rendre les filles visibles si l’on veut que l’investissement soit ciblé sur les groupes qui présentent le plus grand risque de bilans non favorables. Tel est le principe de ce compte rendu: son but est …
Observations Initiales Et Finales De Filles Eveillées : Programme Pilote De Renforcement Des Compétences Des Adolescentes Migrantes Employées De Maison. Cohorte 1 (2011–2012), Bobo-Dioulasso, Sarah Engebretsen
Poverty, Gender, and Youth
Le Burkina Faso abrite la dixième population la plus jeune du monde, avec 45% de la population de moins de 15 ans. Les jeunes au Burkina Faso, en particulier les adolescentes, ont peu d'opportunités économiques, en particulier dans les zones rurales. Cela alimente la migration vers les milieux urbaines à la recherche de travail. Seules, les filles sont physiquement et économiquement vulnérables et beaucoup courent un risque élevé de violence sexiste. Le Population Council a mené une recherche formative en 2010 dans le but de mieux comprendre la situation des adolescentes migrantes employées de maison au Burkina Faso urbain, et …
Évaluation De Processus : Programme Filles Eveillées Pour Adolescentes Migrantes Employées De Maison Au Burkina Faso Urbain 2012, Leah Jarvis, Gisele Kaboré
Évaluation De Processus : Programme Filles Eveillées Pour Adolescentes Migrantes Employées De Maison Au Burkina Faso Urbain 2012, Leah Jarvis, Gisele Kaboré
Poverty, Gender, and Youth
Le programme «Filles Éveillées» a été conçu pour apporter aux adolescentes migrantes employées de maison les compétences, les connaissances et le capital social qui leur permettent de réduire leurs vulnérabilités et de s’ouvrir de nouveaux débouchés. Les observations tirées de la collecte de données quantitatives et qualitatives ont révélé le succès considérable du programme: il est largement apprécié et a été bien reçu par les participantes, les mentors, les membres de la communauté et tous les autres intéressés. En sa qualité de programme pilote, les obstacles à une mise en œuvre sans incidents auraient été inévitables, mais par leur détermination …