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The art of adapting the biomedical model or how to make preventative protocols « appropriate » and « acceptable » in Abidjan (Ivory Coast)


Sciences Sociales et Santé. Volume 25, Number 3, 5-30, Septembre 2007, Sciences Sociales et Santé

DOI : 10.1684/sss.2007.0301

Résumé   Summary  

Author(s) : Isabelle Gobatto, Françoise Lafaye, anthropologue, Université Victor-Segalen Bordeaux 2, Laboratoire ADES/Sociétés Santé Développement, UMR CNRS 5185, Case 71, 146, rue Léo-Saignat, 33076 Bordeaux Cedex, France, ethnologue, laboratoire RIVES, ENTPE, UMR CNRS 5600, rue Maurice-Audin, 69518 Vaulx-en-Velin Cedex, France.

Summary : This article analyses the ways in which health professionals in a developing country must adapt the biomedical model: in the context of the prevention of mother-to-child HIV-transmission, in IEC (Information Education Communication) sessions, and more generally in counselling activities. They do this by incorporating into their words and actions elements of their own experiences, in a cultural context. This gives a better understanding - not only for the health professionals but also for the women with whom they are working - of recommendations which sometimes assume types of behaviour that are very remote from the local cultural environment and lifestyle. By examining different aspects of this process of adapting and the underlying principles it can be seen that far from being unusual, this process is applied on a daily basis.

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