Lara Gautier

Lara Gautier
Université de Montréal | UdeM · Department of Health Administration

Doctor of Philosophy

About

91
Publications
13,130
Reads
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806
Citations
Additional affiliations
September 2018 - present
Université de Montréal
Position
  • Instructor
Description
  • Contemporary public health (Bachelor-level); Introduction to qualitative methods research (Master-level)
January 2018 - May 2018
Université de Montréal
Position
  • Research Assistant
Description
  • Contemporary global health (Master-level)
April 2016 - present
REALISME Research Chair
Position
  • REALISME Papers collection coordinator
Education
January 2015 - July 2019
Paris Diderot University
Field of study
  • Development economics
September 2014 - August 2019
Université de Montréal
Field of study
  • Public health

Publications

Publications (91)
Article
Full-text available
In January 2010, Haiti was hit by a terrible earthquake that pushed thousands of people to migrate. Many of them chose to settle in Quebec, Canada. Years after the earthquake, many Haitians continue to migrate to the Quebec province. Several studies however have shown that this population's socioeconomic status is lower than the provincial average....
Article
Unaccompanied minors (UMs) are children under the age of 18 who settle in a foreign country without a legal representative. In France, many UMs are left unprotected from child welfare services because assessment systems evaluate that they are not minors. In Paris, the non-governmental organization Médecins du Monde (MdM) offers unprotected UMs medi...
Article
There has been much talk about decolonizing global health lately. The movement, which has arisen in various communities around the world, suggests an interesting critique of the Western dominant model of representations. Building upon the ‘decolonial thinking’ movement from the perspective of Francophone African philosophers, we comment on its pote...
Article
Full-text available
Background Performance-based financing (PBF) in low- and middle-income settings has diffused at an unusually rapid pace. While many studies have looked at PBF implementation processes and effects, there is an empirical research gap investigating the ways PBF has diffused. Discursive processes are paramount elements of policy diffusion because they...
Article
Full-text available
This commentary aims to provide a glimpse into some of the early and continuing impacts of the COVID-19 pandemic on our global and public health projects: research in low-resourced settings; research with vulnerable populations, such as asylum seekers, Indigenous communities, children, and mental health service users; and research with healthcare p...
Article
Low enrolment in micro-health insurance (MHI) schemes is a recurring issue affecting the viability of such schemes. Beyond the efforts addressing low subscription and retention in these schemes, little is known on how social representations are related to micro-health insurance schemes enrolment and retention. This scoping review aimed at exploring...
Article
Objective: This article is a case study of a capacity-building project to reduce malnutrition, implemented by a non-governmental organization (NGO) in Niger. It aims to generate a set of lessons learned on the processes of sustaining health interventions in vulnerable contexts. Methods: Using a theoretical framework on sustainability, we carried...
Article
Full-text available
Background Evidence continues to demonstrate that certain marginalised populations are disproportionately affected by COVID-19. While many studies document the impacts of COVID-19 on social inequalities in health, none has examined how public health responses to the pandemic have unfolded to address these inequities in Canada. The purpose of our st...
Research
Full-text available
es mineurs non accompagnés (MNA) sont des enfants de moins de 18 ans qui s’établissent dans un pays étranger sans représentant légal. Les gouvernements des pays d’accueil sont responsables de la prise en charge des MNA. En France, les mineurs non accompagnés bénéficient théoriquement d’une protection au titre de l’assistance éducative (Aide Social...
Preprint
The aim of this scoping review is to produce a state of knowledge about the role of private consulting firms in the public management of epidemics. The review will also identify theories, approaches and methods used by researchers to study this subject.
Article
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Bringing evidence into policy and practice discussions is political; more so when evidence from health studies or programme data are deemed controversial or unexpected, or when results are manipulated and misrepresented. Furthermore, opinion and misinformation in recent years has challenged our notions about how to achieve evidence-informed decisio...
Article
More than 40 years after the Alma-Ata Declaration on Primary Health Care, it is time to take stock. A look back at the evolution of pharmaceutical policies reveals the extent to which international health has transformed in the last four decades. The imperative of equitable access to healthcare, reaffirmed in Astana in 2018, has still not been achi...
Chapter
Full-text available
Policy ideas travel through space and time thanks to people and communities who give them meaning. Public policy analysts, development anthropologists and others, have conceived a wide array of terminologies to designate those influential policy actors who actively participate in the ‘traveling’ of those policy ideas. In this chapter, we adopt the...
Article
Full-text available
Objectives: The COVID-19 pandemic represents a major crisis for governments and populations. The public’s risk perceptions, knowledge, and behaviors are key factors that play a vital role in the transmission of infectious diseases. Our scoping review aims to map the early evidence on risk perceptions, knowledge, and behaviors of general and high-ri...
Article
Full-text available
Le contexte de la santé mondiale est propice au processus de co-production des connaissances scientifiques et d'un ordre social et économique du fait de la proximité des différents acteurs (recherche, politique, expertise). Ils sont encouragés à se rapprocher afin de produire des connaissances pour l'action et favoriser les politiques informées par...
Article
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Background: Transnational networks such as Communities of Practice (CoPs) are flourishing, yet their role in diffusing health systems reforms has been seldom investigated. Over the past decade, performance-based financing (PBF) has rapidly spread in Africa. This study explores how, through the PBF Community of Practice's attributes, structure, and...
Article
Full-text available
Health financing policies are critical policy instruments to achieve Universal Health Coverage, and they constitute a key area in policy analysis literature for the health policy and systems research (HPSR) field. Previous reviews have shown that analyses of policy change in low- and middle-income countries are under-theorised. This study aims to e...
Article
Full-text available
Background All prevention efforts currently being implemented for COVID-19 are aimed at reducing the burden on strained health systems and human resources. There has been little research conducted to understand how SARS-CoV-2 has affected health care systems and professionals in terms of their work. Finding effective ways to share the knowledge and...
Preprint
Full-text available
Background: All prevention efforts currently being implemented for COVID-19 are aimed at reducing the burden on strained health systems and human resources. There has been little research conducted to understand how SARS-CoV-2 has affected healthcare systems and professionals in terms of their work. Finding effective ways to share the knowledge and...
Preprint
Full-text available
Background: The COVID-19 pandemic represents a major crisis for governments and populations around the globe. A large number of studies have been conducted worldwide to understand people’s awareness and behavioral response towards the disease. The public’s risk perceptions, knowledge, and behaviors are key factors that play a vital role in the tran...
Article
Full-text available
Unaccompanied minors (UMs) are children under 18 who arrive on the territory of a foreign country without the care of a guardian. In many countries their access to social and health care services depends on their legal recognition as minors. For instance, in France, high rejection rates of minor status place unprotected UMs in social precarity, suc...
Article
Full-text available
Le fait d’utiliser des connaissances explicites pour informer les décisions politiques est de plus en plus encouragé au niveau international, notamment par le mouvement d’information des politiques par les données probantes (evidence-informed policy making). Si la valeur sous-jacente à ce mouvement est de rationaliser le processus politique, les re...
Article
Full-text available
Introduction Micro-health insurance (MHI) has been identified as a possible interim solution to foster progress towards Universal Health Coverage (UHC) in low- and middle- income countries (LMICs). Still, MHI schemes suffer from chronically low penetration rates, especially in sub-Saharan Africa. Initiatives to promote and sustain enrolment have yi...
Book
Depuis 2009, le Mali s'est lancé dans une réflexion sur l'adoption du financement basé sur les résultats (FBR) afin d'améliorer l'utilisation et la qualité des services de santé maternelle et infantile. De nombreux acteurs étrangers d'Europe et d'Afrique ont contribué à diffuser l'idée et les principes du FBR auprès des acteurs et actrices malien-n...
Book
À partir d'une approche conceptuelle relativement nouvelle, l'approche post-structuraliste de C. Bacchi, une analyse des discours a été réalisée afin de comprendre l'adoption en février 2019 d'une réforme du système de santé malien et son articulation avec d'autres réformes et cadres stratégiques élaborés ou en cours d'élaboration par le gouverneme...
Book
De nombreux pays d'Afrique subsaharienne ont essayé le financement basé sur les résultats (FBR) dans le but d'améliorer les performances des systèmes de santé. Cette recherche qualitative vise à comprendre le processus de mise en oeuvre d'un projet pilote de FBR dans la région de Koulikoro au Mali. Nous avons mené une étude de cas multiple et contr...
Article
Full-text available
Background: Addressing health in the Sustainable Development Goals (SDGs) calls for intersectoral strategies that mutually enhance both health promotion and sustainable development. Health in All Policies (HiAP) approach aims to address this as well as promote ownership among key stakeholders. Kenya was at the forefront of adopting the SDGs and ha...
Article
Objectives We describe the knowledge translation strategies in two projects and share lessons learned about knowledge sharing and uptake.Methods To generate findings for dissemination: (1) the Republic of Côte d’Ivoire (RCI) project relied on a multiple case study design to document barriers and facilitators to implementing a community-led preventi...
Article
En France, les mineurs non accompagnés (MNA) rencontrent de multiples obstacles qui peuvent avoir des effets négatifs sur leur santé mentale. Les professionnels de la santé et du social qui participent à leur prise en charge doivent développer et mettre en œuvre des approches et outils adaptés aux réalités des mna et qui leur offrent un espace d’in...
Article
Full-text available
Background Unaccompanied minors (UMs) are children under 18 settling in foreign countries without the care of a guardian. Host countries' governments are responsible for the care of UMs. In France, UMs theoretically receive child protection. However, assessment systems frequently deny their protection because of minority status rejection. As a resu...
Book
Full-text available
Aujourd’hui, l’interdisciplinarité en recherche bénéficie d’une popularité remarquable : elle est tour à tour présentée comme un atout pour candidater aux subventions de recherche, comme un facteur contribuant à enrichir l’analyse et comme une marque de fabrique pour de nombreux laboratoires universitaires. Or, si l’approche interdisciplinaire s’av...
Method
Perceptions, knowledge and attitudes of the adult populations towards COVID-19 are key factors in the community transmission of SARS-CoV-2. During outbreaks, populations play a key role in limiting the spread of infectious diseases by adopting preventive measures. In the context of COVID-19 pandemic, identifying the perceptions, knowledge and attit...
Article
Full-text available
Introduction: Numerous sub-Saharan African countries have experimented with performance-based financing (PBF) with the goal of improving health system performance. To date, few articles have examined the implementation of this type of complex intervention in Francophone West Africa. This qualitative research aims to understand the process of imple...
Article
Full-text available
Le financement basé sur les résultats (FBR) compte parmi les expérimentations récentes mises en place au Mali pour améliorer les indicateurs de santé maternelle et infantile. À partir d’une analyse basée sur la théorie des courants de Kingdon (1984) et d’une approche inspirée de l’anthropologie du développement, l’article présente une étude qualita...
Article
Performance-based financing (PBF) is just one of a number of recent experiments implemented in Mali to improve maternal and child health indicators. This article presents a qualitative study based on Kingdon’s (1984) multiple streams theory and an approach inspired by development anthropology. The aim was to describe the forms of national ownership...
Thesis
Full-text available
Background: Over the past 20 years, the polycentric nature of global health governance has shaped the emergence of autonomous actors with political influence at different levels. Since the late 2000s, influential policy actors have been supporting the implementation of a health financing reform: Performance-based financing (PBF). PBF relies on the...
Book
Full-text available
Le 15 octobre 2018, l’Agence Française de Développement (AFD) et le Centre Population et Développement (CEPED/IRD) ont organisé une journée de travail et de réflexion sur les enjeux de la mobilisation de la recherche en faveur de la couverture santé universelle dans le contexte francophone. Cette journée a réuni 40 participants francophones : cherc...
Article
For the past 15 years, several donors have promoted performance-based financing (PBF) in Africa for improving health services provision. European and African experts known as 'diffusion entrepre-neurs' (DEs) assist with PBF pilot testing. In Mali, after participating in a first pilot PBF in 2012-13, the Ministry of Health and Public Hygiene include...
Article
Full-text available
Background: To improve the performance of the healthcare system, Mali's government implemented a pilot project of performance-based financing (PBF) in the field of reproductive health. It was established in the Koulikoro region. This research analyses the process of implementing PBF at district hospital (DH) level, something which has rarely been d...
Article
Ageing and memory loss: opinions of Haitian migrants living in Quebec Introduction: ‘Dementia’ is usually presented as a syndrome characterized by the decline of one or more cognitive abilities such as memory loss. However, memory loss does not necessarily mean dementia. The most common type of dementia is Alzheimer’s disease. Its incidence increas...
Chapter
Définition de la méthode Le cadre évaluatif de la fidélité d’implantation développé par Carroll et ses collègues (2007) met en lumière l’écart entre les intentions initiales des concepteurs et conceptrices de projets d’intervention et les moyens par lesquels ceux-ci sont mis en œuvre. Plus cet écart est large, moins la « fidélité d’implantation » e...
Article
System resilience has long been an area of study, and the term has become increasingly used across different sectors. Studies on resilience in health systems are more recent, multiplying particularly since the 2014 Ebola epidemic in West Africa. World Health Organization (WHO) is calling for national governments to increase the resilience of their...
Article
Full-text available
Background Health in All Policies (HiAP) is an intersectoral approach that facilitates decision-making among policy-makers to maximise positive health impacts of other public policies. Kenya, as a member of WHO, has committed to adopting HiAP, which has been included in the Kenya Health Policy for the period 2014–2030. This study aims to assess the...
Conference Paper
Full-text available
Messages clés • L'inscription stratégique du FBR au sein des orientations nationales est impulsée par des entrepreneurs de la diffusion locaux et étrangers. Ils conduisent l'agenda d'apprentissage du FBR et suscitent l'émulation des acteurs. • L'existence préalable de relations sociales entre les acteurs étrangers et locaux est essentielle au proce...
Article
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Comment Mobiliser la Recherche pour la Couverture Universelle en Santé ? : Atelier , Paris, FRA, -
Article
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Comment Mobiliser la Recherche pour la Couverture Universelle en Santé ? : Atelier , Paris, FRA, -
Article
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The World Bank, co-funded by Norway and the United Kingdom, created and managed an innovative financing mechanism, the Health Results Innovation Trust Fund (HRITF), to support performance-based financing (PBF) reforms in low- and middle-income countries. From its inception in late 2007, until the closing of fundraising in 2017, it has carried out a...
Article
There has been growing interest in the diffusion of policy innovations across countries. Research on policy diffusion is characterised by coherent explanatory models that assess the importance of diffusion mechanisms. This study takes a different perspective on diffusion studies and advances public policy literature by introducing the concept of ''...
Article
In recent years, social media campaigns aiming to showcase women working at the forefront of global health have resulted in lists like 300 Women Leaders in Global Health. This movement inspired a global organisation called Women in Global Health (WGH) that promotes gender equality in global health leadership. The momentum and support of this moveme...
Article
Over the past 15 years, hundreds of millions of dollars have been invested in reforms founded on performance-based financing (PBF) in low- and middle-income countries. While evidence on its effectiveness and efficiency is still controversial, there appears to be an emerging consensus that equity has not been adequately considered. In this article,...
Article
Full-text available
Background: Global health conceives the notion of partnership between North and South as central to the foundations of this academic field. Indeed, global health aspires to an equal positioning of Northern and Southern actors. While the notion of partnership may be used to position the field of global health morally, this politicization may mask p...
Conference Paper
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Ces dernières années, l’usage de méthodes mixtes pour évaluer les interventions de santé en Afrique subsaharienne a considérablement augmenté. Malgré le fort potentiel des méthodes mixtes pour l’évaluation de la complexité de ce type d’interventions, le risque est de « faire du qualitatif à rabais » ou de conduire des analyses statistiques peu rigo...
Article
The role of global health actors in the expansion of performance-based financing in low- and middle-income countries Performance-based financing (PBF) spread rapidly in low- and middle-income countries (LMICs) despite the lack of evidence on its implementation process and effectiveness. The objective of this analysis is to understand the role of gl...
Article
Le financement basé sur la performance (FBP) s'est rapidement répandu dans les pays à faible et à moyen revenu (PFMR), malgré le manque de données probantes sur les processus de mise en oeuvre et son efficacité. L'objectif de cette analyse est de comprendre le rôle des acteurs de la santé mondiale dans l'expansion du FBP dans les PFMR. Nous abordon...
Article
At present, there is no conceptual model by which public health could be represented as intersectoral governance collaborating with society and the state, and acting as a collective on the determinants of health. In this article, our interdisciplinary group, representing core competencies in public health, suggest two complementary conceptual model...
Article
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Background The rise on the international scene of advocacy for universal health coverage (UHC) was accompanied by the promotion of a variety of health financing policies. Major donors presented health insurance, user fee exemption, and results-based financing policies as relevant instruments for achieving UHC in Sub-Saharan Africa. The “donor-drive...
Article
The need to understand how an intervention is received by the beneficiary community is well recognised and particularly neglected in the micro-health insurance (MHI) domain. This study explored the views and reactions of the beneficiary community of the redesigned Community Health Fund (CHF) implemented in the Dodoma region of Tanzania. We collecte...
Conference Paper
INTRODUCTION The proliferation and uneven diffusion of new medical technologies in recent years has been raising concerns on affordability and equity of care, and inspiring the publication of scientific articles on the determinants of their uptake and adoption (1). Indeed, the knowledge of the determinants spurring the adoption and diffusion of inn...
Article
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Background: In September 2011, the Nunavik Regional Board of Health and Social Services began supporting the Arctic Char Distribution Project (AC/DP) for pregnant women. This initiative promoted consumption of the fish Arctic char—a traditional Inuit food—by pregnant women living in villages of Nunavik, an area in northern Quebec (Canada) inhabited...
Conference Paper
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Cette note de politique expose l’état actuel du financement basé sur les résultats (FBR) au Mali. Elle présente notamment la mise en oeuvre et les résultats du programme pilote de FBR dans la région de Koulikoro.