Dissertations / Theses: 'Santé familiale'

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Coulibaly, Abdourahmane. "Anthropologie d'une pratique de santé publique : le cas de la planification familiale au Mali." Paris, EHESS, 2008. http://www.theses.fr/2008EHES0350.

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Cette thèse est une étude anthropologique de la planification familiale à Bamako (Mali). Elle vise à comprendre les comportements des acteurs sociaux face aux propositions des programmes consacrés à la planification familiale. Un des aspects importants de notre démonstration est le fait que les normes des programmes ne sont pas les suels référents normatifs pour les individus. Parmi les autres univers qui influencent leurs conduites, les uns valorisent la procréation (coutume, religion) et les autres la sexualité inféconde et la recherche du plaisir sexuel (modèles sexuels mondialisés). En analysant les pratiques d'acteurs, nous avons fait le constat que, d'un côté les acteurs sociaux conjuguent tous ces ensembles normatifs dans leurs conduites sexuelles et reproductives et qu'il détournent les propositions des programmes de l'autre
This thesis is an anthropological study of family planning in Bamako, Mali. It aims at understanding the behaviours of social actors facing family programs propositions. One of important aspects of our demonstration is the fact that the programs norms are not the only normative referents for the individuals. Among other normative universes which influence their behaviours, some value the reproduction (customs, religion) and the others the infertile sexuality and the research for the sexual pleasure (Globalized sexual models). By analyzing actors' practices, we made the report that, on one side the social actors conjugate all these normative sets in their sexual and reproductive behaviours and that, by other side, they divert the norms of the programs

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Ane, Mohamed. "La prévention familiale des addictions." Thesis, Artois, 2018. http://www.theses.fr/2018ARTO0101/document.

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Notre objectif principal dans ce travail consiste à analyser les facteurs associés à la consommation problématique d’alcool, de tabac ou de cannabis, et aux rôles respectifs des lois et de la communication intrafamiliale des dangers liés à leur usage. Globalement, la norme et le contrôle parental jouent un rôle déterminant dans l’usage de ces trois substances par les 15-25 ans et sont souvent associés à l’intention de rester non-consommateur de tabac, de retarder l’initiation du cannabis et aux intentions de diminuer le nombre de verres bu au cours d’une même soirée ainsi que les alcoolisations ponctuelles importantes (API) fréquentes chez les plus jeunes (15-17 ans). En outre, nos résultats montrent que le sujet relatif aux dangers des drogues comme le cannabis est bien discuté dans les familles mais pas de façon récurrente et que cette discussion est fortement liée au genre. Nos analyses suggèrent la nécessité de lutter contre le tabagisme quotidien des 15-17 ans car toutes les actions prises permettront in fine de lutter contre l’initiation précoce du cannabis. Concernant les non-consommateurs comme les consommateurs de cannabis et d’alcool (API), les efforts de prévention à l’expérimentation et, à la diminution ou à l’arrêt de l’usage devraient être axés prioritairement sur l’amélioration des compétences parentales et sur la résistance à la pression des pairs
Our main goal in this work is to analyze the factors linked with the controversial consumption of alcohol, tobacco or marijuana and to analyze the role of laws and of the inner family communication about the risk of their use.Norms and parental control have generally a determining role in the use of those three illegal substances in the 15-25 years group. They are usually linked to the idea of remaining clean, I.E, not consuming tobacco and delaying the first contact with marijuana. And to the intention of decreasing the number of glasses during a party as well as the frequent consumption of alcohol which is quite common among the youngers (15-17 years old). Beside this idea, our research shows that topics dealing with alcohol, drugs and tobacco are discussed within the family circle, but are not a repetitive phenomenon. That type of discussion has to do with gender. Our analyses suggest the idea of fighting against the daily consumption of tobacco among youth (15-17 years old). Because all the precautions taken would therefore allow to fight against an early consumption marijuana. For those who do not consume alcohol and drugs, efforts put on prevention and on the decrease or the total absence of their use should be narrowed down on peer pressure and the improvement of parental skills on the issue

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Riquet, Sébastien. "« L’Education à la santé familiale » : modélisation et expérimentions d’un nouveau modèle à porter soins et secours." Thesis, Sorbonne Paris Cité, 2015. http://www.theses.fr/2015USPCD028.

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Ce travail décrit et discute la conception et la validation d’un nouveau modèle d’éducation en santé : « l’Education à la santé familiale » (ESF). Il est fondé sur des compétences permettant la réappropriation par les familles de savoirs-‐faire en soins de premier recours et en secours de proximité. Plusieurs enquêtes, menées à l’échelon national et régional par le Laboratoire éducations et pratiques de santé (Université paris 13), en partenariat avec l’Union nationale des associations familles (UNAF), la Mutualité sociale agricole (MSA) et Maison familiales et rurales (MFR), ont permis de confirmer le besoin des familles de pouvoir bénéficier d’une telle formation. L’ESF consiste en une formation de 9 à 12h, réalisée sur une base volontaire, portant sur la gestion des petits maux quotidiens, la résolution de situations d’incidents et d’urgence, la prise en charge de la santé des jeunes enfants et des personnes âgées. Le modèle d’ESF, conceptualisé par des praticiens généralistes, des médecins de santé publique et des urgences, par des pédagogues de la santé et un sage-‐femme a été testé entre 2012 et 2013 par des formations expérimentales dans 3 régions du territoire auprès de membres de familles (n=22) et d’adolescents (n=21). Elles ont permis de vérifier que les participants, suite à une ESF, se sentent davantage en confiance et aptes à porter soins et secours. Un questionnaire aux participants (n=43) a montré une augmentation de leur sentiment de compétence vis à vis de la gestion d’une situation d’urgence et des problèmes de santé courants. Ce sentiment de compétence, interrogé 3 mois plus tard par entretiens téléphoniques (n=34) d’une dizaine de minutes a confirmé le maintien de ces résultats. La validité du modèle d’ESF sera prochainement évaluée au niveau de la Lorraine par l’évaluation de plusieurs autres formations, en partenariat avec l’ARS
This work describes and discusses the design and validation of a new health education model : the « Family Health Education » (ESF). It is based on primary care anslocal emergency skills. Several surveys conducted at national and regional level by the Education and Health Laboratory Practice (University Paris 13), in partnership with the National union of family associations (UNAF) the Social and agricultural insurance system (MSA) and Rural families house (MFR) have confirmed the need for families to benefit from such training. The ESF consists of 9 to 12 hours training on a voluntary basis for the management of small daily troubles, the resolution of incidents and emergency situations, the management of children and seniors health. The model of ESF conceptualized by general practitioners, emergency and generalist practitioners, health educators and a midwife was tested between 2012 and 2013 by experimental training in 3 areas of the territory on family members (n=22) and adolescents (n=21). They verified that the participants following the training feel more confident and able to bring help and assistance. A survey to the participants (n=43) showed an increase in their feeling of competence regarding the management of emergencies and common health problems. This feeling of competence, questioned 3 months later by 10 minutes telephone conversation (n=34) confirmed the maintain of these results. The validity of the ESF model will soon be evaluated at the regional level in Lorraine by evaluating several other formations, in partnership with the ARS

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Giudici, Cristina. "Vieillissement, exclusion sociale et santé en France : le rôle de la participation sociale et familiale en tant que facteur de protection de la santé." Paris, Institut d'études politiques, 2009. http://www.theses.fr/2009IEPP0051.

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La question du bien être des populations trouve depuis longtemps une place importante dans les débats scientifiques et politiques nationaux et internationaux. Cependant, les relations entre l'isolement familial et social et les problèmes de santé dans la vie quotidienne des personnes ont été jusqu'à présent peu développées. La présente étude vise à mettre en évidence la corrélation entre limitations fonctionnelles, restriction d'activité et participation sociale aux grands âges, en analysant les données de l'enquête « handicaps-incapacités-dépendance » (hid), réalisée en france entre 1998 et 2001. En particulier, les probabilités de transition entre plusieurs états de santé, avec la possibilité de retour dans un état antérieur, peuvent être calculées en fonction de différentes variables socio-relationnelles. Du point de vue politique, l'étude propose un cadre de référence pour l'élaboration de stratégies de vieillissement actif, à partir de l'évolution de l'état de santé de la population
The debate on the ageing in Europe is currently paying considerable attention to the social and economic consequences of demographic trends. Central to the discussion surrounding the extension of the active lifespan is the state of health of the elderly. On one hand the health condition of the population is clearly crucial to all hypotheses linked to the extension of active life, on the other hand, European governments are specifically interested in forecasting the health care needs and services which will be required by the elderly. This study on one hand measure demographic and social inequalities in life expectancy without disability in France and on the other hand estimates the probability of being in good health conditions according to some indiviadual characterics, using the data of the French survey on handicaps, disabilities and dependency (hid)

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Paradis-Gagné, Etienne. "Familles victimes de violence perpétrée par un proche souffrant de troubles mentaux sévères : une théorisation du phénomène." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/38720.

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Cette recherche a gravité autour des soins offerts aux familles de patients atteints de troubles mentaux et qui sont hospitalisés en milieu de psychiatrie légale. Le but de cette recherche doctorale était d’étudier le phénomène de la violence familiale perpétrée par un proche atteint de troubles mentaux et de mettre en lumière les dynamiques qui existent entre les acteurs impliqués (familles, milieux hospitaliers et organismes de soutien). Selon les écrits recensés, les familles vivant avec un proche atteint d’un trouble mental sont bien souvent confrontées à une problématique de violence. En effet, près de la moitié de ces familles en sont victimes. On observe dans la pratique clinique et en recherche la difficulté des familles à devoir conjuguer la violence et la maladie. Il ressort des écrits que ces familles doivent faire intervenir les policiers et effectuer des démarches juridiques afin de faire hospitaliser le proche contre son gré. Cette réalité entraîne une animosité chez le proche à l’endroit de sa famille, et peut exacerber les perceptions paranoïdes ou persécutrices. Pareille interaction entre la psychiatrie et le système judiciaire est par contre délétère pour la relation familiale. Ce projet doctoral avait pour but d’étudier l’expérience vécue des membres de ces familles, qui sont à la fois soignants et victimes de violence. Nous voulions également explorer les impacts de la violence à l’endroit des membres de la famille ainsi que les stratégies utilisées afin de la prévenir. La théorie du gouvernement des familles de Donzelot (1977/2005) a été préconisée comme cadre théorique. Le concept de gouvernementalité englobe les différents mécanismes de pouvoir et de contrôle qui s’exercent à l’endroit de la famille. Sur le plan méthodologique, le devis est de type qualitatif et la théorisation ancrée a été utilisée comme stratégie de recherche. Cette méthode de recherche a pour objectif de mettre en lumière les processus, les interactions et le vécu des participants (Corbin et Strauss, 2014). Lors de la collecte de données, 14 participants ayant été victimes de violence perpétrée par un proche atteint de troubles mentaux sévères ont été recrutés. Les participants provenaient de dix familles différentes à travers la grande région de Montréal, et ont été rencontrés dans le cadre d’entretiens semi-structurés en individuel, en couple ou en groupe. Des notes d’observation et des mémos analytiques ont été rédigés, et ont aussi fait partie du matériel analysé. Cinq thèmes ont émergé de l’analyse qualitative des données : 1) le dispositif médico-légal ; 2) l’expérience de la violence ; 3) la prise en charge du proche par la famille ; 4) les mécanismes d’exclusion et de stigmatisation ; et 5) souffrances et résilience. Les principaux résultats de notre recherche indiquent qu’un gouvernement de la famille s’effectue par l’entremise de certains mécanismes, dont l’instrumentalisation du rôle de la famille et le transfert du mandat de soin à cette dernière. Nous avons pu observer qu’un double mandat (soin et contrôle) est imposé à la famille. L’existence de ce double mandat engendre une ambivalence affective chez les familles et est source de tensions internes. Nous avons aussi observé la présence de barrières à l’inclusion des familles dans la trajectoire de soins, soit entre autres la confidentialité, le vocabulaire psychiatrique hermétique et la stigmatisation de la famille en présence de la violence. En résumé, cette recherche s’avère pertinente pour la discipline et la pratique infirmières puisqu’elle permet d’éclairer les interventions cliniques et les politiques de santé par rapport aux soins à la famille. Elle est aussi pertinente afin de pouvoir offrir des soins de qualité adaptés à une situation familiale des plus complexes. Enfin, grâce à cette recherche, nous avons tenté de donner une voix aux membres de familles, sur qui pèse un lourd fardeau.

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Pellerin, Marc-André. "Évaluation des pratiques professionnelles : les résidents en médecine familiale et l'application des comportements associés à la prise de décision partagée." Thesis, Université Laval, 2011. http://www.theses.ulaval.ca/2011/27784/27784.pdf.

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Sanon, Priscille-Nice. "Travail de proximité dans des groupes de médecine de famille : la présence du pharmacien et la collaboration interprofessionnelle." Master's thesis, Université Laval, 2017. http://hdl.handle.net/20.500.11794/27925.

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Le travail des pharmaciens dans les groupes de médecine de famille (GMF) et leurs rôles dans le suivi des clientèles ayant des problèmes de santé complexe est une innovation très peu été étudiée au Québec. L’objectif de cette étude était d’évaluer l’intégration du pharmacien (Ph) et d’étudier l’influence de sa présence au sein d’une équipe de soins de première ligne sur la collaboration interprofessionnelle. Une étude qualitative descriptive a été effectuée à l’aide d’entrevues semi-structurées et de questionnaires (Pharmacist-Physician Collaborative Index (PPCI) et Inventaire du climat d’équipe (ICE)) auprès de médecins (Md), pharmaciens et autres professionnels. Une analyse de contenu thématique a été effectuée pour les entrevues de même que des analyses comparant les différents milieux et les professionnels. Des analyses statistiques décrivant la collaboration, le climat d’équipe et comparant les différents milieux et professionnels ont aussi été prises en considération. Quarante-cinq professionnels ont été rencontrés (6 Ph, 13 Md, 11 autres, 13 Ph d’officine et 2 Ph d’établissement). Les pharmaciens travaillaient dans leurs GMF depuis en moyenne 3,75 ans. Les résultats des entrevues nous indiquent que l’intégration réussie du pharmacien en GMF demande du temps et des efforts de l’organisation, du Ph et des autres professionnels, notamment au regard de la compréhension des rôles afin de diminuer les appréhensions. Les questionnaires nous révèlent que le niveau de collaboration entre les médecins et les pharmaciens est élevé, mais que les dimensions plus faibles concernent la définition des rôles et les relations de travail. Le climat d’équipe est généralement bon avec des scores plus élevés pour les GMF ayant une mission universitaire. Ces résultats permettent de mieux comprendre l’intégration du pharmacien en GMF et les impacts organisationnels que peuvent avoir ces professionnels de la santé dans les équipes interdisciplinaires de soins de première ligne.
Pharmacists’ work in family medicine group (FMG) and their role in the management of clients with complex needs is an innovation in Quebec province whose have hardly been studied. The objectives were to assess the integration of pharmacists and to study the influence of their presence in these multidisciplinary care teams on interprofessional collaboration. A qualitative study was conducted using semi-structured interviews and questionnaires (Pharmacist-Physician Collaborative Index (PPCI) and Team Climate Inventory (ICE)) with doctors (Md), pharmacists and other professionals inside and outside four FMGs in Quebec city. A thematic content analysis was performed for the interviews. Statistical analyzes describing collaboration, team climate and comparing different backgrounds and professionals were also carried out. We met 45 professionals (6 pharmacists (inside FMG), 13 MD, 11 others, 15 pharmacists (outside FMG). Pharmacists were working in FMG since a mean of 3.75 years. Interviews indicate that the successful integration of the pharmacist into FMG requires time and effort from the organization, pharmacists and other professionals, particularly with respect to understanding roles. The level of collaboration between doctors and pharmacists is high with lower scores on two dimensions (i.e. definition of roles and working relationships). Team climate is generally good with higher scores for FMGs having a focus on training (university affiliated). These results allow a better understanding of the integration of the pharmacist into family medicine groups and on the organizational impacts that these health professionals can have in primary care teams.

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Diop, Aladji Madior. "Éducation à la vie familiale et en matière de population : santé de la reproduction et enjeux démographiques à Saint-Louis du Sénégal." Thesis, Université Laval, 2012. http://www.theses.ulaval.ca/2012/28730/28730.pdf.

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Dramé, Fatoumata. "Santé reproductive des femmes en union à Cotonou, Bénin : quels rapports de pouvoir et stratégies de négociation en matière de planification familiale ?" Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/38583.

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Cette thèse de maîtrise examine les négociations des femmes en union en matière de santé reproductive dans un contexte urbain au Bénin. Plus spécifiquement, elle analyse les rapports de pouvoirs inhérents à ces négociations. La complexité des relations au sein desquelles naviguent les femmes en union de Cotonou dépasse le cadre d’analyse permis par les études de genre et amène à examiner les structures sociales à la base même de la société patriarcale béninoise puisque les négociations ne se limitent pas aux discussions aux sein du couple mais s’étendent à l’espace familial et à la manière dont les femmes elles-mêmes se positionnent face à leur environnement. En ce sens, cette thèse vise à mettre en lumière les expériences de négociation en matière d’accès aux services de planification familiale, vécues par les femmes en question, en tenant compte de leur appartenance croisée à différents milieux (socio-économiques, culturels, ethniques et religieux). Sa méthodologie privilégie une démarche qualitative combinant l’observation participante, des entretiens individuels semi-structurés et un groupe focus. Les résultats révèlent que les femmes en union qui ont recours à la planification familiale font preuve d’agentivité en se servant, tantôt de la proximité intime de leur relation de couple à travers diverses formes de manipulations, de charmes et de mysticisme, tantôt du prestige que leur accorde la maternité au sein de la belle-famille. Y sont également mises à nu les stratégies, voire les subterfuges et autres stratagèmes qu’utilisent les femmes pour se donner davantage de pouvoir dans leur vie, en se servant des instances patriarcales comme le mariage polygamique.

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Hakizimana, Aloys. "La politique de santé reproductive et planification familiale au Burundi, contraintes issues de la contradiction entre communication et culture dans un contexte de développement." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ60593.pdf.

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Paré, Alex. "Prise en charge de l’obésité dans les groupes de médecine familiale au Québec." Mémoire, Université de Sherbrooke, 2017. http://hdl.handle.net/11143/10293.

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Introduction : La prévalence de l’obésité chez les adultes canadiens a atteint un niveau record en 2015 (28.1 %). Les professionnels de santé de première ligne (PPL) ont un rôle crucial dans le contrôle de cette épidémie. Bien que la littérature internationale suggère que la prise en charge de l’obésité en première ligne est sous optimale, aucune étude canadienne fondée sur l’analyse de dossiers médicaux ne s’est encore penchée sur la question. Ce manque d’information est problématique, car il est impossible de juger de l’étendue du problème au pays. De plus, puisque les aspects de la prise en charge qui représentent les plus grands défis pour les PPL canadiens restent à définir, il est difficile d’adapter les programmes de formation qui leur sont destinés. Objectifs du projet de maîtrise : Établir le premier portrait de la prise en charge de l’obésité au Québec et évaluer quels sont les déterminants de la prise en charge de l’obésité. Méthodologie : Une étude de cohorte rétrospective a été menée auprès de 439 adultes traités dans l’un des 10 groupes de médecine familiale (GMFs) participants. Des mesures anthropométriques ont été réalisées auprès des patients dans le cadre d’une visite initiale. Les notes des médecins et des infirmières présentes au dossier médical ont été révisées sur une période de 18 mois afin d’y déceler la présence d’interventions documentées liées à la prise en charge de l’obésité. Les interventions ont été extraites des lignes directrices canadiennes en matière de gestion de l’obésité. Des modèles de régression logistique mixtes généralisés ont été complétés afin d’identifier les déterminants de la prise en charge de l’obésité. Résultats : Le taux de dépistage de l’obésité était bas (31 %). Parmi les patients ayant un indice de masse corporelle (IMC) mesuré ≥30 (n=175), 52 % avaient un diagnostic d’obésité et 38 % avaient obtenu du counseling lié aux habitudes de vie au cours de la période de suivi. L’IMC et le nombre de comorbidités identifiées du patient étaient des déterminants indépendants associés à la présence d’un diagnostic au dossier médical. La présence du diagnostic de même que le nombre de visites avec une infirmière au cours des 18 mois de suivi étaient quant à eux des déterminants associés au counseling sur les habituds de vie. Quatre-vingts pour cent des dépistages et des diagnostics de l’obésité ont été réalisés par des médecins seulement. Les infirmières ont considérablement participé à la réalisation du counseling (65 % MDs/35 % infirmières). Conclusions : Les taux de dépistage, de diagnostic et de counseling liés à l’obésité dans les GMFs sont sous-optimaux. Des interventions devront être développées afin d’améliorer la qualité des soins. Ces dernières devraient explorer la promotion d’un meilleur accès à des infirmières spécialisées et l’adaptation des programmes de formation initiale et continue.
Abstract : Background : The prevalence of obesity among Canadian adults reached a record high in 2015 (28.1%). Primary care providers (PCPs) play a crucial role regarding the management of this epidemic. Although international literature suggests that the management of obesity in the primary care setting is suboptimal, no Canadian study based on medical record review has yet assessed this issue. The current lack of information is problematic because it makes it impossible to judge the extent of the problem in the country. Moreover, since the aspects of obesity management which represent the greatest challenges for Canadian PCPs remain unidentified, it is difficult to adapt PCPs’ education programs. Objectives of the project: Identify the rates of obesity screening, diagnosis and management in Quebec and evaluate the predictors of obesity management. Methodology: A retrospective cohort study was conducted among 439 adults treated in one of 10 participating family medicine groups (FMG). Anthropometric measurements were performed from each patient as part of an initial visit. The clinical encounter notes of physicians and nurses from every patient medical record were reviewed over an 18 months period in order to detect the presence of documented obesity management interventions. The looked-for interventions were extracted from the Canadian guidelines for the management of obesity. Mixed-effects regression models were used to identify the predictors of obesity management. Results: The rate of obesity screening was low (31%). Among patients with a measured body mass index (BMI) ≥30 (n = 175), 52% had an obesity diagnosis and 38% received physical activity or nutritional counseling during the follow-up period. Patient’s BMI and number of identified comorbidities were independant predictors of obesity diagnosis. The presence of an obesity diagnosis in the medical record and the number of clinical encounters with a nurse during the 18-months period were independent predictors of lifestyle counseling. Eighty percent of screening and diagnoses were performed by physicians. Nurses were considerably more involved in the provision of lifestyle counselling (65 % GPs/35 % nurses). Conclusions : The rates of obesity screening, diagnosis and counselling in Quebec FMGs are suboptimal. Interventions have to be deployed in order to increase the quality of care. Future researches should explore the impact of an enhanced access to specialized nurses and the adaptation of the current initial and continuous education programs on the rates of obesity management.

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Guyard, Audrey. "Retentissement du handicap de l'enfant sur la vie familiale." Phd thesis, Université de Grenoble, 2012. http://tel.archives-ouvertes.fr/tel-00798912.

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Le handicap de l'enfant peut avoir des conséquences sur des dimensions de la vie familiale : santé physique et psychologique, relations sociales et familiales, temps de prise en charge, emploi et poids économique. Mieux connaître les facteurs liés à cet impact permettrait d'en limiter les conséquences négatives sur la vie familiale.L'impact familial de la paralysie cérébrale (PC) d'adolescents européens a été étudié en 2009 et des facteurs personnels, sociaux et environnementaux de leurs familles également recueillis. Un questionnaire sur l'impact familial du handicap dans 5 des 7 dimensions identifiées dans la littérature a été utilisé. Etendu aux dimensions manquantes par l'ajout de 4 questions, l'outil amélioré a été validé dans le cadre de cette enquête européenne.Un modèle théorique fondé sur le modèle d'adaptation Double ABCX a été confronté aux données. Sont mis en relation des éléments de perturbations de l'équilibre familial, liées à l'enfant ou à l'environnement (A), des ressources disponibles pour faire face (B), la perception de conséquences négatives (C) et le degré d'adaptation familiale, mesurée par la détresse psychologique (X). La modélisation par équations structurelles a permis de valider un modèle estimant des coefficients de corrélation significatifs entre les variables selon une méthode itérative par moindres carrés pondérés (WLSMV). 57,4% de la variance de la détresse psychologique a été expliquée par des perturbations (A) : âge avancé de l'adolescent (bêta=0.19), absence d'emploi des parents (bêta=0.25), sévérité de la déficience motrice (bêta=0.23), sévérité des troubles du comportement de l'adolescent (bêta=0.45) ; par des ressources (B) : accès à des modes de garde extérieurs (bêta=-0.15), degré de dysfonctionnement familial (bêta=0.40), sentiments positifs du parent par rapport au handicap (bêta=-0.16) ; et enfin par l'impact négatif perçu (C) sur la santé des membres de la famille (bêta=0.45). Des éléments de (A) et de (B) influençaient l'impact négatif perçu dans d'autres dimensions de vie familiale. D'après ce modèle, l'adaptation de la famille face au handicap de l'adolescent semble se jouer plus autour de la qualité du fonctionnement familial que sur la mise en place de compensations physiques ou financières. Il est donc important de mettre en place des actions permettant aux familles d'améliorer les différentes dimensions de ce fonctionnement. L'utilisation d'outils de mesure validés peut aider à évaluer et sélectionner des interventions les plus efficaces pour gérer les troubles du comportement chez l'enfant en situation de handicap, augmenter l'autonomie de l'enfant, favoriser le bon fonctionnement familial, ou promouvoir les attitudes parentales positives face au handicap.L'absence d'emploi influençant le bien-être psychologique, cette situation a été étudiée pour les mères d'enfants en situation de handicap. A partir de données disponibles, nous avons constaté qu'en tenant compte de nombreuses caractéristiques de l'enfant et de la famille, la présence d'une déficience intellectuelle chez l'enfant et un bas niveau d'études de la mère ou le non-emploi du père influençaient significativement le risque de non-emploi de la mère.Par ailleurs, les mères d'enfants en situation de handicap sévère se sont avérées proportionnellement plus nombreuses que la population générale à être sans emploi (47,2% contre 31,4%). En revanche, les mères d'enfants avec PC interviewées lors d'une enquête n'étaient pas plus sans emploi que les mères de la population générale, remettant en question l'usage de la PC comme modèle du handicap, pour l'étude des conséquences familiales.L'étude de l'impact du handicap est encore trop rare en Europe et les effets de possibles interventions mal connues. Il est important de développer la recherche dans ce domaine pour améliorer le quotidien de ces familles et offrir à l'enfant en situation de handicap le meilleur environnement possible pour son développement.

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Morin, Marie-Hélène. "S'adapter lors du premier épisode psychotique d'un jeune adulte : perspectives nouvelles pour l'intervention familiale et les pratiques collaboratives dans le domaine social en santé mentale." Doctoral thesis, Université Laval, 2015. http://hdl.handle.net/20.500.11794/25735.

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Il est désormais bien documenté qu’un trouble mental, comme les troubles psychotiques, a des impacts importants sur la famille de la personne atteinte. Lors d’un premier épisode psychotique (PEP), ce sont plus particulièrement les parents qui sont sollicités pour exercer un rôle de soutien pour leur jeune adulte et contribuer aux interventions précoces favorisant la réadaptation et le rétablissement. Les programmes d’intervention précoce basés sur les bonnes pratiques de traitement de la schizophrénie incluent également de l’intervention auprès des familles. Si des interventions familiales tendent à être offertes, on en connait peu sur les facteurs qui prédisent l’adaptation des parents lorsqu’ils exercent un rôle de soutien dans ce contexte particulier. Dans le cadre de la présente recherche, un modèle d’adaptation a été testé sur un échantillon de 58 parents et beaux-parents qui ont reçu des services d’une clinique spécialisée dans le traitement des troubles psychotiques en début d’évolution. La posture initiale qui a guidé le choix des variables était que de s’adapter dans le contexte d’un PEP peut être une occasion de développement, voire même de croissance personnelle. Les résultats obtenus aux analyses statistiques permettent de comprendre l’adaptation de manière systémique en tenant compte de l’interinfluence des facteurs personnels (certaines caractéristiques des parents) et des facteurs environnementaux (caractéristiques liées à l’intervention). Le modèle d’adaptation final invite à dégager des cibles d’interventions qui peuvent entraîner le développement d’un pouvoir d’agir plus grand chez les parents, de même que le maintien de leur fonctionnement social. La participation à des stratégies actives d’adaptation comme celle de s’engager dans l’intervention familiale et de développer une relation de collaboration avec les travailleuses sociales sont des contributions nouvelles au phénomène de l’adaptation chez des parents. Miser sur l’intervention précoce, favoriser la participation active des parents et des personnes atteintes d’un trouble psychotique à des rôles sociaux valorisants et encourager le recours à une gamme de services offerts en partenariat font partie des recommandations formulées à la lumière des résultats obtenus dans cette thèse.
It has now been well-documented that mental disorders, like psychotic disorders, carry significant impacts for the family of the person afflicted. During a first-episode psychosis (FEP), the parents are the ones who are specifically sought to play a supportive role for their young adult and to contribute to the early interventions that promote rehabilitation and recovery. Early intervention programs based on schizophrenia treatment good practices also include family interventions. Despite the tendency to offer family interventions, we know little about the factors that can predict the parent’s ability to cope with their supportive role in this particular context. For the present research, a coping model was tested with a sample of 58 parents and in-laws who received services from a clinic specializing in the treatment of psychotic disorders in the early stages. The initial stance guiding the selection of variables claimed that coping in a context of FEP provides an opportunity for development, and even personal growth. The results obtained from the statistical analyses provide a systematic approach to understanding coping while considering the interinfluence of personal factors (certain characteristics of the parents), along with environmental factors (characteristics linked to the intervention). The final coping model invites parents to identify intervention targets that can help develop empowerment without compromising their ability to function socially. Participating in active coping strategies, such as committing to a family intervention and developing a collaborative relationship with social workers, represents a new avenue for the parental coping phenomenon. Focusing on early interventions, promoting active participation in rewarding social roles for parents and for those living with psychotic disorders, and encouraging the use of the many services offered in partnership are all part of the recommendations that have been issued in light of the results obtained under this thesis.

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Bergeron, Anne-Sophie. "L'accessibilité aux services pour les femmes autochtones victimes de violence familiale qui demeurent en communautés éloignées." Master's thesis, Université Laval, 2012. http://hdl.handle.net/20.500.11794/28395.

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Tableau d’honneur de la Faculté des études supérieures et postdoctorales, 2012-2013.
Cette recherche vise à rendre compte, à partir d'une perspective féministe intersectionelle, du rôle de différents facteurs d'oppressions qui structurent l'expérience d'accès aux services de santé et aux ressources psychosociales des femmes autochtones victimes de violence familiale et demeurant dans des communautés isolées. L'analyse de contenu des entretiens de type focus group, réalisés auprès de 19 répondants de deux communautés autochtones isolées, révèle le cumul et l'interaction de divers systèmes d'oppression qui créent des inégalités de fond, structurant les positions relatives des victimes de violence. Elle suggère la nécessité de considérer les différents systèmes de pouvoir qui affectent directement leur accessibilité aux services. Les résultats de la recherche indiquent que le facteur géographique est une variable significative dans l'accessibilité aux ressources pour les femmes autochtones victimes de violence et qui demeurent en communautés éloignées, mais que son influence ne peut être comprise qu'en tenant compte de l'interférence de plusieurs autres facteurs qui entravent le recours à ces ressources. Ce mémoire s'inscrit dans le cadre d'une recherche menée par Lyse Montminy et al., en collaboration avec divers partenaires du milieu, sur la problématique de la violence dans les communautés autochtones du Québec. Il s'appuie sur l'analyse des données secondaires issues de cette recherche.
This research aims to bring out, from an intersectorial feminist viewpoint, the influence that some factors of oppression exert in the structuration of experience of native women, victims of domestic violence and living in isolated communities, when accessing health and psycho-social services and resources. Content analysis of 19 focus groups interviews realized in two isolated native communities reveal a cumulation and interaction of different oppression systems creating fundamental inequalities that structure the relative positions of the victims of violence. It suggests the necessity to take into account the power systems that may compromise access to these services. This thesis is part of a larger research project led by Lyse Montminy et al., and realized with the collaboration of ground communities partners, on the topic of violence in Quebec native communities. It relies on the analysis of secondary data gathered in this research.

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Couture, Amélie. "Étude pilote d'implantation et d'effiacité du Craft au Québec." Thesis, Université Laval, 2014. http://www.theses.ulaval.ca/2014/30766/30766.pdf.

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Le présent mémoire doctoral évalue l’implantation et l’efficacité préliminaire du programme CRAFT (Community Reinforcement and Family Training) qui vise à exercer une influence sur la personne dépendante aux substances psychoactives et réticente au changement par le biais de son partenaire. Le CRAFT a pour objectif de favoriser la réduction de la consommation de substances chez le consommateur et de l’amener à débuter un traitement, tout en améliorant le bien-être psychologique des partenaires. Le CRAFT a reçu de nombreux appuis empiriques aux États-Unis quant à son efficacité, mais n’a pas encore été implanté au Québec. Douze conjoint(e)s de personnes dépendantes sont recrutés et ont complété une série de questionnaires avant de débuter le traitement, 14 semaines et six mois après leur admission. Les cliniciens ont pu implanter adéquatement le programme et les résultats obtenus révèlent une efficacité comparable à celle observée au sein des études américaines.

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Viale-Garrone, Audrey. "Période de la ménopause, état de santé orale et facteurs systémiques." Thesis, Aix-Marseille, 2014. http://www.theses.fr/2014AIXM5028/document.

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Dans le cadre d'une étude transversale menée sur 202 patientes ménopausées et non ménopausées,les objectifs sont de démontrer l'existence d'un lien entre ménopause et altération de l'état de santé buccodentaire. D'évaluer l'action du THM sur la morbidité dentaire et «in fine» sur la mortalité dentaire.De préciser les liens entre santé bucco-dentaire et diverses pathologies générales et d'apprécier les liens entre psychisme et soma chez les femmes ménopausées. D'apprécier l'influence des biphosphonates sur l'état de santé parodontal.De placer l'étude des liens état bucco-dentaire- ménopause dans une optique sociétale et anthropologique.La ménopause a pour conséquence une altération du parodonte (p=0,003).Le THM a une action bénéfique sur le parodonte.L'effet biologique du diabète est drastique quant à la perte des organes dentaires (p=0,050).L'étude souligne l'influence «per se» d'un mauvais état bucco-dentaire pour la pathologie coronarienne (OR=1,214). De plus,évènements stressants,sècheresse buccale,pathologies ostéo articulaires,carence hormonale sont des facteurs diversement liés de la mortalité dentaire durant cette période. Par ailleurs, il est apparu que les femmes ayant été récemment traitées pour un cancer du sein développaient plus de caries dentaires (p=0,031 OR=2,161). L'étude met en évidence les effets des biphosphonates sur l'altération du parodonte (p=0,011) malgré la prise d'un THM (p=0,020).Un milieu socioculturel aisé contribueraient à la médicalisation du phénomène physiologique.Le fait de vivre seule influerait sur la perte des organes dentaires (p=0,035). Enfin,la pratique régulière d'un sport améliorerait l'état de santé orale (p=0,036)
In a cross-sectional study of 202 postmenopausal and premenopausal women,the objectives of this study are to demonstrate a link between menopause and altered state of oral health.To evaluate the action of HRT on dental disease and finally on the tooth mortality. To assess and clarify the relationship between oral health and various general diseases and links between psyche and soma in postmenopausal women.Also discussed was the influence of bisphosphonates on the state of periodontal health.Finally,it was decided to place the study links oral menopausal status in a social and anthropological perspective.It appears then that menopause results in an altered state of oral health,(p = 0.003).HRT has a beneficial effect on the periodontal disease.The biological effects of diabetes are related to dental mortality (p = 0.050). This study emphasize the influence "per se" a bad oral health status for coronary artery disease (OR = 1.214).In postmenopausal women, stressful events, dry mouth, joint and bone diseases, hormonal deficiency are factors variously related dental mortality during this period. Moreover, it was found that women who have recently been treated for breast cancer developed more dental caries (p = 0.031 OR = 2.161).The study related the effects of bisphosphonates on the alteration of periodontal (p = 0.011), despite taking HRT (p = 0.020).In addition,background socio-economic favored contribute to the medicalization of physiological phenomenon. The fact of living alone would affect the loss of dental organs (p = 0.035). Finally, the regular practice of a sport improve the state of oral health (p = 0.036)

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Allaire, Anne-Sophie. "Facteurs influençant la participation des médecins à un programme de développement professionnel continu en prise de décision partagée." Thesis, Université Laval, 2011. http://www.theses.ulaval.ca/2011/28639/28639.pdf.

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Barbosa, Tiago Domingos Mouzinho 1983. "A familia Lauraceae Juss, no Municipio de Santa Teresa, Espirito Santo." [s.n.], 2009. http://repositorio.unicamp.br/jspui/handle/REPOSIP/315662.

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Orientador: Pedro Luis Rodrigues de Moraes
Dissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Biologia
Made available in DSpace on 2018-08-13T20:56:48Z (GMT). No. of bitstreams: 1 Barbosa_TiagoDomingosMouzinho_M.pdf: 28594434 bytes, checksum: 7ab8cdc3ad35bf304dd87cde551b4f76 (MD5) Previous issue date: 2009
Resumo: Como resultado do estudo taxonômico das espécies da família Lauraceae procedentes do município de Santa Teresa, localizado na meso região Central Espírito-Santense, estado do Espírito Santo, dentro do bioma da floresta atlântica, foram descritas, a partir da coleção completa de Lauraceae do herbário MBML, com cerca de 682 exsicatas, 73 espécies - 56 espécies identificadas em nível específico, mais quatro como affinis, e 13 como morfo-espécies ainda não reconhecidas -, pertencentes a 14 gêneros: Aiouea (duas espécies), Aniba (uma espécie), Beilschmiedia (três espécies), Cinnamomum (cinco espécies), Cryptocarya (seis espécies), Endlicheria (uma espécie), Licaria (duas espécies), Mezilaurus (uma espécie), Nectandra (cinco espécies), Ocotea (39 espécies), Persea (cinco espécies) e Phyllostemonodaphne, Rhodostemonodaphne e Williamodendron com uma espécie cada. Além da descrição das espécies, são apresentadas chaves dicotômicas para identificação de gêneros e espécies, discussões e comentários sobre morfologia, taxonomia, distribuição geográfica, dados fenológicos, usos e nomes populares, bem como fotografias das espécies
Abstract: This study provides a taxonomic study of the species of the family Lauraceae from the municipality of Santa Teresa, located in central part of the Espírito Santo state in the Atlantic Forest biome. A total of 73 species belonging to 14 genera - 56 species identified at specific level, four more as affinis, and 13 as morphospecies not yet recognized, were described based on the complete collection of the family deposited in the herbarium MBML with about 680 vouchers: Aiouea (2 spp.), Aniba (1 sp.), Beilschmiedia (3 spp.), Cinnamomum (5 spp.), Cryptocarya (6 spp.), Endlicheria (1 sp.), Licaria (2 spp.), Mezilaurus (1 sp.), Nectandra (5 spp.), Ocotea (39 spp.), Persea (5 spp.), Phyllostemonodaphne (1 sp.), Rhodostemonodaphne (1 sp.) and Williamodendron (1 sp.). In addition to species description, dichotomous keys to identify genera and species, comments on the morphology, taxonomy, geographical range, phenology, use, vernacular names, and photographs of the species are provided
Mestrado
Biologia Vegetal
Mestre em Biologia Vegetal

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Danko, Marianna. "Perception et vécu subjectif de stigmatisation familiale chez le proche aidant d’une personne ayant reçu le diagnostic de maladie d’Alzheimer (MA)." Thesis, Montpellier 3, 2016. http://www.theses.fr/2016MON30045/document.

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L'objectif de cette thèse est d'explorer la stigmatisation perçue liée à la maladie d'Alzheimer (MA) parmi une population d'aidants familiaux (enfants adultes ou conjoints) accompagnant leurs proches (conjoints ou parents) vivant avec une probable MA. Parmi les patients, non seulement, il est examiné les sources de stigmatisation envers les personnes vivant avec une probable MA associées aux réactions émotionnelles et comportementales d'affiliation ou de distance sociale de l'entourage. Mais encore il est observé les facteurs de stigmatisation qui prédisent une variation de leur qualité de vie. Parmi, leurs aidants familiaux, il est étudié les facteurs de stigmatisation qui prédisent une variation de la symptomatologie dépressive et du fardeau de soins. Dans cette relation, il est étudié le rôle modérateur du soutien social. Nos résultats indiquent parmi les patients, que la fréquence des symptômes comportementaux liés à la dépression prédisent les émotions négatives et les comportements de distance sociale de l'entourage. Aussi, nous observons que la qualité de vie du patient varie selon son lieu de résidence. Au domicile, il est observé davantage de comportements de distance sociale venant de l'entourage. Parmi les proches aidants, il est constaté que soutien social modère les effets entre les émotions négatives, les comportements de distance sociale de l'entourage envers le patient, et la symptomatologie, le fardeau de soins des aidants. Mais que le soutien social exacerbe les effets entre les émotions positives de l'entourage et le fardeau de soins. Cette thèse permet d'objectiver la stigmatisation liée à la maladie d'Alzheimer parmi les patients et leurs proches aidants. Les résultats obtenus justifieraient l'élaboration d'actions de communication centrées sur la nécessité du soutien social auprès de l'ensemble des personnes affectées par la maladie d'Alzheimer
This thesis aims at exploring the perceived stigmatization towards persons possibly leaving with Alzheimer’s disease among the population of the family caregivers – grown-up children and spouses. Not only do we have observed sources of stigmatizations aimed at patients possibly leaving with Alzheimer’s disease, in relation with emotional reactions and either affiliation behavior, or social distancing from the family and social circle, but we have also observed factors of stigmatization leading to variations in patients’ quality of life. Amongst family caregivers, we have studied factors of stigmatization leading to changes in the associated depressive symptoms and the increased caregiver burden. With respect to the relationship induced, we have given attention to the moderating role of social support. Our results show that, among patients, the negative emotions and the social distancing behavior from social circle can be linked to the frequency of behavioral symptoms related to the depression. With respect to this observation, we show an variation in the patients’ quality of life according to the places they live in. At home, we have noted increased social distancing behavior from the social circle. Amongst the relatives caregivers, we have also noticed that social support has a moderating influence on the effects of negative emotions, the social distancing behavior from the social circle towards the patient, the symptoms and the burden of care felt by the caregivers. However, the social support exacerbates the relation between positive emotions among the relatives and the burden of care. This thesis gives us the opportunity to objectify the stigmatization process with respect to Alzheimer’s disease amongst patients and their relatives caregivers. Our results could open the way to specific communications promoting the necessity for social support in favor of the entire population concerned by Alzheimer’s disease

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Rioux-Dubois, Annie. "L'intégration et la négociation du rôle de l'infirmière praticienne en soins de santé primaires en contexte de collaboration interprofessionnelle." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/38717.

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La prestation coordonnée de soins de santé primaires (SSP) a été éprouvée comme améliorant la qualité et l’accès des soins prodigués aux Canadiens. Plusieurs études ont notamment confirmé les avantages des infirmières praticiennes (IP) et des modèles interprofessionnels en SSP pour le système de santé. Les écrits suggèrent toutefois que l’intégration des IP en SSP est jalonnée de tensions et restructurations en raison d’une confusion supposée de leur rôle. À ce jour, les recherches ont principalement ciblé les barrières et facilitateurs de l’intégration du rôle des IP. Une analyse critique des dynamiques socioprofessionnelles et politiques de l’intégration des IP n’a toutefois pas encore été réalisée. Une ethnographie critique combinant la Théorie de l’acteur-réseau et les concepts foucaldiens de discours, savoir et pouvoir a permis l’examen des interactions sémiotiques caractérisant certains milieux de SSP. Différents modèles interprofessionnels de SSP (2 centres de santé communautaire, 2 équipes de santé familiale et 2 cliniques dirigées par les IP) ont été investis. Les données issues d’entrevues semi-dirigées avec des IP (n=23), d’observations directes de milieux et de rencontres interprofessionnelles, et d’analyse documentaire ont été soumises à une analyse thématique puis une analyse critique de discours. Les résultats montrent que la valeur morale des IP, les finalités organisationnelles des milieux de SSP, les normes de pratique, la collaboration interprofessionnelle et la prise en charge des patients disposent les IP à la négociation de leur rôle et à certains enjeux socioprofessionnels et politiques qui génèrent plusieurs contrecoups: pluralisme de leurs rôles professionnels, dissonance identitaire, sentiments d’incompétence et d’incertitude, glissements discursifs dans leurs propres discours, et divers états émotionnels et souffrances. Ces contrecoups commandent diverses stratégies d’adaptation et de résistance permettant aux IP de gérer ces tensions. Plusieurs entités non-humaines (inscription des clientèles, discours de soutien aux médecins et espaces physiques) émergent comme acteurs agissant sur l’intégration et la négociation du rôle des IP en SSP. Cette étude permet de décrire le processus de traduction du rôle de l’IP en SSP qui problématise certains discours tenus pour acquis en SSP. Elle permet également de proposer une nouvelle définition de l’intégration du rôle des IP en SSP.

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Crochet, Françoise Soizick. "Étude ethnographique des pratiques familiales de santé au Cambodge." Paris 10, 2001. http://www.theses.fr/2001PA100211.

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Dans un pays souvent défini comme "composée de familles", les structures sanitaires publiques connaissent une faible fréquentation. Pourtant, les enfants cambodgiens de milieu rural souffrent d'un grand nombre d'affections dues au milieu et à la pauvreté (sous-nutrition, rougeole grave, troubles gastro-intestinaux). La première partie décrit une province du centre du pays et l'économie d'un village de berge, avec un accent particulier sur la composition des maisonnées. La seconde partie s'interroge sur les aléas récents du système de santé, complètement restructuré, sous les Khmers Rouges et très corrompu depuis vingt ans. La troisième partie détaille les soins et rituels de la grossesse, de la naissance et de la petite enfance. Plus que les guérisseurs, en général de sexe masculin, les mères de famille posent le diagnostic, assurent les premiers soins et prennent des décisions thérapeutiques basées sur une grande familiarité avec les plantes et l'utilisation des objets de leur environnement quotidien
Cambodia, through its turbulent and violent years, has often been defined as "composed of families". Its public health structures are plagued by corruption and low levels of utilization, wlûle children suffer from a great number of tropical diseases and problems related to poverty (malnutrition, measles, diarrhea. . . ). The first part, of this thesis describes the province and village of fiel. D-work, their economy and type of households. The second part is an analysis of the official health system and its history. The third part details the rituals and health practices during pregnancy, childbirth and first episodes of childhood illnesses. More than the traditional practitioners, women, and especially mothers, are the first to diagnose and treat family ailments, thanks to their knowledge of plants and their use of simple, daily objects present in the house and its surroundings. Popular medicine is often criticised b y health professionals, particularly when it involves self-medication. Yet, millions of children owe their health and well-being to the domestic and sanitary activities of the mothers

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Salla, Julie. "Enjeux de réussite, parentalité et santé psychologique de l’enfant et l’adolescent : du surinvestissement au syndrome de réussite par procuration dans le contexte sportif et scolaire." Thesis, Bordeaux 2, 2013. http://www.theses.fr/2013BOR22083.

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L’objectif principal de cette recherche était d’étudier les effets du surinvestissement parental vis-à-vis de la santé psychique et de la réussite des enfants et des adolescents inscrits au sein d’un contexte de performance tout en explorant l’effet d’autres facteurs personnels et parentaux. Méthode : Les participants ont été recrutés en population sportive et scolaire. Au total, l’échantillon en population sportive était composé de 636 participants (201 enfants, 93 adolescents, 342 parents). L’échantillon en population scolaire était composé de 611 participants (127 enfants, 174 adolescents, 310 parents). Les enfants ont répondu à des questionnaires qui évaluaient l’anxiété, la personnalité, les pratiques parentales et le surinvestissement parental perçu. Les adolescents ont répondu à des questionnaires centrés sur l’évaluation de la santé psychique, la personnalité, les pratiques parentales et le surinvestissement parental perçu. Les parents ont répondu à des questionnaires portant sur les troubles de la personnalité et le surinvestissement parental. Résultats : Les études ont souligné: 1) l’intérêt d’un outil évaluant le surinvestissement parental chez l’enfant et l’adolescent, 2) l’influence délétère du surinvestissement parental perçu sur la santé psychique des enfants et des adolescents en population sportive et scolaire, 3) la vulnérabilité individuelle associée au perfectionnisme négatif parmi les enfants et les adolescents en population sportive et scolaire, 4) le rôle préjudiciable du surinvestissement parental perçu sur la réussite sportive et scolaire, 5) l’existence d’un profil de personnalité commun à la population sportive et scolaire associé au surinvestissement parental, 6) un modèle explicatif du surinvestissement parental fondé sur la conjonction de facteurs propres aux enfants/adolescents et aux parents, 7) des liens entre surinvestissement parental et syndrome de réussite par procuration. Conclusion : Les résultats soulignent les enjeux associés au surinvestissement parental vis-à-vis de la santé psychique et de la réussite des enfants et des adolescents, que ceux-ci soient inscrits au sein d’un contexte de performance sportive ou scolaire. Des actions de prévention pourraient être réalisées dans une perspective d’éducation à la santé afin de prévenir les effets associés à une pression de réussite pathogène
The main objective of this research was to study the effects of parental overinvolvement regarding the mental health and achievement of children and adolescents enrolled in a context of excellence while exploring the effect other personal and parental factors. Method: Participants were recruited in sports and school population. In total, the sample population consisted of 636 sports participants (201 children, 93 adolescents, 342 parents). The school population sample consisted of 611 participants (127 children, 174 teenagers, 310 parents). The children responded to questionnaires that assessed anxiety, personality, parenting and parental overinvolvement perceived. Adolescents completed questionnaires focused on the assessment of mental health, personality, parenting and parental overinvolvement perceived. Parents responded to questionnaires on personality disorders and parental overinvolvement. Results: The studies have highlighted : 1) the interest of a scale assessing parental overinvolvement in children and adolescents, 2 ) the deleterious influence of perceived parental overinvolvement on the mental health of children and adolescents in sports and school population, 3 ) individual vulnerability associated with negative perfectionism among children and young people in sport and school, 4) the adverse role of perceived parental overinvolvement on athletic and academic success, 5) the existence of a common personality profile among sport and school population associated with parental overinvolvement 6) an explanatory model of parental overinvolvement based on the combination of personality factors and personal parental, 7) links between parental overinvolvement and achievement by proxy Spectrum. Conclusion: The results highlight the issues associated with parental overinvolvement regarding mental health and success of children and adolescents, as they are enrolled in a context of sports or academic excellence. Preventive actions could be carried out in an educational perspective in order to prevent the effects associated with disease pressure success

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Fontaine, Roméo. "Le soutien familial aux personnes âgées dépendantes : Analyses micro-économétriques des comportements individuels et familiaux de prise en charge." Paris 9, 2011. http://basepub.dauphine.fr/xmlui/handle/123456789/7370.

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Face au vieillissement de la population, l’augmentation attendue de la demande de soins de longue durée pose la question du rôle que nos sociétés souhaitent confier aux familles dans la prise en charge des personnes âgées dépendantes. Nous menons dans ce travail de recherche trois analyses micro-économétriques des comportements individuels et familiaux de prise en charge des personnes âgées. Trois résultats majeurs se dégagent. Premièrement, la mise en évidence d’une interdépendance des comportements d’aide au sein de la famille conduit à requestionner l’idée d’une diminution programmée de l’aide informelle. Deuxièmement, la réduction de l’offre de travail au-delà d’un certain volume d’aide pointe les limites d’une politique publique visant à la fois l’augmentation de l’activité des seniors et le maintien à domicile des populations les plus âgées. Enfin, le recours aux aides publiques de prise en charge induit un effet d’éviction relativement modeste des aides familiales
With the population ageing, the expected increase in the long term care demand questions the role our societies want to entrust to family in the care provision for disabled elderly people. We use a micro-econometric framework to study individual and family caregiving behaviours. From a public policy perspective, three mains findings emerge from the analysis proposed. First, the identification of family interactions in individual caregiving decisions highlights the necessity to reconsider the idea of an inexorable decline in family support. Second, the decrease in labour supply induced by the care provision beyond a certain level points out the limits of a public policy aimed at both extending the work lives of seniors and encouraging informal care for disabled elderly people. Finally, the use au publicly funded formal care is associated with a rather modest decline in family support

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Després, Caroline. "Les pharmacies familiales au senegal." Lille 2, 1991. http://www.theses.fr/1991LIL2M089.

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Pombo, de Barros Carolina. "Keeping head above water : Social presence in the transitions of Brazilian women to motherhood : Comparing experiences in Brazil, France, Portugal and Sweden." Thesis, Paris, EHESS, 2017. http://www.theses.fr/2017EHES0181/document.

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L’objectif principal de cette thèse était de caractériser et d’analyser la présence sociale dans la / les transition(s) de femmes brésiliennes de classes aisées à la maternité, au Brésil, en France, au Portugal et en Suèdedans des années récentes. L'objectif final était de contribuer à la déconstruction du modèle hégémonique de la «bonne maternité» au Brésil, établi à partir des expériences de femmes brésiliennes blanches de la classe moyenne.en. En tant que stratégie méthodologique, elle a mis l’accent sur les expériences de présence des mères brésiliennes, en utilisant la communication par ordinateur et trois méthodes en parallèle: une recherche documentaire de rapports de travail de recherches sur la santé périnatale et les politiques familiales des institutions nationales et internationales, des entretiens biographiques et enregistrement des journaux quotidiens; les trois méthodes sont articulés dans une perspective phénoménologique. Ainsi, à partir de mon travail de terrain, j’ai cherché, comme une dérive en spirale, comment certaines rhétoriques morales associées aux normes de genre, de classe et de race sont reproduites par des mères privilégiées en transition maternelle. Au-delà de ce processus de reproduction de la représentation hégémonique de la maternité, j’ai également constaté des hésitations et des mises en oeuvre éthique de ces femmes vis-à-vis des mères marginalisées telles que les femmes racialisées, célibataires et pauvres. Enfin, cette thèse développe la manière dont l’éthique du care découle des relations parentales quotidiennes et aussi comment l'intensification de la présence sociale est importante pour la promotion de cette éthique au-delà du travail genré
The main objective of this thesis was characterizing and analysing social presence in the transition(s) of Brazilian women from privileged classes to motherhood, in Brazil, France, Portugal and Sweden, inrecent years. As a final goal, it intended to contribute to de-construct the hegemonic model of ―good motherhood in Brazil, which is established from the experiences of middle-class white Brazilian wom-en. As methodological strategy, it focused on Brazilian mothers‘ experiences of presences, using Computer-Mediated Communication and three methods in parallel: a documentary research on official re-ports of perinatal health and family policies, biographical interviews and recording of daily diaries, articulated through a phenomenological perspective. Therefore, in my fieldwork I searched, in a spiral drift-ing, how certain moral rhetorics associated to gender, class and racial norms are reproduced by privileged mothers in maternal transitions. Beyond of this process of reproducing hegemonic representation of motherhood, I also found generating hesitations and ethical enactment among these women towards marginalized mothers such as racialized, single and poor ones. Finally, this thesis discusses how care ethics raise from daily parental relationships and how improving responsive social presence is quite significant for the promotion of such ethics beyond of feminine care work

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Luz, Deisy Maria Radichewski da. "Casa familiar rural em Santa Catarina." Florianópolis, SC, 2002. http://repositorio.ufsc.br/xmlui/handle/123456789/84433.

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Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Ciências da Educação. Programa de Pós-Graduação em Educação.
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Este trabalho tem como objetivo analisar como está sendo encaminhada a Proposta Educativa da Casa Familiar Rural em Santa Catarina que, num sistema de parcerias entre o Estado, representado pelas prefeituras municipais e alguns de seus órgãos, e a sociedade civil organizada através de associações, oferece educação aos jovens acima de 14 anos que vivem e trabalham no meio rural. Essa proposta é coordenada pela ARCAFAR, uma organização não governamental que faz a mediação na relação Estado e sociedade civil para a implementação dessa proposta. A proposta educativa da Casa Familiar Rural, que tem sua origem na França, baseia-se na "Pedagogia da Alternância", em que se alternam os períodos entre educação e trabalho, ou seja, entre o período de permanência do jovem na instituição educativa, a Casa Familiar Rural, e a permanência na propriedade agrícola contribuindo no trabalho familiar. Outra marca fundamental dessa proposta educativa e que é relevante neste trabalho é quanto a organização da sociedade civil através das associações, onde as famílias se reúnem para o gerenciamento tanto pedagógico quanto administrativo dessa proposta. Portanto, apreender o contexto histórico, social e político em que o Projeto Casa Familiar Rural vem se efetivando no meio rural de Santa Catarina torna-se algo de suma importância, principalmente ao analisar-se a atuação dos sujeitos envolvidos na constituição e implementação de uma proposta educativa como essa, com características tão próprias e que tem origem em uma realidade social totalmente distinta da nossa.

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Rozée, Virginie. "L'application de la Convention sur l'élimination de toutes les formes de Discrimination à l'égard des Femmes en Amérique latine : le cas des droits reproductifs et sexuels en Bolivie." Phd thesis, Université de la Sorbonne nouvelle - Paris III, 2006. http://tel.archives-ouvertes.fr/tel-00548925.

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En 1979, l'Assemblée Générale des Nations Unies adopte la Convention sur l'Elimination de toutes les Formes de Discrimination à l'Egard des Femmes (CEDAW), qui engagent les Etats signataires à mettre en place et appliquer des mesures légales visant l'égalité homme-femme et l'élimination de la discrimination de genre. Les Etats d'Amérique Latine ont tous ratifié la CEDAW, convention qu'ils ont intégrée à leur droit interne. Des mesures ont été adoptées, des lois ont été votées, des institutions ont été créées dans la région. Mais des discriminations normatives persistent, et l'égalité de droit des femmes est en constant décalage avec leur égalité de fait. Des facteurs idéologiques et pragmatiques, tels que les stéréotypes culturels, la vulnérabilité féminine, conditionnent toujours la situation des femmes latino-américaines. En ratifiant la CEDAW, et plus tard les Programmes d'Action du Caire et de Beijing, la Bolivie reconnaît les droits humains des femmes dans les différentes sphères sociales et politiques, et notamment leurs droits reproductifs et sexuels. Le pays note alors d'importantes avancées politiques et symboliques en matière de genre, de reproduction et de sexualité féminines. Mais la répercussion et la réappropriation des droits humains en général, des droits reproductifs et sexuels en particulier, par les femmes boliviennes, pacéniennes et alténiennes notamment, rencontrent toute une série de barrières politique, sociale, culturelle et médicale. L'influence catholique et machiste, les patrons socioculturels, la pénalisation de l'avortement, l'ignorance des droits et le faible ‘empowerment' des femmes leur confèrent peu d'autonomie dans leurs décisions reproductives et sexuelles ; une autonomie qui serait cependant la clé de l'émancipation féminine en Bolivie.

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Mior, Luiz Carlos. "Agricultores familiares, agroindústrias e território." Florianópolis, SC, 2004. http://repositorio.ufsc.br/xmlui/handle/123456789/87731.

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Tese (doutorado) - Universidade Federal de Santa Catarina, Centro de Filosofia e Ciências Humanas. Doutorado Interdisciplinar em Ciências Humanas.
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Esta tese tem por objetivo investigar o processo de mudança rural na região Oeste catarinense a partir da noção de redes de desenvolvimento rural. As transformações recentes nas relações entre agricultores familiares, agroindústrias e território, envolvendo tanto as grandes agroindústrias convencionais como as agroindústrias familiares emergentes, são aqui interpretadas considerando como central a ação dos atores sociais a partir da sua inserção em redes sociais e sócio-técnicas. A utilização destes conceitos permitiu identificar um rico processo de mobilização de recursos sociais e naturais por agricultores familiares e seus representantes, agroindústrias, instituições públicas, organizações não governamentais, organizações empresariais e outros importantes atores da região. Durante a realização da pesquisa de campo, através de levantamento de dados quantitativos, entrevistas com diversos atores ligados aos setores agrícola e agroindustrial, público, privado e não governamental e a participação em eventos regionais, evidenciou-se a existência de distintas trajetórias de agroindustrialização. Enquanto as agroindústrias familiares mobilizam recursos sociais e naturais locais, as grandes agroindústrias têm incorporado recursos técnicos mundialmente estandartizados. Todavia, mais recentemente, identificam-se tanto processos de re-territorialização da agroindústria convencional como de desenraizamento, mesmo que parcial, da agroindústria familiar rural. Constata-se que existe na região um processo heterogêneo de transformação social dada a co-existência, nas diversas trajetórias de agroindustrialização, de distintas formas de articulação agricultura-agroindústria-território. Tais formas são combinações híbridas do processo convencional de agroindustrialização, ainda presente e dominante na região, com novas agroindústrias familiares rurais artesanais e/ou coloniais, configurando um imbricado mosaico de redes de atores sociais e recursos naturais, endógenos e também, crescentemente, exógenos.

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Corrêa, Cirlei Marieta de Sena. "Casa Familiar do Mar em Santa Catarina." reponame:Repositório Institucional da UFSC, 2012. http://repositorio.ufsc.br/xmlui/handle/123456789/91847.

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Tese (doutorado) - Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Educação Científica e Tecnológica, Florianópolis, 2008
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Apresento nas páginas seguintes um estudo que se traduz na produção de um conhecimento sobre uma escola diferente, denominada Casa Familiar do Mar Luiz Carlos Perin (CFM). Para escrever sobre esta escola realizei estudos sobre referenciais teóricos que justificam a existência de uma escola chamada Casa. A mudança de paradigma inicia-se na denominação do espaço formal da educação e segue em todos os elementos que o constituem, desde o pressuposto filosófico inserido no pensamento complexo até o processo de formação por meio da pedagogia da alternância. Tem ressonância, na escolha do local de investigação, a saber, uma cidade localizada no litoral que, no contexto da atual demarcação do imenso território brasileiro insere-se na chamada Amazônia Azul. Sobre os sujeitos que conduzem a justificativa do objeto investigado, a mudança paradigmática é observada nos seguintes questionamentos: Por que a profissão de pescador artesanal não pode exercida por pessoas que estudam? Por que não pensarmos em pessoas que estudam e exercem a profissão de pescador artesanal? E ainda sobre os sujeitos que estudam na CFM, verifiquei que durante o seu processo de formação, constroem os seus projetos de vida. No primeiro momento, são projetos planejados e escritos para a conclusão do ensino fundamental, posteriormente para alguns jovens egressos, constituem-se como projetos executados. Considero a CFM uma das alternativas para os jovens que necessitam concluir o ensino fundamental, contribuindo com o desenvolvimento local por meio de atividades inseridas no contexto de comunidades litorâneas e representando um processo inovador de formação escolar dos jovens. A estratégia para coletar informações neste estudo de caso constituiu-se fundamentalmente de observações. Algumas vezes estas se caracterizaram como participante, pois algumas interferências foram realizadas para obtenção de dados informativos.

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Aguiar, Marina Cuneo. "Gestão de design e agricultura familiar." reponame:Repositório Institucional da UFSC, 2017. https://repositorio.ufsc.br/xmlui/handle/123456789/180564.

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Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Comunicação e Expressão, Programa de Pós-Graduação em Design, Florianópolis, 2017.
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O design vem sendo considerado fator contribuinte para o desempenho organizacional. No entanto, para que tenha aplicação estratégica, é necessário que o designer compreenda a organização e seu contexto. Em uma abordagem pela gestão, o designer amplia sua visão e busca, a partir do diagnóstico, compreender o ambiente interno e o meio no qual se encontra. O diagnóstico permite, tanto ao designer como ao responsável pela organização, a visualização de sua situação e das reais necessidades a serem atendidas. Apesar do crescente reconhecimento da atividade como fator estratégico, a atuação do design ainda é vista de forma limitada entre os pequenos empreendimentos. Em geral, suas contribuições são pontuais, consideradas como despesa adicional e, por vezes, até desconhecidas. Nesse contexto encontram-se também os pequenos empreendimentos da agricultura familiar, nos quais o desconhecimento e a falta de acesso ao design são recorrentes. Desta forma, objetiva-se com esta dissertação diagnosticar e propor recomendações, por meio da gestão de design, no contexto dos pequenos empreendimentos da agricultura familiar. A pesquisa aplicada foi realizada com uma cooperativa com foco na bananicultura e seguiu cinco etapas principais, sendo uma primeira de identificação do ambiente interno e ambiente externo, na qual foram realizadas entrevistas, observações e utilizados documentos para imergir no contexto da cooperativa. Em uma segunda etapa de organização, os dados coletados foram organizados em painéis visuais e preparados para a etapa seguinte. Na terceira etapa, além de validar a coleta, ocorreu também a definição, envolvendo: a explicitação da situação futura desejada pelo empreendimento; a identificação de pontos fortes, fracos, oportunidades e ameaças; além da priorização em curto, médio e longo prazo. Na quarta etapa realizou-se o diagnóstico final, com a análise da situação atual e, por fim, a etapa 5 com a proposição de recomendações. Os resultados permitiram compreender o diagnóstico como fator-chave para a aplicação da gestão de design e sua contribuição para os pequenos empreendimentos da agricultura familiar. O processo proporcionou clareza, reflexão e possibilitou a avaliação da situação da cooperativa frente ao ambiente competitivo e de sua situação futura pretendida. Foi possível compreender suas necessidades, facilitando a identificação da maneira pela qual o design poderia intervir de modo consciente e ainda propor uma atuação condizente com a real situação do empreendimento.
Abstract : Design has been conceived as a contributing factor for organizational performance. However, to have a strategic application, it is necessary that the designer understands the organization and its context. In a management approach, the designer expands his view and, from the diagnosis, seeks to understand the environment in which the organization is. This diagnosis allows both the designer and the ones connected with the enterprise to visualize the situation and identify the real needs to be met. Despite its growing recognition, design is still seen within a limited perspective among small enterprises. In general, its contributions are believed to be punctual, considered as additional expenditure or even unknown. In this context, small enterprises of family farming lack familiarity and access to design recurrently. Thus, the objective of this thesis is to diagnose and propose recommendations through design management in a small family farming enterprise. The applied research was carried out with a cooperative which focused on banana farming and followed five main stages. The first one consisted of identifying the internal and external environments in which interviews, observations and documents were used to immerse the researcher in the context of the cooperative. The second stage was about organization, in which the data collected were organized in visual panels and prepared for the next step. In the third stage, besides validating data collection, definition took place, which involved the establishment of the future situation desired by the farmers; the identification of strengths, weaknesses, opportunities and threats; besides short, medium and long-term prioritization. In the fourth stage, the final diagnosis was build, which included the current situation analysis and, finally, the final step that consisted of the proposition of recommendations. The results allowed the understanding of the diagnosis as a key factor for design management application and its contribution to provide users with clarity, reflection and also enable the assessment of the situation in face of the competitive environment and its intended future situation. By having access to relevant information, this undertaking facilitated the identification of the ways in which design could intervene in conscious manner and still propose suitable actions with regard to the real situation of the small business.

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Coletti, Tomé. "Agroindústria suinícola e agricultura familiar." reponame:Repositório Institucional da UFSC, 2012. http://repositorio.ufsc.br/xmlui/handle/123456789/92840.

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Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro Sócio-Econômico, Programa de Pós-Graduação em Economia, Florianópolis, 2009.
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Esta dissertação tem como objetivo estudar a relação historicamente estabelecida entre a agroindústria suinícola e a agricultura familiar e, ao mesmo tempo, apontar elementos de compreensão sobre como esse vínculo repercutiu no desenvolvimento econômico da região Oeste Catarinense. Partindo da trajetória das relações entre a agricultura familiar e as agroindústrias, com foco na suinocultura, e os reflexos sobre o desenvolvimento regional até a década de 1980, descreve as mudanças provocadas pelas políticas macroeconômicas nas relações entre a agricultura familiar e o capital agroindustrial a partir dessa década. Analisa as rupturas nos sistemas produtivos da agricultura familiar, com seus reflexos no desenvolvimento econômico regional, provocadas pela implantação do sistema de integração da suinocultura à agroindústria. Levando à criação e recriação das desigualdades sociais na região. A partir da pesquisa bibliográfica e de entrevistas com 30 pessoas entre agricultores, representantes de organizações e lideranças políticas, descreve-se a trajetória percorrida pela agricultura familiar da região na produção de suínos relacionada com as agroindústrias. Percorre-se pelas diferentes fases desse processo, que se iniciou com a produção de subsistência, tornou-se produção comercial, passou por uma fase de diferenciação de preços e produção, integrou-se a agroindústria, chegando no momento atual a sua completa internalização as empresas no sistema de parceria. Utilizando-se das teorias da globalização financeira, do desenvolvimento desequilibrado, dos conceitos de desenvolvimento endógeno e da agricultura familiar. Diante disso busca estabelecer a relação da trajetória da suinocultura e dos atores envolvidos com o desenvolvimento da região Oeste Catarinense.
The objective of this dissertation is to study the historical relation established between the pig agribusiness and family farming and at the same time, to show understanding elements about how this link reverberated in the economic development of the Catarinense West region. Based on the trajectory of the relationship between family farming and agribusiness, focusing on pig farming, and reflections on regional development until the 1980s, describes the changes brought about by macroeconomic politics in the relationship between family farming and agribusiness capital from that decade. Analyzes the disruptions in the productive systems of family farming, with its impact on regional economic development, caused by the deployment of the integration of agro-industrial pig farming. Leading to the creation and recreation of social inequality in the region. From the literature review and the interviews with 30 people including farmers, representatives of organizations and political leaders, describes the trajectory made by family farms in the region in the pig production related to agribusiness. Going through the various stages of this process, which began with subsistence production became commercial production went through a stage of differentiation of prices and production, integrated with agribusiness, reaching in the present time its completely internalization to the business partnership system. Using the theories of financial globalization, uneven development, the concept of endogenous development and family farming. Given that seeks to establish the relationship between the trajectory of the pig and the actors involved in the development of the western Santa Catarina. Given that seeks to establish the relationship between the trajectory of the pig farming and the actors involved in the development of the western of Santa Catarina.

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Rabaiolli, Joel Albino. "PROPRIEDADES FAMILIARES MULTIFUNCIONAIS NO MEIO RURAL NOS DISTRITOS ARROIO GRANDE E SÃO VALENTIM - SANTA MARIA/RS." Universidade Federal de Santa Maria, 2013. http://repositorio.ufsm.br/handle/1/9408.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
This research analyzes the transformations of agrarian sector of Santa Maria RS, perspective of socioeconomic development, with the main objective of studying, evaluating and interpreting these transformations that represent the socio-spatial class called rural. These changes are focused on the optical properties of the multifunctional family of rural class. Even presenting difficulties as access, lack of health services, education, employment, salary and "discomfort" of life, expectations point to new roles that are important in the context of contemporary development to the rural class. To avoid the emptying of the countryside and the imminent collapse of the internal supply, the Brazilian government increased recovery policies and promotion of small properties of class, supporting multiple functions and exploration of cultural knowledge in productive activities. The study of this geographical category adopted the systemic methodology, originated in general systems theory (TGS), crafted by Bertalanffy, the ideas of Morin's system and periodization of time/space based on the Scientific-Technical-Informational period, of Santos, to recognize, evaluate and interpret their dynamics that are in action, as well as the complexity of their actions established in relationships with the city that serves as the consumer market. The use of mixed method allowed to get both: qualitative data and qualitative information enabling to understand the current socio-spatial organization. We conclude that is ample the scope of agricultural and non-agricultural activities developed in the rural class and there are several functions wich identification can be performed by analysis, interpretations and reflections about the subsystems, including its fixed and flows.
A presente pesquisa analisa transformações do setor agrícola de Santa Maria - RS, perspectivas de desenvolvimento sócio-econômico, tendo como objetivo principal estudar, avaliar e interpretar estas transformações que representam a categoria sócio-espacial denominada meio rural. Tais alterações são focadas na óptica da multifuncionalidade das propriedades familiares do meio rural. Mesmo apresentando dificuldades de acesso, ausência de serviços de saúde, educação, emprego, salário e desconforto de vida, as expectativas sinalizam para novos papéis com importância no contexto do desenvolvimento contemporâneo para o meio rural. Para evitar a evasão do campo e o eminente colapso no abastecimento interno, o Estado brasileiro ampliou políticas de recuperação e promoção das pequenas propriedades no meio rural, apoiando as múltiplas funções e a exploração dos saberes culturais nas atividades produtivas. O estudo desta categoria geográfica adotou a metodologia sistêmica, originada na Teoria Geral dos Sistemas (TGS), trabalhada por Bertalanffy, as ideias de sistema de Morin e da periodização do tempo/espaço com base no período Técnico-Científico-Informacional, de Santos, para reconhecer, avaliar e interpretar suas dinâmicas atuantes, assim como a complexidade de suas ações estabelecidas nas relações com o urbano que lhe serve de mercado consumidor. A utilização do método misto permitiu angariar dados quantitativos e informações qualitativas possibilitando a compreensão da atual organização sócio-espacial. Conclui-se que é ampla a abrangência das atividades agrícolas e não agrícolas desenvolvidas no meio rural variando suas funções cuja identificação pode ser realizada pelas análises, interpretações e reflexões a respeito dos subsistemas, englobando seus fixos e fluxos.

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Ferrari, Dilvan Luiz. "Agricultura familiar, trabalho e desenvolvimento no oeste de Santa Catarina." Campinas, 2003. http://repositorio.ufsc.br/xmlui/handle/123456789/85111.

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Kalnin, Joanir Luís. "Desenvolvimento local/regional focado na agroindústria familiar." Florianópolis, SC, 2004. http://repositorio.ufsc.br/xmlui/handle/123456789/86904.

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Tese (doutorado) - Universidade Federal de Santa Catarina, Centro Tecnológico. Programa de Pós-Graduação em Engenharia de Produção.
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Esta pesquisa busca contribuir para a geração de desenvolvimento local/regional focado na agroindústria familiar. Há, em Santa Catarina, alguns planos de desenvolvimento direcionados a este segmento, valorizando o "saber fazer" dos agricultores, estimulando parcerias e associações, e incentivando a construção de uma agroindustrialização em rede. O trabalho, através de uma abordagem qualitativa e de procedimento técnico - estudo de multicasos, analisa e identifica, em 4 regiões distintas no estado de Santa Catarina, o processo pelo qual está ocorrendo o desenvolvimento local/regional focado na agroindústria familiar: o projeto SAGA, localizado na região Oeste; a AGRECO, situada no Sul do estado; o PROVE, na região do Vale do Itajaí; e o projeto BNAF, concentrado no Planalto Norte Catarinense. Com relação aos benefícios e contribuições desta pesquisa, o trabalho pretende documentar academicamente, com uma visão científica e não tendenciosa, experiências de agregação de valor através do negócio de agroindústrias de pequeno porte e mostrar que a teoria da competitividade sistêmica pode ser utilizada para analisar a competitividade de pequenos arranjos empresariais desta natureza. Os resultados encontrados demonstram que regiões rurais dinâmicas caracterizam-se por uma densa rede de relações entre serviços e organizações públicas, iniciativas empresariais urbanas e rurais, agrícolas e não agrícolas, e que projetos dessa natureza terão maiores condições de gerarem desenvolvimento local/regional caso estejam inseridos em um sistema produtivo local estruturado.

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Quadros, Clarissa de. "A participação dos jovens nas agroindústrias familiares do litoral sul catarinense e as implicações no processo sucessório." Florianópolis, SC, 2012. http://repositorio.ufsc.br/xmlui/handle/123456789/96148.

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Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Ciências Agrárias. Programa de Pós-Graduação em Agroecossistemas
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A agricultura familiar é responsável por grande parte do abastecimento alimentar, pela diversificação das atividades econômicas e pela manutenção do tecido social e cultural nos espaços rurais. Apesar de sua relevância na produção agrícola e sua capacidade de interação com outras atividades econômicas e sociais, diversos estudos apontam a crescente migração dos jovens do meio rural o que têm implicado na ausência de sucessores nas unidades familiares. Entretanto, as agroindústrias familiares vêm surgindo como uma importante estratégia de reprodução social permitindo a permanência dos agricultores e de suas famílias no campo, pois acaba absorvendo mão-de-obra familiar como a das mulheres e jovens. Desse modo, o presente trabalho teve como objetivo analisar a participação dos jovens rurais em todas as atividades realizadas nas agroindústrias, desde a produção da matéria-prima, beneficiamento, comercialização dos produtos e administração do empreendimento; e o seu efeito gerado na permanência e sucessão da unidade familiar. Para isso, foi verificado o grau de satisfação dos jovens com as atividades desempenhadas nas agroindústrias, a autonomia, remuneração pelo serviço prestado e o envolvimento na tomada de decisão. O trabalho foi realizado no Litoral Sul Catarinense em sete municípios: Grão Pará, Imaruí, São Ludgero, São Martinho, Santa Rosa de Lima, Treze de Maio e Tubarão. A pesquisa foi fundamentada em métodos qualitativos, adotando como estratégia os casos múltiplos (agroindústrias e municípios). A população deste estudo é formada por jovens com faixa etária entre 15 e 24 anos, de ambos os sexos e que trabalham nas agroindústrias familiares. Para coleta de dados foram realizadas entrevistas semi-estruturadas com os jovens e com os pais dos jovens envolvidos com agroindústrias familiares de diferentes ramos. De acordo com os dados obtidos, a permanência dos jovens e posterior sucessão da unidade familiar depende da intensidade da sua participação nas atividades desenvolvidas nas agroindústrias e de fatores condicionantes como satisfação, motivação, autonomia, afinidade e remuneração pelo serviço prestado. Portanto, constatou-se diferenças entre gênero e geração em relação à permanência e sucessão dos jovens nas unidades familiares. Geralmente, jovens entre 15-19 anos estavam indecisos ou não pretendiam permanecer na propriedade buscando outros projetos de vida. Ao contrário dos jovens entre 20-24 anos que pretendiam permanecer e suceder seus pais.

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Terrasson, Johanna. "Perception du diabète de type 1 auto- et hétéro-évaluée par les adolescents et leurs parents : analyse des liens avec leur qualité de vie, la gestion familiale de la maladie et le contrôle métabolique." Thesis, Rennes 2, 2019. http://www.theses.fr/2019REN20018/document.

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Cette thèse porte sur une population d’adolescents ayant un diabète de type 1 et leurs parents. Elle examine l’influence de la perception du diabète de type 1 par les adolescents et par leurs parents sur leur ajustement respectif à la maladie. En premier lieu sont présentées les caractéristiques du diabète de type 1, ses spécificités à l’adolescence, et les deux critères retenus pour examiner l’ajustement à la maladie : le contrôle métabolique et la qualité de vie. Après avoir défini la notion de perception de la maladie et décrit ses influences sur l’ajustement, le rôle de la perception des proches est examiné. L’étude de la perception de la maladie dans la famille en auto- et en hétéro-évaluation est ensuite proposée. Les deux axes de recherche envisagés visent à mettre en évidence l’existence d’une potentielle interprétation de la perception des proches et à en analyser l’influence sur l’ajustement à la maladie. Les deux premières études mettent en évidence l’impact de la perception du diabète en auto- et en hétéro-évaluation, par les adolescents et leurs parents, sur leur ajustement. La dernière étude permet de rendre compte, par une approche qualitative, des liens entre la perception de la maladie dans la famille et la qualité de vie des adolescents, au regard de la gestion familiale du diabète. En conclusion, nous soutenons l’intérêt de l’étude de la perception de la maladie dans la famille par le prisme de la perception interpersonnelle et de la méta-perception. Les limites de ce travail, les pistes de recherche et les perspectives d’application sont finalement discutées
This thesis focuses on a population of adolescents with type 1 diabetes and their parents. It examines the influence of adolescents’ and their parents’ perceptions of type 1 diabetes, on their respective adjustments to the disease. First, we present the characteristics of type 1 diabetes, its specificities in adolescence, and two criteria used to examine adjustment to the disease : metabolic control and quality of life. After having defined the notion of illness perception and describing its influences on adjustment, the role of family members' perception is examined. A study of illness perception in the family through self- and hetero-evaluation is then presented. The two lines of research aim to highlight the existence of potential interpretations of the family members’ perceptions and analyze their influence on adjustment to the illness. The first two studies highlight the impact of type 1 diabetes' perception, both self- and hetero-evaluation, by adolescents and their parents on their adjustment. The last study reports, using a qualitative approach, the links between illness perception in the family and adolescents' quality of life, in light of family diabetes management. In conclusion, our studies provide further support the need to study the illness perception in the family through the prism of interpersonal perception and meta-perception. Finally, the limits of this work and research and applied perspectives are discussed

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Bucki, Barbara. "La capabilité de santé des aidants familiaux : analyses du paradigme et pistes d’opérationnalisation." Thesis, Université de Lorraine, 2014. http://www.theses.fr/2014LORR0158/document.

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Le prendre-soin à domicile des personnes atteintes de maladie chronique est de plus en plus assuré par les aidants familiaux, mais leur mode de vie crée un risque pour leur santé. Mener une recherche sur leur capabilité de santé, en d’autres termes sur leur aptitude à adopter un mode de vie favorable à la santé, est d’un intérêt scientifique majeur. L’opérationnalisation de ce paradigme développé en 2010 par Ruger pour comprendre les facteurs du maintien d’un état de santé optimal est au cœur de nos travaux de recherche. A partir d’une collecte de données quantitative menée au Luxembourg et en Lorraine (France), un outil de Capabilité de Santé des Aidants (CSA-20 items) a été élaboré et testé. Il explore huit domaines: santé physique, santé psychologique, valeur accordée au mode de vie, sentiment d’auto-efficacité, soutien familial, capital social, conditions matérielles/sentiment de sécurité, satisfaction à l’égard des informations et des services de soins. Des enquêtes qualitatives complémentaires ont permis de compléter le CSA-20 par 77 items couvrant des domaines tels que la motivation, les compétences psychosociales et les styles de coping. Cet instrument permet d’élaborer des diagnostics personnalisés et d’évaluer des programmes de promotion de la santé. Nos analyses préliminaires ont aussi montré que les répercussions de la maladie chronique sont vécues de manière conjointe dans les dyades aidant-aidé; et que la valeur accordée au rôle d’aidant est favorisée par le soutien venant des professionnels et du réseau social. Pour améliorer la capabilité de santé des aidants, la prise en compte à la fois de leur autonomie et de leur besoin de soutien est dès lors requise
Home care of persons with a chronic disease is increasingly provided by family caregivers, but their lifestyle creates a risk to their health. Therefore, leading a research on their "health capability", in other words, on their ability to adopt a healthy lifestyle is of major scientific interest. The operationalization of this paradigm, developed by Ruger in 2010 to understand the factors of maintaining a state of optimal health, has been the heart of our research. Based on a quantitative data collection conducted in Luxembourg and Lorraine (France), a Health Capability of Family Caregivers instrument (HCFC-20 items) was developed and tested. It explores eight areas: physical health, psychological health, lifestyle value, sense of self-efficacy, family support, social capital, material conditions/sense of security, satisfaction with information and healthcare services. Additional qualitative surveys have completed the HCFC-20 with 77 items covering areas such as motivation, life skills and coping styles. This instrument allows to develop personalized diagnoses and to evaluate health-promoting programs. Our preliminary analyses have also indicated that the impacts of a chronic disease are experienced jointly in patient-caregiver dyads; and the value placed on the role of caregiver is encouraged by the support from professionals and a social network. In order to improve the health capability of caregivers, taking into account both their autonomy and their need for support is therefore required

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Fabre, Julien. "Incidence du maintien à domicile d'une personne dépendante sur la santé de l'entourage familial aidant." Montpellier 1, 2000. http://www.theses.fr/2000MON11165.

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Mozzaquatro, Caroline de Oliveira. "PLANEJAMENTO FAMILIAR E CONFIGURAÇÕES FAMILIARES SOB A ÓTICA DE MULHERES ATENDIDAS EM UNIDADES DE ESTRATÉGIA DE SAÚDE DA FAMÍLIA DO MUNICÍPIO DE SANTA MARIA." Universidade Federal de Santa Maria, 2016. http://repositorio.ufsm.br/handle/1/10360.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Family planning is founded on the principles of human dignity and responsible parenthood, in which the State is responsible to provide a set of actions to ensure to the woman, to the man, and to the couple, the right of establishment, limitation and increase of offspring, according to their interests. It is understood that family planning includes not only biological, but also emotional and cultural aspects. In this regard, it is believed that Psychology can contribute to the amplification of knowledge about this subject. Based on this, the present study intends to know the opinions of women who use the Unified Health System about family planning, and also understand their positions referring to the subject. We also intended to know the participants family structures, and the meanings they attribute to family. Finally, we sought to understand the role and participation of women and men in relation to family planning. In order to so, we conducted an exploratory research with a qualitative approach, in which the data was collected through a semi-structured interview. After the interviews transcription, the technique of content analysis was employed in order to analyse the data. The research sample was composed of 15 women, who represented four Family Health Strategy (FHS) units from different areas of the city of Santa Maria. The results were presented in three articles. The first article identified that none of the four FHS units offered specific actions of family planning. Participants possessed no knowledge about family planning and had not participated in any specific action in this respect. The second article focused on the participants family structures, which are based on affective bonds, and also in the aspect that family members are recognized as those who are part of the support network. In the third article we verified that the woman is perceived as the main responsible for the family s constitution and maintenance. However, the participants revealed that they share responsibilities with their partners in relation to the tasks of family care and contraception, as partners assist the participants in the use of contraceptive methods. We emphasize the indications of an overlap between traditional relational aspects with new patterns of relationships. The final considerations show that family planning activities are important for the well-being and health of the population and is far from being a strategy of demographic control. The possibility of planning the family and the number and spacing of children directly influences peoples lives. Therefore, the deployment and implementation of family planning in FHS units is essential, as determined by the legislation.
O planejamento familiar está fundado nos princípios da dignidade da pessoa humana e da parentalidade responsável, sendo que ao Estado compete propiciar um conjunto de ações que garantam à mulher, ao homem, e ao casal, o direito de constituição, limitação e aumento da prole, conforme seus interesses. Com isto se entende que o planejamento familiar abarca não só questões biológicas, mas também aspectos emocionais e culturais. Nesse sentido, acreditase que a Psicologia pode contribuir para a ampliação do conhecimento acerca desta temática. Com base nisto, o presente estudo pretendeu conhecer a opinião de usuárias do Sistema Único de Saúde em relação ao planejamento familiar, bem como compreender como as mesmas se situam diante desta questão. Também se pretendeu conhecer a configuração familiar das participantes, e os significados que atribuem à família. Por fim, buscou-se compreender o papel e a participação de mulheres e homens em relação ao planejamento familiar. Para tanto se realizou uma pesquisa exploratória com abordagem qualitativa, sendo que a coleta de dados se deu por meio de entrevista semiestruturada. Após a transcrição das entrevistas, a análise dos dados seguiu a técnica de análise de conteúdo. A amostra da pesquisa foi de 15 mulheres, as quais representavam quatro unidades de ESF do município de Santa Maria, pertencentes regiões distintas do município. Os resultados foram apresentados em três artigos. O primeiro artigo teve como resultado a identificação de que nenhuma das quatro unidades de ESF oferecia ações específicas de planejamento familiar. As participantes não tinham conhecimento sobre planejamento familiar e não haviam participado de ações específicas a este respeito. O segundo artigo teve como foco as configurações familiares das participantes, as quais estão baseadas nos laços afetivos, e no reconhecimento como membros da família aqueles que fazem parte da rede de apoio. No terceiro artigo verificou-se que a mulher é percebida como a grande responsável pela família, tanto pela constituição quanto pela manutenção. Porém, em suas vivências, as participantes relataram dividir com o companheiro não só os cuidados familiares, mas também a responsabilidade da contracepção, na medida em que eles as auxiliam na utilização do método contraceptivo. Ressalta-se o indício de uma sobreposição de aspectos tradicionais com novos padrões de relações. As considerações finais evidenciam que as ações de planejamento familiar são importantes para o bem-estar e saúde da população, visto que, longe de ser uma estratégia de controle demográfico, a possibilidade de poder planejar a família, o número e o espaçamento dos filhos que se deseja ter, ou não ter, traz influência direta à vida das pessoas. Nesse sentido, é fundamental que ocorra a implantação e implementação do planejamento familiar nas unidades de ESF, tal como previsto na legislação.

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Diamico, Manuela de Souza. "Agroindústria familiar e sustentabilidade." Florianópolis, SC, 2011. http://repositorio.ufsc.br/xmlui/handle/123456789/95154.

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Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Filosofia e Ciências Humanas. Programa de Pós-Graduação em Sociologia Política
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No presente trabalho discutimos a formação da temática ambiental na sociedade contemporânea, seus desdobramentos e determinações. Analisamos como esta temática se constrói nas relações de produção, permeadas pelo mercado, por meio do estudo de caso do Programa Matas Legais, desenvolvido em parceria pela empresa Klabin e pela ONG APREMAVI. Este programa configura um projeto de fomento florestal para a produção de madeira para papel e celulose e que conta com o "apoio" do Estado para sua realização. Constatamos que as relações de produção envolvidas nesse processo não se resumem à empresa e à ONG, mas envolvem os mercados transnacionais de papel e celulose e o da conservação, bem como as relações com o Estado, por meio das políticas de crédito agrícola. Essas relações afetam o setor produtivo agrícola, em especial a agricultura familiar, dando forma ao processo que definimos como agroindutrialização familiar. Defendemos que a temática ambiental tem sido amplamente absorvida pelo mercado espaço de trocas potenciais de bens e serviços, mas ainda é um assunto secundário à concepção do desenvolvimento e que os argumentos em torno da temática ambiental permanecem atrelados e subordinados ao tema da eficiência econômica. Para compreender concretamente como ocorre essa apropriação da temática ambiental pelo processo produtivo e sua conversão em mercadoria (mercadoria verde), observamos o processo de produção e valorização (valor verde) da madeira para papel e celulose no plantio de eucalipto, e suas consequências socioeconômicas, trabalhistas e ambientais. O estudo de caso foi representativo para os objetivos da pesquisa devido à articulação, no mesmo processo produtivo, de uma empresa privada indústria de papel e celulose, geralmente vista como agressora do meio ambiente pelos ambientalistas junto com uma ONG ambientalista que combate formas de produção destrutivas. Essa contradição se revelou bastante curiosa, principalmente porque o Programa inclui agricultores rurais categorizados como agricultores familiares. A articulação desses três atores envolve ainda instituições públicas em diferentes níveis programas federais de incentivo agrário, prefeituras, secretarias e institutos de pesquisa agrária. O estudo demonstra como a temática ambiental se processa em mercadoria, as contradições, os efeitos sociais e a influência do discurso ecopolítico sobre esse processo. Esse quadro envolveu uma contextualização das relações entorno da defesa da Mata Atlântica representando a conservação ambiental, por um lado, e por outro, questões de cunho social como as condições de trabalho do agricultor familiar. Constatamos que a lógica do consumo predatório do meio ambiente é consequência necessária das relações de produção próprias ao capitalismo e que a defesa do meio ambiente apenas se tornará eficaz na medida em que for incorporada estruturalmente à ação política fundada em outra ordem de necessidades que supere as determinadas pela lógica do capital (190p.)
In this paper we discuss the formation of environmental issues in contemporary society, its consequences and determinations. We look at how this theme is built on relations of production, permeated by the market, through the case study of the #Matas Legais# Program, developed in partnership by the Klabin company and the NGO APREMAVI. This program sets a forest development project for the production of wood for cellulose and paper and which has the "support" of the state for its realization. We found that the relations of production involved in this process are not limited to the company and the NGO, but involve transnational markets for cellulose and paper and conservation, as well as relations with the State, through the agricultural credit policies. These relationships affect the agricultural production sector, especially the family farming, defined as a process that agri-industrialization. We argue that the environmental issue has been largely absorbed by the market - area of potential exchange of goods and services - but it is still a secondary issue to the design development and the arguments around the environmental issues remain tied and subordinate to the issue of economic efficiency. To understand concretely how this occurs ownership of environmental issues by the production process and its conversion into a commodity (commodity green), we observe the production process and your valuation (green value) of wood for cellulose and paper in the planting of eucalyptus, and the socioeconomic, labor and environmental consequences. The case study was representative for the purposes of research due to the joint, in the same production process, a private company - cellulose and paper industry, generally seen as a predatory of the environment by environmentalists - along with an environmental NGO - fighting forms destructive production. This contradiction is revealed very curious, especially because the program includes rural farmers categorized as family farmers. The relationship of these three actors also involves public institutions at different levels - federal programs to encourage agricultural, municipal governments, departments and institutes of agricultural research. The study demonstrates how the environmental theme is carried into a commodity, the contradictions, the social effects and the influence of eco-political discourse on this process. This situation involved a contextualization of relations around the defense of the Atlantic accounting for environmental conservation on the one hand, and on the other issues of social and working conditions of the family farmer. We note that the logic of wasteful consumption of the environment is a necessary consequence of the relations of production specific to capitalism and the protection of the environment will only become effective in that it is structurally embedded political action founded in a different order of needs that exceed the determined by the logic of capital (190p.)

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Prompt, Cecília Heidrich. "Arquitetura de terra em unidades agrícolas familiares." Florianópolis, 2012. http://repositorio.ufsc.br/xmlui/handle/123456789/101027.

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Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro Tecnológico. Programa de Pós-Graduação em Arquitetura e Urbanismo
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As unidades agrícolas familiares são responsáveis pela produção da maior parte dos alimentos da cesta básica brasileira e abrigam a maioria da população rural do país. Observa-se, entretanto, um quadro de precariedade no meio rural, que tem como conseqüência extrema a migração das famílias para as cidades. Um dos meios para o incremento da qualidade de vida no campo é a redução do déficit habitacional, com a construção de moradias que possibilitem a permanência das famílias. O uso materiais locais e naturais, muitas vezes disponíveis nas propriedades, pode viabilizar a construção de moradias mais adequadas ao modo de vida rural. No Oeste Catarinense, existe um grupo de nove famílias que optou por construir suas moradias utilizando a terra como principal matéria prima. A pesquisa lança um olhar sobre esta experiência, e tem como objetivo verificar se estas moradias autoconstruídas são adequadas ao seu contexto sociocultural. O trabalho tem como base um referencial teórico que faz a triangulação entre os temas agricultura familiar, habitação rural e arquitetura de terra, e utiliza métodos baseados na etnografia. A partir da descrição das edificações, é exposta a apropriação das técnicas e do espaço construído pelas famílias. Finalmente, é realizada uma reflexão a respeito da satisfação dos usuários, com base nas suas percepções a respeito de conforto e segurança. Os resultados demonstram que as tecnologias utilizadas são adequadas e possibilitam a permanência das famílias no campo. Este trabalho contribui para o aprofundamento da realidade rural da região, com foco na habitação, assim como para a área das investigações sobre arquitetura de terra.
Proprieties of family farmers are responsible for producing most of the food for the internal market in Brazil and take shelter most of the rural population of the country. There is, however, a scene of precariousness in rural areas. The extreme consequence of this crisis is the migration of families to the big cities. One way to increase the quality of life in the field is to reduce the housing deficit, with the construction of suitable housing that enable families to stay. Using local and natural materials, often available in the properties, can make possible the construction of housing best suited to the rural way of life. In the west of Santa Catalina, there is a group of nine families who chose to build their homes using the earth as the main raw material. The research takes a look at this experience, and aims to verify if these self-built dwellings are appropriate to their sociocultural context. The work is based on a theoretical framework that makes the triangulation between the themes family farming, rural housing and earth architecture, and uses methods based on ethnography. From the description of the buildings, is exposed the appropriation of the techniques and the spaces by the families. Finally, is presented a discussion about the user#s satisfaction, based on their perceptions of comfort and safety. The results demonstrate that the technologies used are appropriate and enable families to remain in their proprieties. This work contributes to the deepening of rural reality of the region, focusing on housing, as well in the area of research on earth architecture.

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Essiembre, Lucie G. "Étude du fonctionnement familial et de l'utilisation des services de santé auprès de mères au travail." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq20972.pdf.

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Fracasso, Rafael Monari. "Panorama da silvicultura familiar no Planalto Sul de Santa Catarina." Universidade do Estado de Santa Catarina, 2015. http://tede.udesc.br/handle/handle/1963.

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The forestry is na activity that exert substantial importance in Brazil s economy, both by creating Jobs as the products and services offered. However, it is necessary to expand also to small farms, providing opportunities for the growth of this sector and new alternative income coupled with regional development. The South Plateau Santa Catarina is a region with a predominance of planted forests and therefore the characterization of Family forestry is importante to understand the dynamics of this activity. The objective of this study is to analyze the forestry Family from na international comparative study and case in the South Plateau Santa Catarina. For this, the survey was conducted with a qualitative approach and data collection trough on site observations and semi-structured interviews with the actors involved in this process as producers, research institutions and municipal gobernments. Besides, the literature of Family forestry at the international level was based on five countries: United States, Canada, Spain, Finland and Austria. The results indicate that there are variations in the reasons for owning forests in the countries analyzed and that strucutural changes have occurred over time, mainly related to the aging of the owners and the reduction of the área of the properties. At. The local level, were characterized three types of producers with forest plantations in smallholdings: the inhabitants of rural áreas, non-residents and fomented. Thus, it is concluded that forestry is na activity presente in small farms in the South Plateau of Santa Catarina, providing generation and diversification of income. However, it is necessary investment in research, extension programs and financial support to highlight the regional forestry potential
A Silvicultura é uma atividade que exerce considerável importância na economia do Brasil, tanto pela geração de empregos quanto pelos produtos e serviços oferecidos. Entretanto, é necessária sua expansão também aos pequenos proprietários rurais, oportunizando o crescimento desse setor e novas alternativas de renda aliada ao desenvolvimento regional. O Planalto Sul de Santa Catarina é uma região com predomínio de florestas plantadas e, por isso, a caracterização da silvicultura familiar é importante para compreender a dinâmica dessa atividade. O objetivo deste trabalho é analisar a silvicultura familiar a partir de um estudo comparativo internacional e de caso na região do Planalto Sul de Santa Catarina. Para isso, a pesquisa foi realizada com um enfoque qualitativo e a coleta de dados através de observações in loco e de entrevistas semiestruturadas aos atores envolvidos nesse processo como produtores, órgãos de pesquisa e prefeituras municipais. Além disso, o levantamento bibliográfico da silvicultura familiar em nível internacional baseou-se em cinco países: Estados Unidos, Canadá, Espanha, Finlândia e Áustria. Os resultados indicam que existem variações nos motivos para possuir florestas nos países analisados e que mudanças estruturais ocorreram ao longo do tempo, principalmente relacionadas com o envelhecimento dos proprietários e a diminuição da área das propriedades. Em nível local, foram caracterizados três tipos de produtores com plantios florestais em pequenas propriedades: os moradores do meio rural, os não moradores e os fomentados. Com isso, conclui-se que a silvicultura é uma atividade presente nas pequenas propriedades do Planalto Sul de Santa Catarina, proporcionando geração e diversificação de renda. Contudo, é necessário investimento em pesquisa, programas de extensão e de apoio financeiro para destacar o potencial florestal regional

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Fecteau, Katia. "Mondialisation, planification familiale et vie quotidienne, le cas des femmes de Santa Isabel, îles Salomon." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ38078.pdf.

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Croteau, Martine. "Le repas familial : être en famille autour d'un menu rassembleur : étude de cas des repas familiaux de deux familles de la région de Québec." Thesis, Université Laval, 2011. http://www.theses.ulaval.ca/2011/28128/28128.pdf.

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La prise de repas familiaux est proposée comme mesure de santé publique pour ses bénéfices sur la santé des jeunes. Les recommandations pour la promotion des repas familiaux proviennent principalement d’études du domaine de la santé et de la nutrition. Ce mémoire se différencie de ces études en proposant une approche qualitative inspirée de la socio-anthropologie pour l’étude des repas familiaux. Il présente une étude de cas portant sur les pratiques et les représentations liées aux repas familiaux de deux familles monoparentales de la région de Québec. L'utilisation combinée de l’observation directe, la photographie participative, le journal de bord et l’entrevue a apporté un nouvel éclairage en révélant la dynamique et le sens de cette pratique. L’étude a aussi mis en lumière la variabilité des repas familiaux au sein des familles, leur importante dimension sociale, leur lien étroit avec les relations familiales et l’impact de la composition familiale sur ceux-ci.
Sharing meals as a family is suggested as a public health measure because of its benefits on the health of children and teenagers. Recommendations for promoting family meals mainly derive from studies in health and nutrition. However, this thesis differs in that it studies family meals using a qualitative methodology inspired by social anthropology. It indeed presents a case study on the practices and representations associated with family meals in two single-parent families in the Québec region. The combined use of direct observation, participatory photography, logbook entries and interviews has shed new light on family meals by revealing the dynamics and meaning that underlie this practice. This study has also highlighted the variability of family meals within the families themselves, their important social dimension, their close association with family relations and the impact the composition of the family unit has on them.

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Bergamin, Márcia Cristina. "Da penúria ao sucesso econômico: o processo de formação e desenvolvimento territorial de Santa Maria de Jetibá no Espírito Santo." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/8/8136/tde-22082016-133354/.

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Esta tese aborda o processo de formação territorial e de crescimento econômico de Santa Maria de Jetibá, um município do Espírito Santo. Objetiva-se, então, compreender o processo de transformação de Santa Maria de Jetibá, que vai de um longo período de penúria dos agricultores ao crescimento econômico recente. Produzindo alimentos, o município conquistou o maior valor adicionado da agropecuária do Espírito Santo e destaca-se como o segundo maior produtor de ovos do país e no âmbito estadual como produtor de alimentos orgânicos e hortaliças. Buscou-se identificar as condicionantes materiais e imateriais que foram determinantes no processo de formação e transformação desse território e que explicam o seu crescimento econômico. O trabalho de campo foi organizado em duas partes. Na primeira, tomando como referência o processo de trabalho, segundo Marx, e suas alterações decorrentes da incorporação de tecnologias, foram elaborados roteiros de entrevistas. Entrevistou-se agricultores familiares e não familiares e diferentes tipos de avicultores. Na segunda, para entender a estruturação das principais atividades econômica, entrevistou-se representantes de instituições pertinentes ao objetivo da tese. Identificou-se como condicionante imaterial a dimensão ética do trabalho dos pomeranos e seus descendentes, os quais sempre apresentaram severa disciplina para o trabalho que os diferenciava dos demais imigrantes europeus. Tal ética tornou-se uma qualidade desse grupo humano que por ser proveniente de uma província onde não teve acesso a propriedade da terra e por não ter uma nação que o representasse, encontrou na migração para esse território uma possibilidade de crescer economicamente por meio do trabalho. Além disso, a experiência com atividades comerciais de um determinado grupo de avicultores, contribuiu para a estruturação de uma cadeia produtiva com elevado nível de verticalização, que conferiu caráter competitivo à atividade, mesmo em um contexto produtivo desfavorável. Como condicionantes materiais destacam-se: a construção de estradas interligando Santa Maria de Jetibá a importantes centros consumidores e a introdução e ampliação da rede de energia elétrica na zona rural, duas condições gerais de produção fundamentais para as atividades agropecuárias; a modernização da agricultura, que disponibilizou crédito, insumos e meios de produção modernos; a evolução constante das inovações tecnológicas voltadas para a agropecuária, sempre ampliando a produtividade e reduzindo o tempo de produção; a ampliação do mercado consumidor em função da industrialização e da urbanização do estado; a abertura do mercado que permitiu importar as inovações que automatizaram a avicultura de postura; as condições naturais favoráveis à produção de hortaliças e de ovos e a proximidade de grandes centros consumidores. Constatou-se também, que existem importantes diferenças tecnológicas entre a avicultura de postura e a produção de hortaliças convencionais e orgânicas. Enquanto na primeira, constituída somente por um produto, grande parte das barreiras impostas pela natureza à reprodução do capital foi eliminada pelas inovações técnicas, na segunda, constituída por inúmeras variedades de cultivos, muitas barreiras naturais ainda permanecem. Assim, na avicultura de postura predominam granjas de porte grande e o trabalho assalariado, enquanto a produção de hortaliças ocorre em pequenas propriedades e assentada no trabalho familiar.
These thesis approach the process of territorial formation and grow of Santa Maria De Jetiba a town in the State of Espirito Santo. Hence the goal is to understand the process of transformation of Santa Maria de Jetiba from a long period of hardship to the recently farmers economic grow. Producing food, the town conquer a high value of agriculture in the State and stands out as a second major on eggs production, also producing organic food and vegetables in the State. The identification of material and non-material elements, it was crucial for the process formation of the territory and transformation, explaining the economic growth. The fieldwork it was organized in to two parts. The fist part taking reference on the working process by Marx,and alterations as a result of the technology introduction, with elaboration of interview to farmers family members and non family members also to poultry farmers.The second part was to understand about the structure of the major economic activities, representatives of institutions related to the thesis goal. It was identified the ethical work dimension of the pomeranos and descendants, always demonstrating severe work discipline that made them standout from others european imigrants. That ethic it was a quality, despite the fact that they did not have land access and for not having a nation represented. The migration to this territory it was a possibility of economic grow through work. In addition the poultry farmers experience for commercial activities, contributed with a structure for a production chain and high level of verticality given a competitive character to the activities. Even without a favorable production context. For instance some material elements should be consider: road construction connecting Santa Maria De Jetiba to consumers majors centers ,implantation and extending of power lines in rural district are key conditions for production and agriculture, credit availability, components and modern production, constant technology evolution, innovation in agriculture, increasing productivity and decreasing production time, growth of consumers as a result from the State industrialization and urbanization, the open market that brings innovations to the automation in poultry laying, favorable natural conditions for vegetables and eggs production, close to major consumers centers. It was possible to noted the difference in technology from poultry laying and conventional vegetables and organics production. The fist constitute only by one product, the technical innovations eliminates natural barriers. On the second, because of variety of cultures, natural barriers still present. Therefore, in poultry laying the farms are predominantly bigger, the workers get paid a fixed amount of money monthly, in vegetables production the farms are smaller and the work are made by the family.

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Ghellere, Reginaldo. "REDES DE COOPERAÇÃO DA AGRICULTURA FAMILIAR DO SUL DE SANTA CATARINA." Universidade Federal de Santa Maria, 2014. http://repositorio.ufsm.br/handle/1/8908.

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Empresa Brasileira de Pesquisa Agropecuária
This research discusses the role of family agriculture cooperative networks in country life social and economic aspects in southern Santa Catarina. Since colonization period, mainly Italian and German, the region has a history of several agricultural cooperatives formed by agricultural product, some of which having already more than 45 years of operation. From the year 2004, seeking to meet the needs of marketing, appear new agricultural cooperatives in the decentralized model. Thus, the study aims to analyze the importance of agricultural cooperatives by product and decentralized to the social reproduction of family farmers associated with them. To meet this purpose was done a research with twenty associated from four agricultural cooperatives, two by product and two decentralized. The study shows how these cooperatives contribute positively with associated families by creating favorable marketing conditions to local farmers and also providing technical improvement. However, even with the recognition of the benefits of the cooperative, it was found that some associated have not sold their entire production through its cooperative thereby resulting in economic and social losses for the entire system.
Esta investigação versa sobre o papel das redes de cooperação da agricultura familiar na reprodução social das famílias de agricultores familiares. As redes de cooperação estudadas são delimitadas por cooperativas agropecuárias por produto e descentralizadas, localizadas no Sul de Santa Catarina. Desde sua colonização, principalmente italiana e alemã, a região possui um histórico de diversas cooperativas agropecuárias constituídas por produto agrícola, sendo que algumas delas possuem mais de 45 anos de funcionamento. A partir do ano de 2004, procurando atender as necessidades de comercialização de produtos processados pelos próprios agricultores, nos mercados local e institucional, são constituídas novas cooperativas agropecuárias no formato descentralizadas. Assim, o estudo teve como objetivo principal, analisar a importância das cooperativas agropecuárias por produto e descentralizadas para a reprodução social dos agricultores familiares associados às mesmas. Para tanto, foi feita uma pesquisa com vinte associados de quatro cooperativas agropecuárias, sendo duas por produto e duas descentralizadas. O estudo demonstrou que as cooperativas contribuem positivamente com as famílias associadas. Enquanto as cooperativas por produto conseguem ditar condições favoráveis de comercialização do mercado local aos agricultores sócios e também a não-sócios, bem como prestar apoio técnico e oferta de insumos, as cooperativas descentralizadas, por sua vez, viabilizam o acesso a diversos canais de comercialização aos seus associados a partir da formalização dos empreendimentos dos associados. Porém, mesmo com o reconhecimento dos benefícios da cooperativa, constatou-se que alguns cooperados não tem comercializado a totalidade de sua produção por meio das suas cooperativas. Isto resulta em perdas econômicas e sociais para as cooperativas e, respectivamente, para o conjunto dos associados.

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Zuchiwschi, Elaine. "Florestas nativas na agricultura familiar de Anchieta, Oeste de Santa Catarina." Florianópolis, SC, 2008. http://repositorio.ufsc.br/xmlui/handle/123456789/92141.

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Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Ciências Agrárias. Programa de Pós-Graduação em Recursos Genéticos Vegetais
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A região Oeste do estado de Santa Catarina teve sua ocupação intensificada a partir do início do século XX, com a chegada de migrantes descendentes de europeus (principalmente italianos e alemães) vindos do Rio Grande do Sul que, devido ao isolamento da região, inicialmente dependeram da mata nativa da qual retiravam madeira para construção e venda e erva-mate para venda. A partir da década de 1970 a agricultura familiar da região permitiu uma evolução econômica intensamente acelerada através do setor agroindustrial, que implicou intensa degração dos recursos naturais, notadamente o desmatamento das florestas nativas. Portanto, a conservação e restauração de florestas nativas, principalmente pelo estabelecimento de Áreas de Preservação Permanente e Reserva Legal é um desafio atual para estes agricultores familiares. No município de Anchieta, localizado no extremo Oeste de Santa Catarina, as restrições ao uso de recursos florestais nativos e o limitado tamanho dos estabelecimentos agropecuários são os principais desafios para a adequação às leis ambientais. Neste trabalho, procurou-se analisar as relações existentes entre os agricultores familiares do município de Anchieta com os recursos florestais nativos, assim como a inserção dos fragmentos florestais nativos em seus sistemas de produção, através de entrevistas e métodos de Etnobotânica e estudos de caso baseados na teoria de sistemas agrários. Encontrou-se que os recursos florestais nativos fazem parte das estratégias de subsistência dos agricultores ligadas ao autoconsumo de lenha para cozinhar e aquecer a casa no inverno, madeira para construções e reformas das residências e estruturas dos estabelecimentos agropecuários, além da confecção de artefatos utilizados na produção agrícola, dentre outros usos. Esses agricultores possuem um rico conhecimento a respeito da flora local abrangendo 132 espécies florestais nativas e para muitas dessas existe um alto consenso a respeito de seus usos. No entanto, o uso dessas espécies tem diminuído nos últimos anos principalmente devido às restrições impostas pelas leis ambientais. A produção de leite está crescendo em importância dentro dos sistemas de produção desses agricultores, o que implica um aumento do uso da terra para pastagem e cultivo de milho para silagem. Uma das principais motivações dos agricultores familiares de Anchieta para a conservação de fragmentos florestais é a reserva de materiais (lenha, madeira, etc.). Assim, a flexibilização e orientação adequada para esse tipo de uso dos fragmentos florestais pode ser um incentivo das leis ambientais para a conservação e restauração de florestas nativas dentro de estabelecimentos agropecuários familiares. The occupation of the Western region of Santa Catarina State was intensified by the beginnings of the 20th century, following the arrival of migrants (descendants of Europeans, mainly Italians and Germans) from the Rio Grande do Sul State. Due to the isolation of the region, they depended initially upon the exploitation of native timber as building material and for cash, as well as the marketing of 'erva-mate'. From the decade of 1970, the family farming model leveraged an intensive economic development of the agroindustrial sector, with a correspondent degradation of natural resources, especially the deforestation of native forests. Therefore, native forests conservation and restoration, mainly by the re-establishment of the Permanent Preservation Areas and Legal Reserve (two categories of ecosystem conservation in private land in Brazil) is a current challenge for these farmers. In the municipality of Anchieta, west of Santa Catarina, restrictions on the use of native forest resources along with the small size of the farmlands are the main challenges for the farmers to comply with environmental laws. This study aimed at examining the relationships between the family farmers of Anchieta with the native forest resources, as well as the insertion of native forest fragments in their production systems. We used interviews and other Ethnobotany methods, as well as case studies based on the agrarian systems theory. Our results showed that native forest resources are important part of the strategies for subsistence, especially the use of firewood for cooking and heating the house, timber for construction and renovation of houses and other farm structures, as well as material for building farming artifacts, among other uses. These farmers have a rich knowledge about the used local flora which comprises 132 native forest species. For many of these species there is a high consensus about uses. However, the use of these species has declined in recent years, mainly due to restrictions imposed by environmental laws. Dairy production is growing in importance in the local production systems, which implies an increase in the land use for grazing and the cultivation of corn to produce silage. One of the main motivations of Anchieta family farmers to conserve forest fragments is to store important resources (firewood, wood, etc.). Therefore, flexible environmental laws oriented toward this purpose may become an incentive for conserving and restoring the remnant native forests within their farms.

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Davtian-Valcke, Hélène. "Fratrie et schizophrénie : problématique de la coexistence sous le toit familial." Thesis, Paris 10, 2016. http://www.theses.fr/2016PA100042/document.

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L'évolution de la psychiatrie contemporaine est marquée par le basculement d'une partie importante de la prise en charge vers les familles. De ce fait, les situations de cohabitation du patient avec ses frères et sœurs sont de plus en plus fréquentes.Faisant suite à une recherche-action portant sur 600 frères et sœurs de personnes atteintes de troubles psychotiques, cette recherche s'inscrit dans une approche compréhensive qui donne une place centrale à l'expérience et à l'analyse qualitative de cas.La recherche permet de mieux comprendre la nature spécifique des retentissements de la schizophrénie sur la fratrie qui combine crainte de la contamination, contagiosité psychique et emprise. Il convient de prendre en compte ces trois dimensions pour développer une information et un accompagnement approprié pour les frères et sœurs. La recherche permet de repérer l'actualisation de la tension spéculaire lors de l'apparition des troubles, non seulement pour les frères et sœurs du patient, mais aussi pour le patient lui-même. Si elle est trop intense, la tension spéculaire peut faire peser une menace sur l'ensemble des frères et sœurs, avec de surcroit pour le malade la crainte de représenter lui-même une menace pour le reste du groupe. Ceci peut conduire à des mouvements radicaux de séparation et de collage pour les frères et sœurs du patient, mais aussi de repli pour la personne malade. En revanche, si elle est supportée par la fratrie, la tension spéculaire peut soutenir la capacité réflexive du patient et ainsi représenter un levier thérapeutique.Les situations de cohabitation, quand elles sont banalisées et contraintes, renforcent la tension spéculaire. Il convient donc de prendre en considération l'ensemble des personnes qui sont amenées à vivre sous le même toit que la personne malade lors de sa sortie d'hospitalisation. La recherche montre que soutenir les relations fraternelles dans les situations de cohabitation représente un intérêt non seulement sur le plan préventif pour les frères et sœurs, mais aussi sur le plan curatif pour la personne malade
Recent developments in contemporary psychiatry are underlined by an important change involving families as caregivers. As a consequence, more and more brothers and sisters live with their diseased sibling. This research project follows a previous research and action project involving 600 siblings of psychotic patients. This work follows a comprehensive approach that gives central focus to experience and qualitative analysis of cases.Research allows us to better understand the specific nature of schizophrenic impact on siblings that are fearful of contamination, psychic infectiousness and its influence. We need to take into account those 3 dimensions in order to develop information as well as proper follow-up for brothers and sisters.Research also allows us to identify conjoined mirror imaging between the patient and his siblings. When not too strong, this mirror imaging can represent a danger on the siblings as well on the patient himself who can see himself as a potential threat for the rest of the group.This dynamic can lead to radical movements of separation or bonding between brothers and sisters but also as a fall-back for the patient. On the other hand, if this mirror imaging is well supported by siblings, it can generate insight by the patient on his own condition and become a strong therapeutic adjunct.When co-habitation situations are trivialised, mirror imaging can become stronger. It is therefore important to consider everybody that lives under the same roof as the patient as he is discharged.Research shows that proper support of siblings relationships in cohabitation situations can lead to benefits not only on the preventive side for the siblings, but on the therapeutic side for the patient

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Mosimann, Eloysa Nezello. "Agricultura familiar e alimentação escolar nas encostas da serra geral de Santa Catarina." reponame:Repositório Institucional da UFSC, 2014. https://repositorio.ufsc.br/xmlui/handle/123456789/129126.

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Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Ciências Agrárias, Programa de Pós-Graduação em Agroecossistemas, Florianópolis, 2014.
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O Programa Nacional de Alimentação Escolar - PNAE é gerenciado pelo Fundo Nacional de Desenvolvimento da Educação - FNDE e visa a transferência, em caráter suplementar, de recursos financeiros aos estados, ao Distrito Federal e aos municípios destinados a suprir parcialmente as necessidades nutricionais dos alunos matriculados em escolas públicas e filantrópicas. Em 2009, a Lei 11.947 e a Resolução nº 38 passaram a exigir que do total dos recursos financeiros repassados ao PNAE, no mínimo 30% (trinta por cento), devem ser utilizados na aquisição de gêneros alimentícios diretamente da agricultura familiar e do empreendedor familiar rural ou de suas organizações. Neste contexto o presente estudo utilizou como panorama empírico o PNAE, por ser uma política pública que tem buscado favorecer a agricultura familiar, a produção e distribuição de alimentos a nível local e regional, o desenvolvimento rural sustentável e a qualidade das refeições dos escolares. O estudo teve como objetivo analisar as contribuições das dinâmicas de aquisição de alimentos da AF para o PNAE quanto à melhoria da sua governança, da qualidade nutricional das refeições e da organização produtiva e comercial dos agricultores. A pesquisa foi delineada como estudo de casos múltiplos com abordagem qualitativa complementada, em parte, pela quantitativa. Na primeira etapa da pesquisa realizou-se um estudo exploratório descritivo em 10 municípios localizados nas Encostas da Serra Geral no estado de Santa Catarina. A coleta de dados para aprofundamento do estudo foi realizada nos municípios de Santa Rosa de Lima, Rio Fortuna e Lauro Müller por meio de entrevistas semiestruturadas e análise documental. Todos os atores entrevistados participavam na prática de pelo menos uma das seguintes etapas: processo de compra, fornecimento e distribuição dos alimentos utilizados no preparo das refeições para os escolares, prestação de contas ou elaboração do cardápio. Os dados provenientes das entrevistas e dos documentos fornecidos foram analisados por meio da análise de conteúdo. Os resultados indicam que a aquisição de alimentos oriundos da AF para o PNAE trouxe contribuições significativas para a qualidade nutricional das refeições servidas, para a sustentabilidade econômica e para a organização produtiva e comercial de uma parcela dos agricultores familiares das Encostas da Serra Geral em Santa Catarina. A investigação também contribuiu para verificar importantes questões relacionadas à governança do processo de aquisição de alimentos da AF, demonstrando que o Conselho de Alimentação Escolar dos três municípios tem atuado de maneira bastante informal, prejudicando a interação entre os conselheiros e a discussão de questões importantes, o que acaba comprometendo a realização das atribuições previstas na legislação e a governança em torno do programa. A inclusão de produtos da AF na alimentação escolar foi fundamental para aumentar a oferta de frutas, verduras e legumes frescos e alimentos orgânicos nas escolas, para reduzir a oferta de produtos processados, além de proporcionar maior diversificação nos cardápios, favorecendo a aquisição de bons hábitos alimentares. A análise dos cardápios elaborados pelas nutricionistas permite inferir que os mesmos estavam de acordo com preceitos legais da resolução 38 de 2009 relacionados à utilização de gêneros alimentícios básicos, ao respeito à cultura alimentar da localidade e à diversificação agrícola da região. O estudo assinala que a diversidade de produtos demandados pelo PNAE incentiva os agricultores a diversificar os cultivos, o que se enquadra nos princípios da agroecologia, favorecendo a sustentabilidade dos agroecossistemas locais. Evidenciou-se que o fornecimento de alimentos para o PNAE é importante para a sustentabilidade econômica das organizações da AF estudadas e que as demandas do programa estimularam o aumento no número de cooperados e fortaleceram as agroindústrias familiares. Porém, ficou claro que outras vias de comercialização dos produtos oriundos da agricultura familiar devem ser incentivadas pelas políticas públicas, visto que somente o PNAE não é capaz de assegurar renda suficiente para as famílias dos agricultores. A assistência técnica, bem como a maior articulação e capacitação dos atores envolvidos na aquisição e comercialização de alimentos no âmbito do PNAE, podem favorecer o desenvolvimento do território, a adequação da oferta à demanda e a qualidade nutricional e sensorial dos alimentos fornecidos, facilitando a comercialização dos produtos da AF. Por fim, este estudo sinaliza que políticas públicas como o PNAE, quando bem implementadas, podem produzir mudanças positivas tanto na produção quanto no consumo de alimentos, contribuindo para o desenvolvimento com sustentabilidade e para a Segurança Alimentar e Nutricional (SAN) de alunos e agricultores familiares.

Abstract : The National School Feeding Programme (PNAE) is managed by the National Fund for Education Development (FNDE) and aims to transfer, in a supplementary way, financial resources to the states, the Federal District and the municipalities intended to meet partially the nutritional needs of students enrolled in public and nonprofit schools. In 2009, Law 11.947 and Resolution No. 38 started to demand that from the total financial resources allocated to PNAE, at least 30% (thirty percent) must be used in the purchase of food directly from family farms and family rural entrepreneurs or their organizations. In this context, the present study used the PNAE as an empirical overview, since it is a public policy that has sought to encourage family farming, production and distribution of food at a local and regional level, sustainable rural development and the quality of school meals. The study aimed to analyze the contributions of the dynamics of purchasing food from family farmers, through PNAE, in improving its governance, the nutritional quality of meals and the production and commercial organization of family farmers. This research was designed as a multiple case study with a qualitative approach supplemented in part by a quantitative one. In the first stage of the research, an exploratory descriptive study in 10 municipalities located in the slopes of the Serra Geral in the state of Santa Catarina State was conducted. Data collection for deepening the study was conducted in the cities of Santa Rosa de Lima, Rio Fortuna Lauro Müller and through semi-structured interviews and documentary analysis. All interviewed actors participated of at least one of the following steps: buying process, supply and distribution of food used in the preparation of meals for the schoolchildren, accountability or preparation of the menu. Data from interviews and documents provided were analyzed using content analysis. The results indicate that the acquisition of food from the family farmers through PNAE brought significant contributions to the nutritional quality of meals served, to the economic sustainability and also to the productive and commercial organization of a portion of the farmers in the slopes of the Serra Geral in Santa Catarina State. The research also contributed to identify important issues related to the governance in the process of acquiring food from family farmers, demonstrating that the Board of School Feeding (CAE) of the three municipalities has acted in a fairly informal manner, harming the interaction between the directors and the discussion of important issues, which ultimately jeopardize the achievement of the tasks set out in the legislation and the governancearound the program. The inclusion of products of family farmers in the school feeding was essential to increase the supply of fruits and fresh vegetables, as well as organic foods in schools, to reduce the supply of processed products, in addition to providing greater diversification in menus, favoring the acquisition of positive eating habits. The analysis of menus prepared by nutritionists infer that they were in accordance with the legal provisions of Resolution 38, of 2009, relating to the use of basic foodstuffs, to respect the food culture of the locality and agricultural diversification in the region. The study notes that the diversity of products demanded by PNAE encourages farmers to diversify crops, which fits on the principles of agroecology, promoting the sustainability of local agroecosystems. It was evident that the supply of food for PNAE is important for the economic sustainability of the family farmers? organizations studied and that the demands of the program stimulated an increase in the number of family members and strengthened agribusinesses. However, it became clear that other ways of selling products from family farms should be encouraged by public policy, since only PNAE is unable to ensure sufficient income for the family farmers. Technical assistance, as well as greater coordination and training of the actors involved in the acquisition and marketing of foods through PNAE, may favor the development of the area, adequacy of supply and demand, as well as the nutritional and sensory quality of the food provided, facilitating the marketing of family farmers? products. Finally, this study indicates that public policies such as PNAE, when properly implemented, can produce positive changes in both the production and consumption of food, contributing to the development with sustainability and to the Food Safety and Nutrition (SAN) for students and farmers.

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Dissertations / Theses on the topic 'Santé familiale'

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