Prendre soin des femmes vulnérables en périnatalité

"THE PROJECT: Caring for vulnerable women in perinatal period is currently at the heart of Public Health's concerns. Society has a duty of assistance and intervention to better protect them. According to a Médecins du monde survey (2014 report) on access to healthcare in Europe, 2/3 of pregnant women do not have access to perinatal care. While pregnant women, mothers and their young children should be given specific protection because of their vulnerability, this report shows that access to care for the most precarious is not sufficiently taken into account. Risk factors aggravate vulnerability.In the context of the CapeVfair European project, participants from the four partner countries (France, Italy, Romania, Spain) note that professionals are still powerless regarding this type of public as well as its problems. There is no specific training for observation and support of the mother-child relationship with a population in difficulty in the 4 partner countries; neither in the basic training of social and medico-social workers, nor in university courses.STRATEGIC PARTNERSHIP: This project was initiated by France within the « Centre de Soin, d’Accompagnement et de Prévention en Addictologie » (Center of Care, Accompaniment and Prevention in Addiction) ""Broquedis"" of the Caminante association. The idea was to cross CSAPA's professional practices with those of other offshore social or medico-social institutions, welcoming women and vulnerable children in the perinatal period.Thanks to our French academic partner, A.M. Doucet Dahlgren, professor-researcher in Sciences of education at Paris X Nanterre University (FR), we made contact with professors-researchers from the universities of Barcelona (ES), Iasi (RO) and Verona (IT). These academics helped us build the institutional partnership. The CapeVfair project involves 8 partners for 4 countries: a university and a social or medico-social structure per country, namely HoltIS (RO), Eduvic (RO), Comune di Verona - Casa di Ramia (IT) and Caminante (FR ).OBJECTIVES: Our project aims at raising awareness and training professionals to specifically support pregnant women / or with very young children, in vulnerable situations.RESULTS: The 2 years of collaborative work of the 8 partners involved in CapeVfair have resulted in rich and fruitful exchanges of professional practices and a real work stimulation on the issue of vulnerability in the perinatal period.This perspective of technical knowledge, theoretical and complementary field experiences allowed the specialists of the 4 countries involved in the project to highlight skills and tools specific to quality professional support .Partners in the CapeVfair project are now able to offer training and / or educational modules of specific support for mothers and vulnerable children during the perinatal period. We have co-built operational technical documents, support to this training:• A definition of mothers and children vulnerability during the perinatal period• A document describing and explaining the tools for identifying vulnerability factors used by field professionals working in different countries, contexts and cultures• A document describing and explaining the tools used to observe / analyze vulnerability factors used by field professionals working in different countries, contexts and cultures• A document describing and explaining support tools for mothers and children in vulnerable situations, allowing to support the mother-child bond, to enhance maternal skills. IMPACTS:Thanks to the 3 key moments of valorization of our work, many sector professionals , in each of the countries that are concerned, were sensitized to the care specificity of the target public: tracking and identification of vulnerability factors, accompaniment of the vulnerable public, importance of multidisciplinary approach and networking.The work results (6 intellectual outputs) are all available in the 4 partner country languages as well as in English. They will serve as a support for the training offered in each of the countries, integrated into initial and / or continuous training.A final conference was organized in France on June 14th, 2017, gathering more than 150 participants. The partners were able to present some of the results of their work. The various video presentations are available on the internet (Youtube) and on the capevfair.eu website. The idea is to disseminate as widely as possible the results of our work and the reflections they can generate."