Andrée Demers


Construction d'un programme en santé communautaire : du projet planifié à l'action implantée


This article describes the implementation of a program seeking to transform a low-rent, "social housing" establishment for the elderly into an establishment offering "sheltered housing." Modifications made to the program during the course of implementation are addressed by the authors as natural occurrences, inherent in the construction of any innovative program and its installation in a new context. The analysis focuses on processes of mutual adjustment between the program and the milieu. The results demonstrate the iterative nature of actors' rationality, showing how certain choices rejected at the time of planning may gradually became acceptable, or even imperative, during the implementation process. The authors reconsider the sequence of evaluation, particularly the role of evaluating the relevance of a program during the development phase.