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Conference

French

ID: <

10670/1.3nnmx0

>

Where these data come from
The local ‘manufacturer’ of professional and lay roles in the field of health. Learn how to do so with diabetes in Mali.

Abstract

internationally produced knowledge on the prevalence of chronic diseases — including type 2 diabetes — worldwide portray Africa as increasingly affected. National policies to deal with this condition are structured there; specialised care facilities are being developed, as well as expert and lay knowledge and know-how. Mali is one of these countries. Since 2007, we have been conducting research funded by the ANR into the diversity of knowledge and care that develop around diabetes, articulated at international, national and local levels. In this Communication we question the production of “localised” know-how, analysed locally, through the roles that Malian doctors build in their daily work, as well as diabetic patients in care. We first discuss the development of the roles of doctors. Designed as resources from which they structure relationships with their patients, these roles are partly based on theoretical models circulating on a global scale of reflection on diabetes and chronic diseases, including the place to be given to patients in care. Working on the development of some structuring content of their role in a concrete exercise will make it possible to see what they “localise” by accommodating these theoretical know-how, what they prefer and with what reasoning. We then discuss how patients grasp this interaction framework to build their own role — and associated knowledge — in the care of diabetes. More fundamentally, we would like to show the difficult side of the interplay grid to understand processes for locating knowledge and know-how that circulate on a global level of reflection on health.

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