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Developing A Sustainable Strategy And Enhancing Conditions Of Effectiveness Of The Jafa Programme In Guadeloupe And Martinique: A Realist Evaluation.

Home
Research Domains
Human Society
Development Studies
Urban Community Development
Developing A Sustainable Strategy And Enhancing Conditions Of Effectiveness Of The Jafa Programme In Guadeloupe And Martinique: A Realist Evaluation.

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Developing a sustainable strategy and enhancing conditions of effectiveness of the JAFA programme in Guadeloupe and Martinique: a realist evaluation.

Olivier Aromatario^1,2, Céleste Rousseau^3,4, Linda Cambon^1,2

¹CHU de Bordeaux, Service de prévention (SSMIP), France.

Global Health Promotion

|September 17, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

The JAFA programme reduced chlordecone contamination for household producers in Martinique and Guadeloupe. Realist evaluation identified strategies for programme improvement and scaling up.

Keywords:

JAFA programme Kepone chlordecone household producers

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Area of Science:

Environmental Health
Public Health Interventions
Pesticide Contamination

Background:

Chlordecone pesticide use in Martinique and Guadeloupe (1972-1993) led to significant health and environmental impacts.
The JAFA (JArdins FAmiliaux) programme was established in 2009 to mitigate chlordecone contamination among 'household producers'.
This study focuses on the JAFA programme's impact and function between 2015 and 2023.

Purpose of the Study:

To understand the operational mechanisms and conditions of the JAFA intervention.
To identify key impacts and functions of the JAFA programme.
To generate recommendations for programme transferability, scaling up, and reorientation.

Main Methods:

A realist evaluation framework was employed, adapted for complex interventions.

realist evaluation

soil contamination

The evaluation involved iterative development with stakeholders, including professionals and programme participants.

Data collection included individual interviews (105 total), professional seminars, and focus groups on both islands.

Main Results:

The JAFA programme's medium-range theory consists of 22 causal chains, detailing 127 contexts influencing 22 mechanisms.
The evaluation identified specific strategies for programme enhancement.
Ten recommendations for the JAFA programme were validated by stakeholders.

Conclusions:

Realist evaluation provides a robust method for understanding complex public health interventions like JAFA.
Key strategies were identified to improve the JAFA programme's long-term effectiveness.
Findings support the transferability, scaling up, and adaptation of the JAFA approach to meet local needs.