Étude de faisabilité du dispositif « Passerelle » couplant transfert monétaire non fléché et orientation sociale destiné à des ménages en situation de précarité en France
摘要
The new “Passerelle” program aims to reduce socioeconomic inequalities in diet in France, by offering an untargeted cash transfer (CT) coupled with social guidance to households in precarious situations.
ObjectivesAssess the feasibility of the program and data collection for monitoring indicators, to inform the design of a future trial to evaluate its effectiveness.
MethodsSingle-group pre-post-test feasibility study. The program was implemented in Montreuil (France) with households in precarious situations identified by local social actors. The feasibility of the program was assessed in terms of implementation of household targeting (number and socio-economic characteristics of participants), intervention components (participation rates), and user acceptability (questionnaire and qualitative survey). The feasibility of data collection was assessed by participation in surveys before inclusion (t0) and after 3 (t1) and 6 months (t2), response rates and responsiveness of food security and well-being indicators.
ResultsTwo hundred households took part in the program, 90% were in monetary poverty, 82% in food insufficiency, 97% received the cash transfer card, 99% attended the social orientation meeting, over 95% said they were satisfied with the program, and 69% said they improved their food purchases. The qualitative survey documented the reasons for acceptability. Participation rates at t0, t1 and t2 were 93%, 76% and 73%. Non-response rates were below 5% for most indicators. Follow-up indicators ranged from + 19% to + 99% at t1.
ConclusionThis study demonstrates the feasibility of the program and collecting data from the target population to monitor food security and well-being indicators. It confirms the interest of a future trial to evaluate the program effectiveness, in order to contribute to reflections on policies to combat food insecurity in France. An analysis of the program theory, explaining the expected changes, mechanisms and conditions of impact would be beneficial for future research.