Chagas disease (CD) is a tropical parasitic disease largely underdiagnosed and mostly asymptomatic affecting marginalized rural populations. Argentina regularly reports acute cases of CD, mostly young individuals under 14 years old. There is a void of knowledge of health care seeking behavior in subjects experiencing a CD acute condition. Early treatment of the acute case is crucial to limit subsequent development of disease. The article explores how the health outcome of persons with acute CD may be conditioned by their health care seeking behavior. The study, with a qualitative approach, was carried out in rural areas of Santiago del Estero Province, a high risk endemic region for vector transmission of CD. Narratives of 25 in-depth interviews carried out in 2005 and 2006 are analyzed identifying patterns of health care seeking behavior followed by acute cases. Through the retrospective recall of paths for diagnoses, weaknesses of disease information, knowledge at the household level, and underperformance at the provincial health care system level are detected. The misdiagnoses were a major factor in delaying a health care response. The study results expose lost opportunities for the health care system to effectively record CD acute cases.
Abramos los ojos, ya es hora de ver: reflexiones sobre una campaña para la eliminación de la violencia contra las mujeresOpen your eyes, it's time to see: reflections on a campaign for the elimination of violence against women
ResumenEl trabajo narra el proceso de creación de la primera campaña contra la violencia de género en Santiago del Estero, Argentina. La misma fue centrada en la prevención de los distintos tipos de violencia y en la difusión de los organismos provinciales para la atención, el asesoramiento y el acompañamiento de las víctimas. El camino fue la desnaturalización de la violencia simbólica y psicológica que atenta contra los derechos de las mujeres. A través de una estrategia comunicacional, se instalaron la crítica reflexiva y la información necesaria para actuar al respecto.
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