Estrategia intersectorial y participativa con enfoque de ecosalud para la prevención de la transmisión de dengue en el nivel local

Díaz, Cristina; Torres, Yisel; Cruz, Ana Margarita de la; Alvárez, A.; Piquero, María Eugenia; Valero, Aida; Fuentes, Omar

doi:10.1590/s0102-311x2009001300006

Cited by 17 publications

(11 citation statements)

References 8 publications

(9 reference statements)

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“…However, in studies based on the ecohealth approach, in which specific problems were addressed, we obtained good results by boosting the participation of the population. 4 , 11 , 20 This difference in participation in the diagnoses may be related to low community sense of belonging of the population in the urban area. Chavis et al 7 , 8 gave solid support, showing the relationship between the sense of community and belonging, and community participation.…”

Section: Discussionmentioning

confidence: 99%

“…The ecohealth approach was used for problems linked with health and environment, 14 , 20 and also with vector-borne diseases. 11 , 21 However, no reports around the population health diagnoses based on this approach exist. It promotes the active participation of the population to identify and understand the problems, to establish all the perspectives of the population, the authorities and the research team.…”

Section: Introductionmentioning

confidence: 99%

“…El enfoque de ecosalud ha sido utilizado en problemáticas vinculadas con la salud y el ambiente, 14 , 20 y con enfermedades transmitidas por vector. 11 , 21 Sin embargo, no existen reportes en torno a diagnósticos de salud poblacional con base en este enfoque. Este enfoque promueve la participación activa de la población en la identificación y comprensión de los problemas, al conjuntar las perspectivas de población, autoridades y equipo investigador.…”

Section: Introductionunclassified

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Population health diagnosis with an ecohealth approach

et al. 2015

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OBJECTIVE To analyze the characteristics of health diagnosis according to the ecohealth approach in rural and urban communities in Mexico.METHODS Health diagnosis were conducted in La Nopalera, from December 2007 to October 2008, and in Atlihuayan, from December 2010 to October 2011. The research was based on three principles of the ecohealth approach: transdisciplinarity, community participation, gender and equity. To collect information, a joint methodology and several techniques were used to stimulate the participation of inhabitants. The diagnostic exercise was carried out in five phases that went from collecting information to prioritization of problems.RESULTS The constitution of the transdisciplinary team, as well as the participation of the population and the principle of gender/equity were differentials between the communities. In the rural community, the active participation of inhabitants and authorities was achieved and the principles of transdisciplinarity and gender/equity were incorporated.CONCLUSIONS With all the difficulties that entails the boost in participation, the incorporation of gender/equity and transdisciplinarity in health diagnosis allowed a holistic public health approach closer to the needs of the population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionunclassified

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Population health diagnosis with an ecohealth approach

et al. 2015

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“…Studies show that these social and intersectorial policies have led to an increase in the access to health services and also educational services; to devices and opportunities for work and income; to an improvement in the general health of the specific groups that have been analyzed; and also in the environmental area, with an increase in capital stock in communities and the empowerment of groups with an expansion of social participation and organization of civil society, not to mention general improvement in health for tackling disease and epidemics [45–47]. …”

Section: Discussionmentioning

confidence: 99%

Areas with evidence of equity and their progress on mortality from tuberculosis in an endemic municipality of southeast Brazil

Yamamura

Neto

et al. 2017

Infect Dis Poverty

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BackgroundIn Brazil, people still fall ill and die from tuberculosis (TB), and this can be explained by the significant impasse in the equity of distribution of therapeutic resources to the population as a whole. The aim was to identify geographical areas which have shown progress in terms of equity (of income, schooling and urban occupancy) and test its effect on mortality from TB in a municipality of southeast Brazil.MethodsIt is an ecological study considering TB as the basic cause for deaths registered between 2006 and 2013 on the Mortality Information System and other variables obtained through the Demographic Census of the Brazilian Institute of Geography and Statistics (2010). The geographical area for analysis comprised the areas of coverage of the health services. Social indicators have been constructed through the Principal Component Analysis (PCA). The cases were geocoded and the annual mortality rate from TB was calculated with smoothing using the local empirical Bayesian method. Multiple linear regression was then performed. There was confirmation of the existence of spatial dependence of residue through the application of the Global Moran I test, and application of the Models with Global Spatial Effects, to identify the best standard of spatial regression.ResultsThe mortality rates ranged from 0.00 to 2.8 deaths per 100,000 people, per year. In the PCA, three indicators were constructed, and designated as indicators of income, social inequality, and social equity. In multiple linear regression, the indicator of social equity was statistically significant (P < 0.0001) but had a negative association, an adjusted R2 of 28.36% and with spatial dependence (Moran I = 0.21, P = 0.003455). The best model to deal with existing spatial dependence was the Spatial Lag Model.ConclusionsThe better social conditions have shown progress in reducing mortality from TB, thereby reinforcing the achievement of Sustainable Development Goals. In addition, cartography was also applied, which can be replicated in other scenarios throughout the world, using a scope distinct from that of works traditionally produced in that it places the emphasis on social equity.Electronic supplementary materialThe online version of this article (doi:10.1186/s40249-017-0348-5) contains supplementary material, which is available to authorized users.

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“…This is reflected in Rose s suggestion that health practitioners seek to ask Why did this patient get this disease at this time (Rose, 1985). An ecosystem approaches to human health framework (ecohealth) implies recognizing that the disease emerges from a set of specific environmental, social, economic and political conditions (Díaz et al, 2009). Health geography and ecohealth are characterized by methodological pluralism (Sechrest & Sidani, 1995).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

What caused the 2012 dengue outbreak in Pucallpa, Peru? A socio-ecological autopsy

Charette

Berrang‐Ford

Llanos-Cuentas

et al. 2017

Social Science & Medicine

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Dengue is highly endemic in Peru, with increases in transmission particularly since vector re-infestation of the country in the 1980s. Pucallpa, the second largest city in the Peruvian Amazon, experienced a large outbreak in 2012 that caused more than 10,000 cases and 13 deaths. To date, there has been limited research on dengue in the Peruvian Amazon outside of Iquitos, and no published review or critical analysis of the 2012 Pucallpa dengue outbreak. This study describes the incidence, surveillance, and control of dengue in Ucayali to understand the factors that contributed to the 2012 Pucallpa outbreak. We employed a socio-ecological autopsy approach to consider distal and proximal contributing factors, drawing on existing literature and interviews with key personnel involved in dengue control, surveillance and treatment in Ucayali. Spatio-temporal analysis showed that relative risk of dengue was higher in the northern districts of Calleria (RR = 2.18), Manantay (RR = 1.49) and Yarinacocha (RR = 1.25) compared to all other districts between 2004 and 2014. The seasonal occurrence of the 2012 outbreak is consistent with typical seasonal patterns for dengue incidence in the region. Our assessment suggests that the outbreak was proximally triggered by the introduction of a new virus serotype (DENV-2 Asian/America) to the region. Increased travel, rapid urbanization, and inadequate water management facilitated the potential for virus spread and transmission, both within Pucallpa and regionally. These triggers occurred within the context of failures in surveillance and control programming, including underfunded and ad hoc vector control. These findings have implications for future prevention and control of dengue in Ucayali as new diseases such as chikungunya and Zika threaten the region.

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Estrategia intersectorial y participativa con enfoque de ecosalud para la prevención de la transmisión de dengue en el nivel local

Cited by 17 publications

References 8 publications

Population health diagnosis with an ecohealth approach

Population health diagnosis with an ecohealth approach

Areas with evidence of equity and their progress on mortality from tuberculosis in an endemic municipality of southeast Brazil

What caused the 2012 dengue outbreak in Pucallpa, Peru? A socio-ecological autopsy

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