Fostering social innovation and building adaptive capacity for dengue control in Cambodia: a case study

Abstract

Background: The social-ecological systems theory, with its unique conception of resilience (social-ecological systems & resilience, SESR), provides an operational framework that currently best meets the need for integration and adaptive governance as encouraged by the Sustainable Development Goals. SESR accounts for the complex dynamics of social-ecological systems and operationalizes transdisciplinarity by focusing on community engagement, value co-creation, decentralized leadership and social innovation. Targeting Social Innovation (SI) in the context of implementation research for vector-borne diseases (VBD) control offers a low-cost strategy to contribute to lasting and contextualized community engagement in disease control and health development in low and middle income countries of the global south. In this article we describe the processes of community engagement and transdisciplinary collaboration underpinning community-based dengue management in rural primary schools and households in two districts in Cambodia. Methods: Multiple student-led and community-based interventions have been implemented focusing on empowering education, communication for behavioral change and participatory epidemiology mapping in order to engage Cambodian communities in dengue control. We describe in particular the significance of the participatory processes that have contributed to the design of SI products that emerged following iterative consultations with community stakeholders to address the dengue problem. Results: The SI products that emerged following our interaction with community members are 1) adult mosquito traps made locally from solid waste collections, 2) revised dengue curriculum with hands-on activities for transformative learning, 3) guppy distribution systems led by community members, 4) co-design of dengue prevention communication material by students and community members, 5) community mapping.

Familia y empoderamiento. Una revisión desde la mirada social del dengue

“…En el primer caso, las iniciativas responden a procesos gubernamentales diseñados sin el involucramiento de los participantes, y en contraste, el segundo tipo enuncia a aquellas acciones formuladas con apoyo de las comunidades, lo cual genera menos resistencia en los grupos familiares (27) al momento de implementar los programas de salud. Además, la familia desde esta segunda mirada se asume como entornos responsables y co-creadores de actividades para la salud individual y familiar (28,44) capaces de gestionar auto reportes de los fenómenos sociales de la salud (29) como acciones potenciadoras de la salud familiar y colectiva.…”

“…Otros enfoques proponen la integralidad de las acciones entre familias, comunidades y Estado (41) , la relación de aprendizajes, gestión familiar, empoderamiento y toma de decisiones para el control de enfermedades (43) y el fomento de las capacidades familiares adaptativas a partir del involucramiento familiar en el co-diseño de actividades en el control y prevención del dengue (44) .…”

“…Fostering social innovation and building adaptive capacity for dengue control in Cambodia: a case study (44) University London, Thornhaugh Street, London WC1H 0XG, UK El reto propuesto por los Objetivos de Desarrollo Sostenible convoca el análisis inter y transdisciplinar de las problemáticas de salud, mediante la implementación de enfoques integradores para la consecución de dichos objetivos. Bajo esta perspectiva, se orientó el estudio de caso para el fomento de la capacidad adaptativa de las familias en el control del dengue, estableciéndose la necesidad de involucrar la presencia de los actores interesados en el codiseño de las actividades de control del dengue, como mecanismos para la generación de aprendizajes significativos, transformadores y empoderados.…”

Navigating the COVID-19 Crisis to Sustain Community-Based Malaria Interventions in Cambodia

“…15 In the case of the MMWs in Cambodia, those who have strong support and supervision from the CNM, and its partners, have similarly increased credibility within the communities they serve. As noted by Echaubard et al, genuine community engagement creates a sense of ownership 16 : Motivated, empowered, and well-informed multistakeholder groups . .…”

Does anthropogenic introduction of guppy fish (Poecilia reticulata) impact faunal species diversity and abundance in natural aquatic habitats? A systematic review protocol

“…(2) the low cost of implementation; and (3) the potential for community-based actions, with or without state-led interventions [10][11][12][13], suggesting guppy introduction as an effective, well-accepted, and sustainable intervention. Thus, guppy introduction might play more important part in mosquito control, and be used even more widely in new geographical areas, or for other mosquito-borne disease control.…”