Interventions to bring comprehensive care to people with Chagas disease: Experiences in Bolivia, Argentina and Colombia

Social determinants in the access to health care for Chagas disease: A qualitative research on family life in the “Valle Alto” of Cochabamba, Bolivia

“…The way transnational families share information and support is also highlighted. A transnational approach to health care, such the Bolivian Chagas Platform, offers many opportunities to access health care here and there and to monitor the disease throughout the migration process [ 50 ].…”

“…Since then, a strategy of decentralization of Chagas disease health care has been gradually implemented by training health personnel from 50 primary health facilities in 27 municipalities and creating networks that provide Chagas disease health care [ 36 ]. These networks in Bolivia are linked to the Hospital Clinic of Barcelona in Spain with mutual learning and shared protocols, allowing a transnational attention to a population that moves, relates, and communicates intensely in both countries [ 50 ].…”

“…After ten years of health-care provision through the Bolivian Chagas Platform, there are still marked inequalities, vulnerability conditions, and a complex psychosocial dimension that hinders or impedes access to health care for Chagas disease. In this regard, there are major differences between rural and urban environments, genders, and population groups with different socioeconomic conditions [ 50 , 51 ]. This highlights the need to understand Chagas disease from a social perspective, as well as to establish horizontal dialogues with civil society to generate useful knowledge to improve the living conditions of people who might be affected by or living with Chagas disease.…”

Chagas Congenital Screening in Switzerland: Processes of Recognition and Knowledge-Sharing

“…Indeed, the majority of the issues encountered in the case study of Geneva and Lausanne are not exclusive to non-endemic countries. For example, the lack of CD knowledge among health workers can also appear in endemic countries (Martínez-Parra et al 2018;Ventura-Garcia et al 2013), and for interventions to be successful, a number of challenges must be addressed, such as the maintenance of awareness due to limited human resources, high staff turnover, and implementing close follow-up by personnel (Pinazo et al 2020).…”

Chagas Disease - Past and Future

“…Public policies implemented to control the disease since the 1980s have resulted in a decrease in prevalence in Brazil, dropping from 7% in the 1970s to 0.17% nowadays. However, it is estimated that Argentina and Brazil (with about 1.3-1.5 million people infected) and Mexico and Bolivia (with about 0.6-0.8 million people infected) are the countries with the largest infected populations, for a total of more than 40 000 new annual cases due to vector transmission and more than 14 000 due to congenital transmission, [5][6][7][8] In Brazil, efforts to control the spread of the disease have been intensified since the 1980s with the implementation of a national program. With the development of studies on Trypanosoma sp prevention and contamination, actions have been implemented in blood product transfusions, organ transplants, laboratory sample-handling procedures, and foodhandling practices associated with transmission as well as in congenital transmission.…”