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Revista Cubana de Medicina Tropical

Print version ISSN 0375-0760On-line version ISSN 1561-3054

Abstract

CASTRO, Marta et al. Contextualization of a comprehensive community-based strategy for dengue prevention. Rev Cubana Med Trop [online]. 2008, vol.60, n.1. ISSN 0375-0760.

OBJECTIVE: Describe the process of adapting a comprehensive community-based strategy for dengue prevention under the specific conditions of a municipality. METHODS: The strategy was implemented in Lisa and included organization, training, surveillance, community-wide work and action assessment. Key informants were interviewed and the general population was surveyed to learn about their knowledge, perceptions and practices. The analysis of the documents produced from April 2004 to April 2007 allowed describing the contextualization of this strategy. Chi square test was used to compare ratios to detect differences among various people´s councils making up this municipality. RESULTS: The people´s councils which exhibited the highest risks of dengue transmission were Versalles-Coronela, Alturas de la Lisa and Balcón Arimao so they were selected for the strategy implementation. It was detected that the municipal coordinating group as well as the community-based working groups at the constituencies were in need of expanding their knowledge. Training and advisory workshops were held to assist the involved staff. The community working groups were made up by the most influential organizations and actors in the community. The strategy implementation was different in each people´s council since it took into account the existing local characteristics and capacities. CONCLUSIONS: The community-based strategies are required to be contextualized and adapted to local conditions. The involvement of the main actors in this process is essential for acceptability, feasibility, empowerment and responsibility for its implementation. The participatory documentation makes it possible to monitor changes in the strategy in the course of its implementation.

Keywords : Mosquito control; Aedes aegypti; prevention; dengue; community involvement; Cuba.

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