SciELO - Scientific Electronic Library Online

 
vol.71 número1Pérdida de calidad de vida y carga económica causada por dengue desde la perspectiva de pacientes y sus familiaresEvaluación del sistema Brucellacapt® para el diagnóstico serológico de la brucelosis humana en Cuba índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Revista Cubana de Medicina Tropical

versión impresa ISSN 0375-0760versión On-line ISSN 1561-3054

Resumen

CASTRO PERAZA, Marta Ana et al. Sustainability of a Cuban community empowerment strategy for dengue fever prevention from the perspective of its key actors. Rev Cubana Med Trop [online]. 2019, vol.71, n.1, e370.  Epub 30-Jun-2019. ISSN 0375-0760.

Introduction:

Systematic reviews about dengue fever prevention interventions show that there is little evidence of the sustainability of participatory strategies. A Cuban community empowerment strategy was implemented between the years 2004 and 2007. It consisted of four components: organization, training, community work, and surveillance of risks and behavior.

Objective:

Evaluate the perception about sustainability of the community empowerment strategy for dengue fever prevention from the perspective of the key actors of its implementation.

Methods:

A nested descriptive qualitative experimental study was conducted from April to September 2011. Sustainability was understood as the continued use of the components of the strategy, the conduct of activities more than 3 years after completion of the implementation and evaluation stage, and external funding for the research. In-depth interviews were held with key actors playing a significant role during the stages of design and implementation. The information obtained was classified into inductive analysis categories emerging from the reiterated reading of the data, and was then reclassified and contrasted with operational sustainability indicators for health interventions.

Results:

Interviewees identified a number of changes brought about by the strategy, e.g. an increase in local capacities, personal / professional growth, new work styles and organization at the municipal, people's council and constituency levels. The strategy was perceived as sustainable (91 references), and new data were provided which enrich the operational sustainability indicators used and recognize the benefits to health care and other direct effects of the concept of empowerment underlying the proposal. The building of capacities was evaluated by health actors as the strengthening of family doctors' and nurses' competencies to lead participatory processes in the community.

Conclusions:

The views contributed by actors enriched the analysis about the sustainability of the strategy and recognized the importance of capacity building for empowerment based on community education, as fostered during the implementation stage, for the maintenance of results and their relationship to the effects reported by actors.

Palabras clave : dengue fever; Aedes aegypti; sustainability; community participation; Cuba.

        · resumen en Español     · texto en Español     · Español ( pdf )