<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0375-0760</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Trop]]></abbrev-journal-title>
<issn>0375-0760</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0375-07602020000200009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Desafíos en la implementación de la Estrategia de Gestión Integrada para la prevención y control del dengue, Costa Rica 2016]]></article-title>
<article-title xml:lang="en"><![CDATA[Challenges posed by the implementation of the Integrated Management Strategy for dengue prevention and control, Costa Rica 2016]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvarado-Prado]]></surname>
<given-names><![CDATA[Rebeca]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nieto López]]></surname>
<given-names><![CDATA[Emmanuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Rojas]]></surname>
<given-names><![CDATA[Melissa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica Escuela de Salud Pública ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia de Colombia Facultad Nacional de Salud Pública ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Ministerio de Salud de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>72</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0375-07602020000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0375-07602020000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0375-07602020000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  En 2004 las autoridades de Costa Rica se comprometieron con la implementación de la Estrategia de Gestión Integrada que busca reducir la morbilidad, la mortalidad y la carga social y económica por los brotes y las epidemias del dengue. Sin embargo, tal como indican los datos de incidencia del dengue, a lo largo del tiempo no hay un descenso sostenido en los cantones.  Objetivo:  Identificar los niveles de cumplimiento de la Estrategia de Gestión Integrada orientada a la prevención y control del dengue en Costa Rica.  Métodos:  Se aplicó una lista de verificación sobre los indicadores de cumplimiento de la Estrategia de Gestión Integrada a siete áreas rectoras del Ministerio de Salud del Pacífico Central. Además, se realizaron entrevistas a funcionarios de las áreas locales.  Resultados: El nivel de cumplimiento de la Estrategia de Gestión Integrada para la prevención y control del dengue en las áreas rectoras obtuvo un puntaje máximo del 78 %. Los componentes con menor nivel de cumplimiento fueron manejo integrado de vectores y comunicación social.  Conclusiones:  A nivel local existen múltiples barreras para el cumplimiento de los indicadores propuestos en la Estrategia de Gestión Integrada. Por tanto, se requiere un mayor acompañamiento del nivel central y regional, con el fin de articular los diferentes componentes y alcanzar los objetivos y metas planteadas a nivel local.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  In the year 2004 Costa Rican authorities pledged to implement an Integrated Management Strategy aimed at reducing the morbidity, mortality and social and economic burden caused by dengue outbreaks and epidemics. However, incidence data show that there has not been a sustained decrease of the disease in cantons.  Objective:  Identify the degree of compliance with the Integrated Management Strategy for dengue prevention and control in Costa Rica.  Methods:  A checklist about indicators for compliance with the Integrated Management Strategy was applied in seven leading areas of the Central Pacific Health Ministry. Additionally, interviews were conducted with local area officials.  Results: Compliance with the Integrated Management Strategy for dengue prevention and control in the leading areas reached a maximum score of 78%. The components with the lowest compliance values were integrated vector management and social communication.  Conclusions:  A large number of barriers hamper compliance with Integrated Management Strategy indicators on the local level. Greater support by the central and regional levels is therefore required to articulate the various components and achieve local objectives and goals.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[dengue]]></kwd>
<kwd lng="es"><![CDATA[Aedes]]></kwd>
<kwd lng="es"><![CDATA[prevención]]></kwd>
<kwd lng="es"><![CDATA[control]]></kwd>
<kwd lng="es"><![CDATA[política de salud]]></kwd>
<kwd lng="en"><![CDATA[dengue]]></kwd>
<kwd lng="en"><![CDATA[Aedes]]></kwd>
<kwd lng="en"><![CDATA[prevention]]></kwd>
<kwd lng="en"><![CDATA[control]]></kwd>
<kwd lng="en"><![CDATA[health policy]]></kwd>
</kwd-group>
</article-meta>
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<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Munster]]></surname>
<given-names><![CDATA[BM]]></given-names>
</name>
<name>
<surname><![CDATA[Guzmán]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Cuba Med Trop]]></source>
<year>2007</year>
<volume>59</volume>
<page-range>177-8</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
