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Malaria outbreak response in urban Santo Domingo, Dominican Republic: lessons learned for community engagement
Artículo en Inglés | PAHO-IRIS | ID: phr-52534
Biblioteca responsable: US1.1
ABSTRACT
[ABSTRACT]. Community engagement is crucial for public health initiatives, yet it remains an under-studied process within national disease elimination programs. This report shares key lessons learned for community engagement practices during a malaria outbreak response in the Los Tres Brazos neighborhood of urban Santo Domingo, Dominican Republic from 2015-2016. In this two-year period, 233 cases of malaria were reported—more than seven times the number of cases (31) reported in the previous two years. The initial outbreak response by the national malaria program emphasized “top-down” interventions such as active surveillance, vector control, and educative talks within the community. Despite a transient reduction in reported cases in mid-2015, transmission resurged at the end of 2015. The program responded by introducing active roles for trained community members that included door-to-door fever screening, testing with rapid diagnostic tests and treatment. Malaria cases declined significantly throughout 2016 and community-based active surveillance infrastructure helped to detect and limit a small episode of transmission in 2017. Results from qualitative research among community members revealed two key factors that facilitated their cooperation with community-based surveillance activities motivation to help one’s community; and trust among stakeholders (community health workers, their neighbors and other key figures in the community, and malaria program staff and leadership). This experience suggests that community-led interventions and the program’s willingness to learn and adapt under changing circumstances can help control malaria transmission and pave the way for elimination.
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Texto completo: Disponible Colección: Bases de datos de organismos internacionales Contexto en salud: ODS3 - Salud y Bienestar / Enfermedades Desatendidas Problema de salud: Meta 3.3: Poner fin a las enfermedades desatendidas y detener enfermedades transmisibles / Malária / Enfermedades Desatendidas Base de datos: PAHO-IRIS Asunto principal: Relaciones Comunidad-Institución / Participación de la Comunidad / República Dominicana / Erradicación de la Enfermedad / Malaria Tipo de estudio: Investigación cualitativa País/Región como asunto: Caribe Inglés / Dominica / República Dominicana Idioma: Inglés Año: 2020 Tipo del documento: Artículo

Texto completo: Disponible Colección: Bases de datos de organismos internacionales Contexto en salud: ODS3 - Salud y Bienestar / Enfermedades Desatendidas Problema de salud: Meta 3.3: Poner fin a las enfermedades desatendidas y detener enfermedades transmisibles / Malária / Enfermedades Desatendidas Base de datos: PAHO-IRIS Asunto principal: Relaciones Comunidad-Institución / Participación de la Comunidad / República Dominicana / Erradicación de la Enfermedad / Malaria Tipo de estudio: Investigación cualitativa País/Región como asunto: Caribe Inglés / Dominica / República Dominicana Idioma: Inglés Año: 2020 Tipo del documento: Artículo
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