COMMUNITY PARTICIPATION IN VECTOR CONTROL - LESSONS FROM CHAGAS-DISEASE
COMMUNITY PARTICIPATION IN VECTOR CONTROL - LESSONS FROM CHAGAS-DISEASE
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DOI：
10.4269/ajtmh.1994.50.61
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发表时间：
1994-01-01
影响因子：
3.3
通讯作者：
DIAS, JCP
中科院分区：
文献类型：
--
作者：
BRYAN, RT;BALDERRAMA, F;DIAS, JCP
在病媒传播疾病控制方面，社区参与一词有广义的解释。以社区为基础的病媒控制项目被描述为具有浴主动和被动组成部分。最近，社区参与有组织的南美锥虫病防治工作变得更加活跃，当地社区成员越来越积极地参与。南美锥虫病在巴西、委内瑞拉和玻利维亚等南美国家是一个特别严重的病媒传播疾病问题，这些国家的卫生官员开始强调采取横向或分散的办法来控制锥虫病媒。经验表明，利用社区参与的病媒控制方案对病媒密度具有重大和可持续的影响，似乎比纯粹的纵向结构方案更具成本效益，易于与其他卫生或发展方案相结合，促进对家庭和社区的持久自豪感，是政治上可行的病媒控制战略。社区参与本身具有内在价值，因为它对社会关系和社区团结具有积极影响。此外，这是一个动态的过程，导致公共卫生的累积效益超过了大多数病媒控制计划的目标，并持续到计划终止之后。
As applied to vector-borne disease control, the term community participation has been broadly interpreted. Community-based vector control projects have been described as having bath active and passive components. Recently, community participation in organized efforts to control Chagas' disease has become more dynamic, with increasingly active involvement by local community members. Chagas' disease is a particularly significant vector-borne disease problem in the South American countries of Brazil, Venezuela, and Bolivia, and health officials there are beginning to emphasize horizontal or decentralized approaches to control of triatomine vectors. Experience suggests that vector control programs using community participation have significant and sustainable impact on vector density, appear to be more cost-effective than purely vertically structured programs, are readily integrated with other health or development programs, promote an enduring sense of pride in home and community, and are politically viable vector control strategies. Community participation per se has inherent value because of its positive effect on social relationships and community solidarity. Moreover, it is a dynamic process that results in accrued benefits for public health that exceed most vector control program goals and persist well beyond program termination.