A community empowerment strategy embedded in a routine dengue vector control programme: a cluster randomised controlled trial
A community empowerment strategy embedded in a routine dengue vector control programme: a cluster randomised controlled trial
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DOI：
10.1016/j.trstmh.2012.01.013
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发表时间：
2012-05-01
影响因子：
2.2
通讯作者：
Van der Stuyft, Patrick
中科院分区：
文献类型：
--
作者：
Castro, Marta;Sanchez, Lizet;Van der Stuyft, Patrick
垂直组织的登革热病媒控制方案的不可持续性导致人们呼吁将重点转向基于社区的战略。我们在古巴哈瓦那市的La丽莎进行了一项有16个干预组和16个对照组的随机对照试验，以测试与常规登革热病媒控制方案交织在一起的社区赋权策略的有效性。除了常规控制外，干预措施还包括四个组成部分：组织和管理;昆虫风险监测;能力建设;以及病媒控制的社区工作。在对照组中，日常活动继续进行，没有受到干扰。社区参与得分从1.4提高到3.4。在干预组和对照组中，对繁殖地的良好认识分别增加了52.8%和27.5%。在控制组中，家庭一级的埃及伊蚊控制措施没有变化，但在干预组中，埃及伊蚊控制措施增加了36.2%。在基线时，Breteau指数（BI）约为0.1，具有可比性;它们随时间波动，但随着干预集群中以社区为基础的登革热控制活动的启动而变得不同。在干预期间，这些集群中的BI比对照集群低53%（95%CI 22-92%）。授权策略增加了社区的参与，并增加了常规A的有效性。埃及控制。(C)2012年皇家热带医学和卫生学会。由爱思唯尔有限公司出版。保留所有权利。
The non-sustainability of vertically organised dengue vector control programmes led to pleas for changing the emphasis towards community-based strategies. We conducted a cluster randomised controlled trial with 16 intervention and 16 control clusters to test the effectiveness of a community empowerment strategy intertwined with the routine dengue vector control programme in La Lisa, Havana City, Cuba. The intervention included four components on top of routine control: organisation and management; entomological risk surveillance; capacity building; and community work for vector control. In the control clusters, routine activities continued without interference. The community participation score increased from 1.4 to 3.4. Good knowledge of breeding sites increased by 52.8% and 27.5% in the intervention and control clusters, respectively. There were no changes in adequate Aedes aegypti control practices at household level in the control clusters, but in the intervention clusters adequacy increased by 36.2%. At baseline, the Breteau indices (BI) were approximately 0.1 and were comparable; they fluctuated over time but became different with the launch of the community-based dengue control activities in the intervention clusters. Over the intervention period, the BI remained 53% (95% Cl 22-92%) lower in these clusters than in the control clusters. The empowerment strategy increased community involvement and added effectiveness to routine A. aegypti control. (C) 2012 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.