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Traslación a la práctica de estrategias de empoderamiento en la prevención del dengue : facilitadores y barreras

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Abstract
Objective. To identify facilitators and barriers to the process of translating community empowerment strategies into the practice of the national Aedes aegypti control program in Cuba. Methods. A case study of the process was conducted from 2005 to 2009 at national and provincial levels of the control program. Data from participant observation, in-depth interviews, and document analysis were triangulated and analyzed inductively and deductively. Results. The main facilitators identified included a proposal for an empowerment strategy effective in reducing Aedes aegypti infestation, which was explained in such a way that it could be implemented by program staff; and a control program with national coverage capable of implementing the proposal. The principal barriers were the complexity of the strategy and the absence of organizational changes needed to facilitate its insertion into the control program. Each barrier or facilitator identified was either static or dynamic in nature. Dynamic factors are those that offer signals for action. Conclusions. Multiple barriers and facilitators influence the process of translating community empowerment strategies into the practice of the Cuban Aedes aegypti control program. The analysis of these factors as either static or dynamic makes it possible to design more appropriate and effective strategies that can promote the process and increase the likelihood of success.
Keywords
AEDES-AEGYPTI CONTROL, COMMUNITY PARTICIPATION, VECTOR CONTROL, INTERSECTORAL COORDINATION, COST-EFFECTIVENESS, CONTROL PROGRAM, HEALTH-CARE, CUBA, HAVANA, EPIDEMIC, Community participation, dengue, Aedes aegypti, prevention & control, Cuba

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MLA
Pérez Chacón, Dennis, et al. “Traslación a La Práctica de Estrategias de Empoderamiento En La Prevención Del Dengue : Facilitadores y Barreras.” REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH, vol. 39, no. 2, 2016, pp. 93–100.
APA
Pérez Chacón, D., Castro, M., Álvarez, Á. M., Sánchez, L., Toledo, M. E., Matos, D., … Lefèvre, P. (2016). Traslación a la práctica de estrategias de empoderamiento en la prevención del dengue : facilitadores y barreras. REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH, 39(2), 93–100.
Chicago author-date
Pérez Chacón, Dennis, Marta Castro, Ángel Manuel Álvarez, Lizet Sánchez, María Eugenia Toledo, Damayanti Matos, Patrick Van Der Stuyft, and Pierre Lefèvre. 2016. “Traslación a La Práctica de Estrategias de Empoderamiento En La Prevención Del Dengue : Facilitadores y Barreras.” REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH 39 (2): 93–100.
Chicago author-date (all authors)
Pérez Chacón, Dennis, Marta Castro, Ángel Manuel Álvarez, Lizet Sánchez, María Eugenia Toledo, Damayanti Matos, Patrick Van Der Stuyft, and Pierre Lefèvre. 2016. “Traslación a La Práctica de Estrategias de Empoderamiento En La Prevención Del Dengue : Facilitadores y Barreras.” REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH 39 (2): 93–100.
Vancouver
1.
Pérez Chacón D, Castro M, Álvarez ÁM, Sánchez L, Toledo ME, Matos D, et al. Traslación a la práctica de estrategias de empoderamiento en la prevención del dengue : facilitadores y barreras. REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH. 2016;39(2):93–100.
IEEE
[1]
D. Pérez Chacón et al., “Traslación a la práctica de estrategias de empoderamiento en la prevención del dengue : facilitadores y barreras,” REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH, vol. 39, no. 2, pp. 93–100, 2016.
@article{8511006,
  abstract     = {Objective. To identify facilitators and barriers to the process of translating community empowerment strategies into the practice of the national Aedes aegypti control program in Cuba. 
Methods. A case study of the process was conducted from 2005 to 2009 at national and provincial levels of the control program. Data from participant observation, in-depth interviews, and document analysis were triangulated and analyzed inductively and deductively. 
Results. The main facilitators identified included a proposal for an empowerment strategy effective in reducing Aedes aegypti infestation, which was explained in such a way that it could be implemented by program staff; and a control program with national coverage capable of implementing the proposal. The principal barriers were the complexity of the strategy and the absence of organizational changes needed to facilitate its insertion into the control program. Each barrier or facilitator identified was either static or dynamic in nature. Dynamic factors are those that offer signals for action. 
Conclusions. Multiple barriers and facilitators influence the process of translating community empowerment strategies into the practice of the Cuban Aedes aegypti control program. The analysis of these factors as either static or dynamic makes it possible to design more appropriate and effective strategies that can promote the process and increase the likelihood of success.},
  author       = {Pérez Chacón, Dennis and Castro, Marta and Álvarez, Ángel Manuel and Sánchez, Lizet and Toledo, María Eugenia and Matos, Damayanti and Van Der Stuyft, Patrick and Lefèvre, Pierre},
  issn         = {1020-4989},
  journal      = {REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH},
  keywords     = {AEDES-AEGYPTI CONTROL,COMMUNITY PARTICIPATION,VECTOR CONTROL,INTERSECTORAL COORDINATION,COST-EFFECTIVENESS,CONTROL PROGRAM,HEALTH-CARE,CUBA,HAVANA,EPIDEMIC,Community participation,dengue,Aedes aegypti,prevention & control,Cuba},
  language     = {spa},
  number       = {2},
  pages        = {93--100},
  title        = {Traslación a la práctica de estrategias de empoderamiento en la prevención del dengue : facilitadores y barreras},
  volume       = {39},
  year         = {2016},
}

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