Experiencias, barreras y facilitadores en la implementación de intervenciones de control del Aedes aegypti en América Latina y Caribe: estudio cualitativo
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7135 |
Resumo: | This study sought to describe experiences, barriers and facilitators to the implementation of interventions for controlling Aedes aegypti in Latin America and the Caribbean. A qualitative approach with semi-structured in-depth interviews with program implementation experts (19 participants in nine countries) was carried out. We used a software to codify the data and created matrices to compare them. Based on our findings, we developed a graphic representation of the theoretical dimensions that encompass the barriers and facilitators to the implementation of interventions. At the global level, the natural and built environment contributed to the mosquito’s reproduction. In the health system, the lack of priority given to the problem and the scarcity of material and human resources are the most important obstacles. Sectors other than health must take responsibility for actions directed at improving social determinants of health. There are transversal barriers related to governance, lack of coordination between central and local levels, lack of continuity in terms of interventions and technical groups. The community faces problems such as lack of information, poverty or resistance to recommendations. Public opinion can have a positive or negative impact, indirectly influencing political decisions. This study proposes a framework of analytical dimensions based on our findings; describes factors that influence policy implementation, which can guide future actions from an integrated perspective. |
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Experiencias, barreras y facilitadores en la implementación de intervenciones de control del Aedes aegypti en América Latina y Caribe: estudio cualitativoControl de VectoresAedesAnálisis CualitativoThis study sought to describe experiences, barriers and facilitators to the implementation of interventions for controlling Aedes aegypti in Latin America and the Caribbean. A qualitative approach with semi-structured in-depth interviews with program implementation experts (19 participants in nine countries) was carried out. We used a software to codify the data and created matrices to compare them. Based on our findings, we developed a graphic representation of the theoretical dimensions that encompass the barriers and facilitators to the implementation of interventions. At the global level, the natural and built environment contributed to the mosquito’s reproduction. In the health system, the lack of priority given to the problem and the scarcity of material and human resources are the most important obstacles. Sectors other than health must take responsibility for actions directed at improving social determinants of health. There are transversal barriers related to governance, lack of coordination between central and local levels, lack of continuity in terms of interventions and technical groups. The community faces problems such as lack of information, poverty or resistance to recommendations. Public opinion can have a positive or negative impact, indirectly influencing political decisions. This study proposes a framework of analytical dimensions based on our findings; describes factors that influence policy implementation, which can guide future actions from an integrated perspective.El objetivo fue describir experiencias, barreras y facilitadores en la implementación de intervenciones de control del Aedes aegypti en América Latina y Caribe. Fue realizado un abordaje cualitativo con entrevistas en profundidad semiestructuradas a expertos en implementación de programas (19 participantes de nueve países). Se utilizó un software para la codificar los datos y se confeccionaron matrices para su comparación. En base a los hallazgos desarrollamos una representación gráfica de dimensiones teóricas que agrupan las barreras y facilitadores para la implementación de intervenciones. A nivel global, el ambiente natural y construido contribuye a la reproducción del mosquito. En el sistema de salud, la falta de priorización del problema y la escasez de recursos materiales y humanos representan los obstáculos más importantes. Se necesita que otros sectores diferentes al de salud se responsabilicen de las acciones para mejorar los determinantes sociales de la salud. Existen barreras transversales relacionadas con la gobernanza, como la descoordinación entre los niveles centrales y locales, falta de continuidad de las intervenciones y de los grupos técnicos. La comunidad enfrenta problemas como la falta de información, pobreza o resistencias a recomendaciones. La opinión pública puede tener un impacto positivo o negativo, influyendo indirectamente en las decisiones políticas. Este estudio propone un marco de dimensiones de análisis construido desde los hallazgos; describe factores influyentes en la implementación de políticas que pueden orientar las acciones futuras desde un enfoque integrado.O objetivo foi descrever experiências, barreiras e facilitadores na implementação de intervenções de controle do Aedes aegypti na América Latina e no Caribe. Uma abordagem qualitativa foi realizada com entrevistas semiestruturadas em profundidade com especialistas na implementação do programa (19 participantes de nove países). Foi usado um software para codificar os dados e foram feitas matrizes para comparação. Com base nos resultados, desenvolvemos uma representação gráfica das dimensões teóricas que agruparam as barreiras e facilitadores para a implementação das intervenções. Em nível global, o ambiente natural e construído contribui para a reprodução do mosquito. No sistema de saúde, a falta de priorização do problema e a escassez de recursos materiais e humanos representam os obstáculos mais importantes. É necessário que outros setores, além do setor saúde, assumam ações de melhoria dos determinantes sociais da saúde. Existem barreiras transversais relacionadas à governança, como a falta de coordenação entre os níveis central e local e a falta de continuidade das intervenções e dos grupos técnicos. A comunidade enfrenta problemas como falta de informação, pobreza ou resistência a recomendações. A opinião pública pode ter um impacto positivo ou negativo, influenciando indiretamente as decisões políticas. Este estudo propõe um quadro de dimensões de análise construído a partir dos resultados; descreve fatores influentes na implementação de políticas que podem orientar ações futuras a partir de uma abordagem integrada.Reports in Public HealthCadernos de Saúde Pública2019-05-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7135Reports in Public Health; Vol. 35 No. 5 (2019): MayCadernos de Saúde Pública; v. 35 n. 5 (2019): Maio1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7135/15586https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7135/15587Elena Tapia-LópezAriel BardachAgustín CiapponiAndrea AlcarazHerney Andrés García-PerdomoSilvina RuvinskyMaría Belizáninfo:eu-repo/semantics/openAccess2024-03-06T15:29:45Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7135Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:12.661212Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Experiencias, barreras y facilitadores en la implementación de intervenciones de control del Aedes aegypti en América Latina y Caribe: estudio cualitativo |
title |
Experiencias, barreras y facilitadores en la implementación de intervenciones de control del Aedes aegypti en América Latina y Caribe: estudio cualitativo |
spellingShingle |
Experiencias, barreras y facilitadores en la implementación de intervenciones de control del Aedes aegypti en América Latina y Caribe: estudio cualitativo Elena Tapia-López Control de Vectores Aedes Análisis Cualitativo |
title_short |
Experiencias, barreras y facilitadores en la implementación de intervenciones de control del Aedes aegypti en América Latina y Caribe: estudio cualitativo |
title_full |
Experiencias, barreras y facilitadores en la implementación de intervenciones de control del Aedes aegypti en América Latina y Caribe: estudio cualitativo |
title_fullStr |
Experiencias, barreras y facilitadores en la implementación de intervenciones de control del Aedes aegypti en América Latina y Caribe: estudio cualitativo |
title_full_unstemmed |
Experiencias, barreras y facilitadores en la implementación de intervenciones de control del Aedes aegypti en América Latina y Caribe: estudio cualitativo |
title_sort |
Experiencias, barreras y facilitadores en la implementación de intervenciones de control del Aedes aegypti en América Latina y Caribe: estudio cualitativo |
author |
Elena Tapia-López |
author_facet |
Elena Tapia-López Ariel Bardach Agustín Ciapponi Andrea Alcaraz Herney Andrés García-Perdomo Silvina Ruvinsky María Belizán |
author_role |
author |
author2 |
Ariel Bardach Agustín Ciapponi Andrea Alcaraz Herney Andrés García-Perdomo Silvina Ruvinsky María Belizán |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Elena Tapia-López Ariel Bardach Agustín Ciapponi Andrea Alcaraz Herney Andrés García-Perdomo Silvina Ruvinsky María Belizán |
dc.subject.por.fl_str_mv |
Control de Vectores Aedes Análisis Cualitativo |
topic |
Control de Vectores Aedes Análisis Cualitativo |
description |
This study sought to describe experiences, barriers and facilitators to the implementation of interventions for controlling Aedes aegypti in Latin America and the Caribbean. A qualitative approach with semi-structured in-depth interviews with program implementation experts (19 participants in nine countries) was carried out. We used a software to codify the data and created matrices to compare them. Based on our findings, we developed a graphic representation of the theoretical dimensions that encompass the barriers and facilitators to the implementation of interventions. At the global level, the natural and built environment contributed to the mosquito’s reproduction. In the health system, the lack of priority given to the problem and the scarcity of material and human resources are the most important obstacles. Sectors other than health must take responsibility for actions directed at improving social determinants of health. There are transversal barriers related to governance, lack of coordination between central and local levels, lack of continuity in terms of interventions and technical groups. The community faces problems such as lack of information, poverty or resistance to recommendations. Public opinion can have a positive or negative impact, indirectly influencing political decisions. This study proposes a framework of analytical dimensions based on our findings; describes factors that influence policy implementation, which can guide future actions from an integrated perspective. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-05-20 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7135 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7135 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7135/15586 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7135/15587 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 35 No. 5 (2019): May Cadernos de Saúde Pública; v. 35 n. 5 (2019): Maio 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1798943389870194689 |