[An inter-sector participatory strategy in Cuba using an ecosystem approach to prevent dengue transmission at the local level].
Cuba is located among a group of countries with high dengue incidence. Following several epidemics in the last 10 years, the country designed, implemented, and evaluated a participatory strategy based on the Ecohealth approach. The aim was to promote inter-sector ecosystem management to decrease Aedes aegypti infestation and prevent dengue transmission in the municipality of Cotorro, in Havana city. The study adopted a participatory research methodology. The strategy ensured active participation by the community, diverse sectors, and government in the production of healthy ecosystems. Timely and integrated measures for prevention and control were developed, thereby decreasing the risk of vector proliferation and local dengue transmission. The approach allowed holistic problem analysis, priority setting, and administration of solutions. The strategy has been sustained two years after concluding the process.
Díaz
Cristina
C
Instituto de Medicina Tropical Pedro Kourí, Habana, Cuba. cdiaz@ipk.sld.cu
Torres
Yisel
Y
Cruz
Ana Margarita de la
AM
Alvarez
Angel M
AM
Piquero
María Eugenia
ME
Valero
Aida
A
Fuentes
Omar
O
D000330:Aedes / Q000254:growth & development; D000818:Animals; D003153:Community Health Services / Q000458:organization & administration*; D003256:Community Participation / Q000379:methods; D003159:Community-Institutional Relations; D003299:Cooperative Behavior; D003462:Cuba; D003715:Dengue / Q000517:prevention & control* / Q000635:transmission; D017753:Ecosystem; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007303:Insect Vectors / Q000254:growth & development; D009032:Mosquito Control / Q000458:organization & administration*