title: [An inter-sector participatory strategy in Cuba using an ecosystem approach to prevent dengue transmission at the local level].
abstract: 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.
authors.affiliation: Instituto de Medicina Tropical Pedro Kourí, Habana, Cuba. cdiaz@ipk.sld.cu
authors.forename: Cristina
authors.initials: C
authors.lastname: Díaz
authors.forename: Yisel
authors.initials: Y
authors.lastname: Torres
authors.forename: Ana Margarita de la
authors.initials: AM
authors.lastname: Cruz
authors.forename: Angel M
authors.initials: AM
authors.lastname: Alvarez
authors.forename: María Eugenia
authors.initials: ME
authors.lastname: Piquero
authors.forename: Aida
authors.initials: A
authors.lastname: Valero
authors.forename: Omar
authors.initials: O
authors.lastname: Fuentes
mesh_terms: 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*