Community participation in the prevention and control of dengue: the patio limpio strategy in Mexico.
Community participation is vital to prevent and control the spread of dengue in Latin America. Initiatives such as the integrated management strategy for dengue prevention and control (IMS-Dengue) and integrated vector management (IVM) incorporate social mobilisation and behavioural  change at the community level as part of a wider strategy to control dengue. These strategies aim to improve the efficacy, cost-effectiveness, environmental impact and sustainability of vector control strategies. Community empowerment is a key aspect of the strategy as it allows the local  population to drive eradication of the disease in their environment. Through the patio limpio campaign, the concept of community participation has been employed in Mexico to raise awareness of the consequences of dengue. patio limpio consists of training local people to identify,  eliminate, monitor and evaluate vector breeding sites systematically in households under their supervision. A community participation programme in Guerrero State found that approximately 54% were clean and free of breeding sites. Households that were not visited and assessed had a 2·4-times  higher risk of developing dengue than those that were. However, after a year, only 30% of trained households had a clean backyard. This emphasises the need for a sustainable process to encourage individuals to maintain efforts in keeping their environment free of dengue.
Carlos Slim Health Institute, Mexico City, Mexico. tapiaconyer@yahoo.com.mx
Roberto
R
Tapia-Conyer
Jorge
J
Méndez-Galván
Pierre
P
Burciaga-Zúñiga
D003256:Community Participation / Q000379:methods*; D003715:Dengue / Q000453:epidemiology* / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008800:Mexico / Q000453:epidemiology; D009032:Mosquito Control / Q000379:methods*