Schweigmann Nicolas, Rizzotti Andrea, Castiglia Gabriela, Gribaudo Fabio, Marcos Edgardo, Burroni Nora, Freire Gabriela, D'Onofrio Vanesa, Oberlander Sara, Schillaci Héctor, Gómez Sandra, Maldonado Santiago, Serrano Claudia
Departamento de Ecología, Genética y Evolución, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Buenos Aires, Argentina.
Cad Saude Publica. 2009;25 Suppl 1:S137-48. doi: 10.1590/s0102-311x2009001300013.
With the objectives of dengue prevention, health promotion, and action-based research, two experiments were conducted in pilot areas of Buenos Aires and Vicente López, Argentina. In each area, community, government, and non-governmental references were identified. The study included an entomological survey (with ovitraps), environmental survey (with field observations, interviews, and workshops), and social survey (using questionnaires, interviews, and meetings). Spaces for dialogue and collaboration were developed with the community, thereby spawning participatory activities and empowerment. Environmental reordering and reduction of mosquito breeding sites were promoted by: incorporation of environmental issues and vector-borne disease prevention into the school curricula; neighborhood workshops; training of environmental agents to transmit information and train peers; and planning community environmental projects. The households were visited, seeking to integrate the residents into their own community environmental diagnosis. There were significant differences between the pilot areas in knowledge and social practices, but not according to socioeconomic status. The schools and health promotion settings proved to be the main community reference for promoting healthy environmental practices.
为了实现登革热预防、健康促进和基于行动的研究目标,在阿根廷布宜诺斯艾利斯和比森特·洛佩斯的试点地区进行了两项实验。在每个地区,确定了社区、政府和非政府方面的参考对象。该研究包括昆虫学调查(使用诱蚊产卵器)、环境调查(通过实地观察、访谈和研讨会)以及社会调查(使用问卷、访谈和会议)。与社区建立了对话与合作空间,从而催生了参与性活动和赋权。通过以下方式促进环境整治和减少蚊虫滋生地:将环境问题和病媒传播疾病预防纳入学校课程;社区研讨会;培训环境工作人员以传播信息并培训同行;以及规划社区环境项目。走访了各家庭,力求让居民融入其所在社区的环境诊断。试点地区在知识和社会实践方面存在显著差异,但与社会经济地位无关。事实证明,学校和健康促进场所是促进健康环境实践的主要社区参考对象。