Tapia-Conyer Roberto, Méndez-Galván Jorge, Burciaga-Zúñiga Pierre
Carlos Slim Health Institute, Mexico City, Mexico.
Paediatr Int Child Health. 2012 May;32 Suppl 1(s1):10-3. doi: 10.1179/2046904712Z.00000000047.
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.
社区参与对于预防和控制拉丁美洲登革热的传播至关重要。登革热预防和控制综合管理战略（IMS-Dengue）以及综合病媒管理（IVM）等举措，将社区层面的社会动员和行为改变纳入更广泛的登革热控制战略之中。这些战略旨在提高病媒控制战略的成效、成本效益、环境影响及可持续性。社区赋权是该战略的一个关键方面，因为它使当地居民能够在其环境中推动疾病的根除工作。通过“清洁庭院”运动，墨西哥采用了社区参与的理念来提高人们对登革热后果的认识。“清洁庭院”包括培训当地人在其监督下，系统地识别、消除、监测和评估家庭中的病媒滋生地。格雷罗州的一项社区参与计划发现，约54%的庭院干净且没有滋生地。未接受走访和评估的家庭感染登革热的风险比接受过的家庭高2.4倍。然而，一年后，只有30%接受培训的家庭拥有干净的后院。这凸显了需要一个可持续的进程，以鼓励个人持续努力保持其环境无登革热。
