a Division of Public Health , Fundación Santa Fe de Bogotá , Bogotá , Colombia.
b Centro de Ciências da Saúde , Universidade Estadual do Ceará , Fortaleza , Brazil.
Pathog Glob Health. 2017 Sep;111(6):306-316. doi: 10.1080/20477724.2017.1361563. Epub 2017 Aug 22.
Prior to the current public health emergency following the emergence of chikungunya and Zika Virus Disease in the Americas during 2014 and 2015, multi-country research investigated between 2011 and 2013 the efficacy of novel Aedes aegypti intervention packages through cluster randomised controlled trials in four Latin-American cities: Fortaleza (Brazil); Girardot (Colombia), Acapulco (Mexico) and Salto (Uruguay). Results from the trials led to a scaling up effort of the interventions at city levels. Scaling up refers to deliberate efforts to increase the impact of successfully tested health interventions to benefit more people and foster policy and program development in a sustainable way. The different scenarios represent examples for a 'vertical approach' and a 'horizontal approach'. This paper presents the analysis of a preliminary process evaluation of the scaling up efforts in the mentioned cites, with a focus on challenges and enabling factors encountered by the research teams, analysing the main social, political, administrative, financial and acceptance factors.
在 2014 年和 2015 年美洲出现基孔肯雅热和寨卡病毒病之后的当前公共卫生紧急情况之前，多国研究于 2011 年至 2013 年期间通过在拉丁美洲四个城市（巴西福塔雷萨；哥伦比亚吉拉尔多，墨西哥阿卡普尔科和乌拉圭萨尔托）进行的集群随机对照试验，研究了新型埃及伊蚊干预措施的效果。这些试验的结果促使在城市层面上加大了干预措施的力度。扩大规模是指有意加大经过成功测试的卫生干预措施的影响，以使更多的人受益，并以可持续的方式促进政策和方案的制定。不同的方案代表了“垂直方法”和“水平方法”的示例。本文介绍了对上述城市扩大规模工作的初步过程评估分析，重点分析了研究小组遇到的挑战和有利因素，分析了主要的社会、政治、行政、财务和接受因素。
