SOAS University London, Thornhaugh Street, London, WC1H 0XG, UK.
Malaria Consortium, Phnom Penh, Cambodia.
Infect Dis Poverty. 2020 Sep 3;9(1):126. doi: 10.1186/s40249-020-00734-y.
The social-ecological systems theory, with its unique conception of resilience (social-ecological systems & resilience, SESR), provides an operational framework that currently best meets the need for integration and adaptive governance as encouraged by the Sustainable Development Goals. SESR accounts for the complex dynamics of social-ecological systems and operationalizes transdisciplinarity by focusing on community engagement, value co-creation, decentralized leadership and social innovation. Targeting Social Innovation (SI) in the context of implementation research for vector-borne diseases (VBD) control offers a low-cost strategy to contribute to lasting and contextualized community engagement in disease control and health development in low and middle income countries of the global south. In this article we describe the processes of community engagement and transdisciplinary collaboration underpinning community-based dengue management in rural primary schools and households in two districts in Cambodia.
Multiple student-led and community-based interventions have been implemented focusing on empowering education, communication for behavioral change and participatory epidemiology mapping in order to engage Cambodian communities in dengue control. We describe in particular the significance of the participatory processes that have contributed to the design of SI products that emerged following iterative consultations with community stakeholders to address the dengue problem.
The SI products that emerged following our interaction with community members are 1) adult mosquito traps made locally from solid waste collections, 2) revised dengue curriculum with hands-on activities for transformative learning, 3) guppy distribution systems led by community members, 4) co-design of dengue prevention communication material by students and community members, 5) community mapping.
The initiative described in this article put in motion processes of community engagement towards creating ownership of dengue control interventions tools by community stakeholders, including school children. While the project is ongoing, the project's interventions so far implemented have contributed to the emergence of culturally relevant SI products and provided initial clues regarding 1) the conditions allowing SI to emerge, 2) specific mechanisms by which it happens and 3) how external parties can facilitate SI emergence. Overall there seems to be a strong argument to be made in supporting SI as a desirable outcome of project implementation towards building adaptive capacity and resilience and to use the protocol supporting this project implementation as an operational guiding document for other VBD adaptive management in the region.
社会生态系统理论以其独特的韧性概念（社会生态系统与韧性，SES&R）为基础，提供了一个操作性框架，目前最能满足可持续发展目标所鼓励的整合和适应性治理的需要。SES&R 考虑到社会生态系统的复杂动态，并通过关注社区参与、价值共创、权力下放领导和社会创新来实现跨学科。在针对虫媒疾病（VBD）控制的实施研究中针对社会创新（SI），为低收入和中等收入国家的社区参与疾病控制和健康发展提供了一种低成本战略在南方全球。本文描述了在柬埔寨两个地区的农村小学和家庭中进行的以社区为基础的登革热管理背后的社区参与和跨学科合作过程。
已经实施了多项以学生为主体和以社区为基础的干预措施，重点是赋权教育、行为改变沟通和参与式流行病学绘图，以使柬埔寨社区参与登革热控制。我们特别描述了参与过程的重要性，这些过程有助于设计 SI 产品，这些产品是在与社区利益相关者进行迭代协商以解决登革热问题后出现的。
通过与社区成员的互动而出现的 SI 产品是 1）用固体废物收集制成的本地成年蚊子陷阱，2）具有动手活动的登革热课程，用于变革性学习，3）由社区成员领导的食蚊鱼分发系统，4）学生和社区成员共同设计的登革热预防沟通材料，5）社区绘图。
本文所述的倡议启动了社区参与的过程，使社区利益相关者（包括学童）对登革热控制干预工具拥有所有权。虽然该项目仍在进行中，但迄今为止该项目的干预措施已促成了具有文化相关性的 SI 产品的出现，并提供了有关以下方面的初步线索：1）允许 SI 出现的条件，2）它发生的具体机制，3）外部各方如何促进 SI 出现。总体而言，似乎有充分的理由支持 SI 作为项目实施的理想结果，以建立适应能力和韧性，并使用支持该项目实施的协议作为该地区其他虫媒疾病适应性管理的操作指导文件。
