Consejo Nacional de Investigaciones Científicas y Técnicas, Instituto de Física de Líquidos y Sistemas Biológicos, Grupo de Didáctica de las Ciencias, La Plata, Buenos Aires, Argentina.
Drugs for Neglected Diseases initiative - Latin America, Rio de Janeiro, RJ, Brasil.
Mem Inst Oswaldo Cruz. 2022 Jun 1;117:e200460. doi: 10.1590/0074-02760200460. eCollection 2022.
Chagas is a complex, multidimensional phenomenon in which political, economic, environmental, biomedical, epidemiological, psychological, and sociocultural factors intersect. Nonetheless, the hegemonic conceptualisation has long envisioned Chagas as primarily a biomedical question, while ignoring or downplaying the other dimensions, and this limited view has reinforced the disease's long neglect. Integrating the multiple dimensions of the problem into a coherent approach adapted to field realities and needs represents an immense challenge, but the payoff is more effective and sustainable experiences, with higher social awareness, increased case detection and follow-up, improved adherence to care, and integrated participation of various actors from multiple action levels. Information, Education, and Communication (IEC) initiatives have great potential for impact in the implementation of multidimensional programs of prevention and control successfully customised to the diverse and complex contexts where Chagas disease persists.
查加斯病是一种复杂的、多维度的现象，其中政治、经济、环境、生物医学、流行病学、心理和社会文化因素相互交织。尽管如此，长期以来，霸权概念一直将查加斯病主要视为一个生物医学问题，而忽略或淡化了其他方面，这种狭隘的观点加剧了该病长期被忽视的状况。将问题的多个维度整合到一个适应实地现实和需求的连贯方法中是一个巨大的挑战，但回报是更有效的和可持续的经验，具有更高的社会意识，提高病例发现和随访，改善对治疗的坚持，以及来自多个行动层面的各种行为体的综合参与。信息、教育和沟通（IEC）举措在成功实施针对多种复杂情况量身定制的多维预防和控制方案方面具有巨大的影响力，这些方案有助于消除查加斯病。
