Ministry of Health and Social Protection, Bogotá 110311, Colombia.
Escuela de Ciencias de la Salud-ECISA, Universidad Nacional Abierta y a Distancia, UNAD, Bogotá 111511, Colombia.
Int J Environ Res Public Health. 2023 Mar 6;20(5):4632. doi: 10.3390/ijerph20054632.
The Colombian program to end trachoma implements the component F of the SAFE strategy in the Vaupés department of the Amazon rainforest. Cultural, linguistic, and geographical barriers and the coexistence of an ancestral medical system demand the technical and sociocultural adaptation of this component. A cross-sectional survey combined with focus-group discussions to understand the knowledge, attitudes, and practices of the indigenous population related to trachoma was conducted in 2015. Of the 357 heads of households that participated, 45.1% associated trachoma with a lack of hygiene, and 94.7% associated the concept of hygiene with taking one or more body baths per day, using commercial or handcrafted soap. In total, 93% reported cleaning their children's faces and eyes more often when they have conjunctivitis, but 66.1% also did this with clothes or towels in use, and 52.7% of people shared towels; in total, 32.8% indicated that they would use ancestral medicine to prevent and treat trachoma. The SAFE strategy in Vaupés requires an intercultural approach to facilitate stakeholder support and participation to promote general and facial hygiene, washing clothes with soap, and not sharing towels and clothes to dry and clean children's faces for effective and sustainable elimination of trachoma as a public health problem. This qualitative assessment facilitated an intercultural approach locally and in other Amazonian locations.
哥伦比亚消灭沙眼计划在亚马逊雨林的瓦乌斯省实施 SAFE 策略的 F 部分。文化、语言和地理障碍以及传统医学体系的共存，要求对该部分进行技术和社会文化上的调整。2015 年，我们进行了一项横断面调查，结合焦点小组讨论，以了解与沙眼相关的土著居民的知识、态度和实践。在参与的 357 户家庭中，有 45.1%将沙眼与缺乏卫生联系起来，94.7%将卫生概念与每天使用一种或多种沐浴露或手工肥皂联系起来。共有 93%的人表示，当孩子患有结膜炎时，他们会更频繁地清洁孩子的脸和眼睛，但 66.1%的人也会用正在使用的衣服或毛巾清洁，52.7%的人会共用毛巾；共有 32.8%的人表示他们会使用传统医学来预防和治疗沙眼。瓦乌斯的 SAFE 策略需要一种跨文化方法，以促进利益相关者的支持和参与，促进一般和面部卫生、用肥皂洗衣服、不共用毛巾和衣服，以清洁孩子的脸，从而有效地消除沙眼这一公共卫生问题。这种定性评估在当地和亚马逊的其他地区促进了跨文化的方法。
