Intersectoral coordination, community empowerment and dengue prevention: six years of controlled interventions in Playa Municipality, Havana, Cuba
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Summary: Objective To document the process, outcome and effectiveness of a community‐based intervention for dengue control. Methods The primary intervention, focused on strengthening intersectoral coordination, was initiated by researchers in January 2000 in a pilot area in Playa municipality, Havana. In August 2002 health authorities extended the intervention to neighbouring areas, one of which was selected for evaluation. In August 2003 a complementary strategy, focused on community empowerment, was initiated in half of the pilot area. In our control area, routine dengue activities continued throughout the study period. Longitudinal process assessment was carried out using document analysis, interviews and group discussions. Random population surveys in 1999, 2002 and 2005 assessed levels of participation and behavioural changes. Entomological surveillance data from 1999 to 2005 were used to determine effectiveness. Results Mean scores for participation in the pilot area were 1.6, 3.4 and 4.4 at baseline, and 2 years after initiating intersectoral coordination and intersectoral coordination plus community empowerment interventions, respectively. While in the control area little behavioural change was observed over time, changes were considerable in the pilot and extension areas, with 80% of households involved in the community empowerment intervention showed adequate behavioural patterns. The pilot and extension areas attained comparable entomological effectiveness with significantly lower Breteau indices (BIs) than the control area. The pilot (sub‐) area with the community empowerment intervention reached BIs below 0.1 that continued to be significantly lower than the one in the control area until the end of the study. Conclusion The study showed a trend in the levels and quality of participation, behavioural change and effectiveness of Aedes control from the routine activities only over an intervention with intersectoral coordination to one that combined intersectoral coordination and community empowerment approach.
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Empowerment strategies have been reported as effective for community-based dengue prevention and control in Cuba and elsewhere.
“Empowerment strategies have been reported as effective for community-based dengue prevention and control in Cuba [51–55] and elsewhere [56–58].”
From A modified theoretical framework to assess implementation fidelity of adaptive public health interventions (2015) · cites this paper as [53]
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- Authors
- Sanchez, L., Perez, D., Cruz, G., Castro, M., Kourí, G., Shkedy, Z., Vanlerberghe, V., & Van der Stuyft, P.
- Affiliations
- Instituto de Medicina Tropical “Pedro Kourí” (CU)
- Hasselt University (BE)
- Instituut voor Tropische Geneeskunde (BE)
- Venue
- Tropical Medicine & International Health
- Publisher
- Wiley
- Published
- 2009-10-12
- Volume
- 14
- Issue
- 11
- Pages
- 1356-1364
- ISSN
- 1360-2276 (ISSN-L)
- 1365-3156
- OpenAlex
- W2130674307
- Cited by
- 58
- References
- 33
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 6 · 2023: 2 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 5 · 2018: 3 · 2017: 5 · 2016: 7 · 2015: 3 · 2014: 4 · 2013: 2 · 2012: 2
- FWCI
- 9.74
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Tropical Medicine & International Health (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Document Server@UHasselt (UHasselt) (submittedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Dengue and Mosquito Control Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Mosquito-borne diseases and control
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Keywords
- dengue prevention, intersectoral coordination, community empowerment, community-based intervention, Aedes aegypti control, vector control, community participation, behavior change, Breteau index, insect monitoring
- MeSH terms
- Aedes, Animals, Communication, Community Health Services, Community Participation, Cuba, Dengue, Health Promotion, Humans, Insect Vectors, Interprofessional Relations, Mosquito Control, Pilot Projects
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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