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Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador

BACKGROUND: The Sustainably Managing Environmental Health Risk in Ecuador project was launched in 2004 as a partnership linking a large Canadian university with leading Cuban and Mexican institutes to strengthen the capacities of four Ecuadorian universities for leading community-based learning and...

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Autores principales: Spiegel, Jerry M, Breilh, Jaime, Beltran, Efrain, Parra, Jorge, Solis, Fernanda, Yassi, Annalee, Rojas, Alejandro, Orrego, Elena, Henry, Bonnie, Bowie, William R, Pearce, Laurie, Gaibor, Juan, Velasquez, Patricio, Concepcion, Miriam, Parkes, Margot
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3247836/
https://www.ncbi.nlm.nih.gov/pubmed/22165915
http://dx.doi.org/10.1186/1472-698X-11-S2-S5
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author Spiegel, Jerry M
Breilh, Jaime
Beltran, Efrain
Parra, Jorge
Solis, Fernanda
Yassi, Annalee
Rojas, Alejandro
Orrego, Elena
Henry, Bonnie
Bowie, William R
Pearce, Laurie
Gaibor, Juan
Velasquez, Patricio
Concepcion, Miriam
Parkes, Margot
author_facet Spiegel, Jerry M
Breilh, Jaime
Beltran, Efrain
Parra, Jorge
Solis, Fernanda
Yassi, Annalee
Rojas, Alejandro
Orrego, Elena
Henry, Bonnie
Bowie, William R
Pearce, Laurie
Gaibor, Juan
Velasquez, Patricio
Concepcion, Miriam
Parkes, Margot
author_sort Spiegel, Jerry M
collection PubMed
description BACKGROUND: The Sustainably Managing Environmental Health Risk in Ecuador project was launched in 2004 as a partnership linking a large Canadian university with leading Cuban and Mexican institutes to strengthen the capacities of four Ecuadorian universities for leading community-based learning and research in areas as diverse as pesticide poisoning, dengue control, water and sanitation, and disaster preparedness. METHODS: In implementing curriculum and complementary innovations through application of an ecosystem approach to health, our interdisciplinary international team focused on the question: “Can strengthening of institutional capacities to support a community of practice of researchers, practitioners, policy-makers and communities produce positive health outcomes and improved capacities to sustainably translate knowledge?” To assess progress in achieving desired outcomes, we review results associated with the logic framework analysis used to guide the project, focusing on how a community of practice network has strengthened implementation, including follow-up tracking of program trainees and presentation of two specific case studies. RESULTS: By 2009, train-the-trainer project initiation involved 27 participatory action research Master’s theses in 15 communities where 1200 community learners participated in the implementation of associated interventions. This led to establishment of innovative Ecuadorian-led master’s and doctoral programs, and a Population Health Observatory on Collective Health, Environment and Society for the Andean region based at the Universidad Andina Simon Bolivar. Building on this network, numerous initiatives were begun, such as an internationally funded research project to strengthen dengue control in the coastal community of Machala, and establishment of a local community eco-health centre focusing on determinants of health near Cuenca. DISCUSSION: Strengthening capabilities for producing and applying knowledge through direct engagement with affected populations and decision-makers provides a fertile basis for consolidating capacities to act on a larger scale. This can facilitate the capturing of benefits from the “top down” (in consolidating institutional commitments) and the “bottom up” (to achieve local results). CONCLUSIONS: Alliances of academic and non-academic partners from the South and North provide a promising orientation for learning together about ways of addressing negative trends of development. Assessing the impacts and sustainability of such processes, however, requires longer term monitoring of results and related challenges.
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spelling pubmed-32478362011-12-30 Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador Spiegel, Jerry M Breilh, Jaime Beltran, Efrain Parra, Jorge Solis, Fernanda Yassi, Annalee Rojas, Alejandro Orrego, Elena Henry, Bonnie Bowie, William R Pearce, Laurie Gaibor, Juan Velasquez, Patricio Concepcion, Miriam Parkes, Margot BMC Int Health Hum Rights Research Article BACKGROUND: The Sustainably Managing Environmental Health Risk in Ecuador project was launched in 2004 as a partnership linking a large Canadian university with leading Cuban and Mexican institutes to strengthen the capacities of four Ecuadorian universities for leading community-based learning and research in areas as diverse as pesticide poisoning, dengue control, water and sanitation, and disaster preparedness. METHODS: In implementing curriculum and complementary innovations through application of an ecosystem approach to health, our interdisciplinary international team focused on the question: “Can strengthening of institutional capacities to support a community of practice of researchers, practitioners, policy-makers and communities produce positive health outcomes and improved capacities to sustainably translate knowledge?” To assess progress in achieving desired outcomes, we review results associated with the logic framework analysis used to guide the project, focusing on how a community of practice network has strengthened implementation, including follow-up tracking of program trainees and presentation of two specific case studies. RESULTS: By 2009, train-the-trainer project initiation involved 27 participatory action research Master’s theses in 15 communities where 1200 community learners participated in the implementation of associated interventions. This led to establishment of innovative Ecuadorian-led master’s and doctoral programs, and a Population Health Observatory on Collective Health, Environment and Society for the Andean region based at the Universidad Andina Simon Bolivar. Building on this network, numerous initiatives were begun, such as an internationally funded research project to strengthen dengue control in the coastal community of Machala, and establishment of a local community eco-health centre focusing on determinants of health near Cuenca. DISCUSSION: Strengthening capabilities for producing and applying knowledge through direct engagement with affected populations and decision-makers provides a fertile basis for consolidating capacities to act on a larger scale. This can facilitate the capturing of benefits from the “top down” (in consolidating institutional commitments) and the “bottom up” (to achieve local results). CONCLUSIONS: Alliances of academic and non-academic partners from the South and North provide a promising orientation for learning together about ways of addressing negative trends of development. Assessing the impacts and sustainability of such processes, however, requires longer term monitoring of results and related challenges. BioMed Central 2011-11-08 /pmc/articles/PMC3247836/ /pubmed/22165915 http://dx.doi.org/10.1186/1472-698X-11-S2-S5 Text en Copyright ©2011 Spiegel et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Spiegel, Jerry M
Breilh, Jaime
Beltran, Efrain
Parra, Jorge
Solis, Fernanda
Yassi, Annalee
Rojas, Alejandro
Orrego, Elena
Henry, Bonnie
Bowie, William R
Pearce, Laurie
Gaibor, Juan
Velasquez, Patricio
Concepcion, Miriam
Parkes, Margot
Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador
title Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador
title_full Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador
title_fullStr Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador
title_full_unstemmed Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador
title_short Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador
title_sort establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in ecuador
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3247836/
https://www.ncbi.nlm.nih.gov/pubmed/22165915
http://dx.doi.org/10.1186/1472-698X-11-S2-S5
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