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Which green way: description of the intervention for mobilising against Aedes aegypti under difficult security conditions in southern Mexico

BACKGROUND: Community mobilisation for prevention requires engagement with and buy in from those communities. In the Mexico state of Guerrero, unprecedented social violence related to the narcotics trade has eroded most community structures. A recent randomised controlled trial in 90 coastal communi...

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Autores principales: Morales-Perez, Arcadio, Nava-Aguilera, Elizabeth, Legorreta-Soberanis, José, Paredes-Solís, Sergio, Balanzar-Martínez, Alejandro, Serrano-de los Santos, Felipe René, Ríos-Rivera, Claudia Erika, García-Leyva, Jaime, Ledogar, Robert J., Cockcroft, Anne, Andersson, Neil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5506570/
https://www.ncbi.nlm.nih.gov/pubmed/28699562
http://dx.doi.org/10.1186/s12889-017-4300-1
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author Morales-Perez, Arcadio
Nava-Aguilera, Elizabeth
Legorreta-Soberanis, José
Paredes-Solís, Sergio
Balanzar-Martínez, Alejandro
Serrano-de los Santos, Felipe René
Ríos-Rivera, Claudia Erika
García-Leyva, Jaime
Ledogar, Robert J.
Cockcroft, Anne
Andersson, Neil
author_facet Morales-Perez, Arcadio
Nava-Aguilera, Elizabeth
Legorreta-Soberanis, José
Paredes-Solís, Sergio
Balanzar-Martínez, Alejandro
Serrano-de los Santos, Felipe René
Ríos-Rivera, Claudia Erika
García-Leyva, Jaime
Ledogar, Robert J.
Cockcroft, Anne
Andersson, Neil
author_sort Morales-Perez, Arcadio
collection PubMed
description BACKGROUND: Community mobilisation for prevention requires engagement with and buy in from those communities. In the Mexico state of Guerrero, unprecedented social violence related to the narcotics trade has eroded most community structures. A recent randomised controlled trial in 90 coastal communities achieved sufficient mobilisation to reduce conventional vector density indicators, self-reported dengue illness and serologically proved dengue virus infection. METHODS: The Camino Verde intervention was a participatory research protocol promoting local discussion of baseline evidence and co-design of vector control solutions. Training of facilitators emphasised community authorship rather than trying to convince communities to do specific activities. Several discussion groups in each intervention community generated a loose and evolving prevention plan. Facilitators trained brigadistas, the first wave of whom received a small monthly stipend. Increasing numbers of volunteers joined the effort without pay. All communities opted to work with schoolchildren and for house-to-house visits by brigadístas. Children joined the neighbourhood vector control movements where security conditions permitted. After 6 months, a peer evaluation involved brigadista visits between intervention communities to review and to share progress. DISCUSSION: Although most communities had no active social institutions at the outset, local action planning using survey data provided a starting point for community authorship. Well-known in their own communities, brigadistas faced little security risk compared with the facilitators who visited the communities, or with governmental programmes. We believe the training focus on evidence-based dialogue and a plural community ownership through multiple design groups were key to success under challenging security conditions. TRIAL REGISTRATION: ISRCTN27581154.
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spelling pubmed-55065702017-07-12 Which green way: description of the intervention for mobilising against Aedes aegypti under difficult security conditions in southern Mexico Morales-Perez, Arcadio Nava-Aguilera, Elizabeth Legorreta-Soberanis, José Paredes-Solís, Sergio Balanzar-Martínez, Alejandro Serrano-de los Santos, Felipe René Ríos-Rivera, Claudia Erika García-Leyva, Jaime Ledogar, Robert J. Cockcroft, Anne Andersson, Neil BMC Public Health Review BACKGROUND: Community mobilisation for prevention requires engagement with and buy in from those communities. In the Mexico state of Guerrero, unprecedented social violence related to the narcotics trade has eroded most community structures. A recent randomised controlled trial in 90 coastal communities achieved sufficient mobilisation to reduce conventional vector density indicators, self-reported dengue illness and serologically proved dengue virus infection. METHODS: The Camino Verde intervention was a participatory research protocol promoting local discussion of baseline evidence and co-design of vector control solutions. Training of facilitators emphasised community authorship rather than trying to convince communities to do specific activities. Several discussion groups in each intervention community generated a loose and evolving prevention plan. Facilitators trained brigadistas, the first wave of whom received a small monthly stipend. Increasing numbers of volunteers joined the effort without pay. All communities opted to work with schoolchildren and for house-to-house visits by brigadístas. Children joined the neighbourhood vector control movements where security conditions permitted. After 6 months, a peer evaluation involved brigadista visits between intervention communities to review and to share progress. DISCUSSION: Although most communities had no active social institutions at the outset, local action planning using survey data provided a starting point for community authorship. Well-known in their own communities, brigadistas faced little security risk compared with the facilitators who visited the communities, or with governmental programmes. We believe the training focus on evidence-based dialogue and a plural community ownership through multiple design groups were key to success under challenging security conditions. TRIAL REGISTRATION: ISRCTN27581154. BioMed Central 2017-05-30 /pmc/articles/PMC5506570/ /pubmed/28699562 http://dx.doi.org/10.1186/s12889-017-4300-1 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Morales-Perez, Arcadio
Nava-Aguilera, Elizabeth
Legorreta-Soberanis, José
Paredes-Solís, Sergio
Balanzar-Martínez, Alejandro
Serrano-de los Santos, Felipe René
Ríos-Rivera, Claudia Erika
García-Leyva, Jaime
Ledogar, Robert J.
Cockcroft, Anne
Andersson, Neil
Which green way: description of the intervention for mobilising against Aedes aegypti under difficult security conditions in southern Mexico
title Which green way: description of the intervention for mobilising against Aedes aegypti under difficult security conditions in southern Mexico
title_full Which green way: description of the intervention for mobilising against Aedes aegypti under difficult security conditions in southern Mexico
title_fullStr Which green way: description of the intervention for mobilising against Aedes aegypti under difficult security conditions in southern Mexico
title_full_unstemmed Which green way: description of the intervention for mobilising against Aedes aegypti under difficult security conditions in southern Mexico
title_short Which green way: description of the intervention for mobilising against Aedes aegypti under difficult security conditions in southern Mexico
title_sort which green way: description of the intervention for mobilising against aedes aegypti under difficult security conditions in southern mexico
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5506570/
https://www.ncbi.nlm.nih.gov/pubmed/28699562
http://dx.doi.org/10.1186/s12889-017-4300-1
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