Towards Chagas disease elimination: Neonatal screening for congenital transmission in rural communities.
Chagas disease is a neglected tropical disease that continues to affect populations living in extreme poverty in Latin America. After successful vector control programs, congenital transmission remains as a challenge to disease elimination. We used the PRECEDE-PROCEED planning model to develop strat...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2017-09-01
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| Series: | PLoS Neglected Tropical Diseases |
| Online Access: | http://europepmc.org/articles/PMC5634652?pdf=render |
| _version_ | 1817980341418196992 |
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| author | Pamela Marie Pennington José Guillermo Juárez Margarita Rivera Arrivillaga Sandra María De Urioste-Stone Katherine Doktor Joe P Bryan Clara Yaseli Escobar Celia Cordón-Rosales |
| author_facet | Pamela Marie Pennington José Guillermo Juárez Margarita Rivera Arrivillaga Sandra María De Urioste-Stone Katherine Doktor Joe P Bryan Clara Yaseli Escobar Celia Cordón-Rosales |
| author_sort | Pamela Marie Pennington |
| collection | DOAJ |
| description | Chagas disease is a neglected tropical disease that continues to affect populations living in extreme poverty in Latin America. After successful vector control programs, congenital transmission remains as a challenge to disease elimination. We used the PRECEDE-PROCEED planning model to develop strategies for neonatal screening of congenital Chagas disease in rural communities of Guatemala. These communities have persistent high triatomine infestations and low access to healthcare. We used mixed methods with multiple stakeholders to identify and address maternal-infant health behaviors through semi-structured interviews, participatory group meetings, archival reviews and a cross-sectional survey in high risk communities. From December 2015 to April 2016, we jointly developed a strategy to illustratively advertise newborn screening at the Health Center. The strategy included socioculturally appropriate promotional and educational material, in collaboration with midwives, nurses and nongovernmental organizations. By March 2016, eight of 228 (3.9%) pregnant women had been diagnosed with T. cruzi at the Health Center. Up to this date, no neonatal screening had been performed. By August 2016, seven of eight newborns born to Chagas seropositive women had been parasitologically screened at the Health Center, according to international standards. Thus, we implemented a successful community-based neonatal screening strategy to promote congenital Chagas disease healthcare in a rural setting. The success of the health promotion strategies developed will depend on local access to maternal-infant services, integration with detection of other congenital diseases and reliance on community participation in problem and solution definition. |
| first_indexed | 2024-04-13T22:52:52Z |
| format | Article |
| id | doaj.art-4097679bfd5244618add0b295fed910b |
| institution | Directory Open Access Journal |
| issn | 1935-2727 1935-2735 |
| language | English |
| last_indexed | 2024-04-13T22:52:52Z |
| publishDate | 2017-09-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS Neglected Tropical Diseases |
| spelling | doaj.art-4097679bfd5244618add0b295fed910b2022-12-22T02:26:07ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352017-09-01119e000578310.1371/journal.pntd.0005783Towards Chagas disease elimination: Neonatal screening for congenital transmission in rural communities.Pamela Marie PenningtonJosé Guillermo JuárezMargarita Rivera ArrivillagaSandra María De Urioste-StoneKatherine DoktorJoe P BryanClara Yaseli EscobarCelia Cordón-RosalesChagas disease is a neglected tropical disease that continues to affect populations living in extreme poverty in Latin America. After successful vector control programs, congenital transmission remains as a challenge to disease elimination. We used the PRECEDE-PROCEED planning model to develop strategies for neonatal screening of congenital Chagas disease in rural communities of Guatemala. These communities have persistent high triatomine infestations and low access to healthcare. We used mixed methods with multiple stakeholders to identify and address maternal-infant health behaviors through semi-structured interviews, participatory group meetings, archival reviews and a cross-sectional survey in high risk communities. From December 2015 to April 2016, we jointly developed a strategy to illustratively advertise newborn screening at the Health Center. The strategy included socioculturally appropriate promotional and educational material, in collaboration with midwives, nurses and nongovernmental organizations. By March 2016, eight of 228 (3.9%) pregnant women had been diagnosed with T. cruzi at the Health Center. Up to this date, no neonatal screening had been performed. By August 2016, seven of eight newborns born to Chagas seropositive women had been parasitologically screened at the Health Center, according to international standards. Thus, we implemented a successful community-based neonatal screening strategy to promote congenital Chagas disease healthcare in a rural setting. The success of the health promotion strategies developed will depend on local access to maternal-infant services, integration with detection of other congenital diseases and reliance on community participation in problem and solution definition.http://europepmc.org/articles/PMC5634652?pdf=render |
| spellingShingle | Pamela Marie Pennington José Guillermo Juárez Margarita Rivera Arrivillaga Sandra María De Urioste-Stone Katherine Doktor Joe P Bryan Clara Yaseli Escobar Celia Cordón-Rosales Towards Chagas disease elimination: Neonatal screening for congenital transmission in rural communities. PLoS Neglected Tropical Diseases |
| title | Towards Chagas disease elimination: Neonatal screening for congenital transmission in rural communities. |
| title_full | Towards Chagas disease elimination: Neonatal screening for congenital transmission in rural communities. |
| title_fullStr | Towards Chagas disease elimination: Neonatal screening for congenital transmission in rural communities. |
| title_full_unstemmed | Towards Chagas disease elimination: Neonatal screening for congenital transmission in rural communities. |
| title_short | Towards Chagas disease elimination: Neonatal screening for congenital transmission in rural communities. |
| title_sort | towards chagas disease elimination neonatal screening for congenital transmission in rural communities |
| url | http://europepmc.org/articles/PMC5634652?pdf=render |
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