Adoption of community-based strategies for sustainable vector control and prevention
Abstract Community engagement strategies provide tools for sustainable vector-borne disease control. A previous cluster randomized control trial engaged nine intervention communities in seven participatory activities to promote management of the domestic and peri-domestic environment to reduce risk...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-16516-8 |
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| author | Elizabeth Pellecer Rivera Margarita Rivera Arrivillaga José G. Juárez Sandra M. De Urioste-Stone Elsa Berganza Pamela Marie Pennington |
| author_facet | Elizabeth Pellecer Rivera Margarita Rivera Arrivillaga José G. Juárez Sandra M. De Urioste-Stone Elsa Berganza Pamela Marie Pennington |
| author_sort | Elizabeth Pellecer Rivera |
| collection | DOAJ |
| description | Abstract Community engagement strategies provide tools for sustainable vector-borne disease control. A previous cluster randomized control trial engaged nine intervention communities in seven participatory activities to promote management of the domestic and peri-domestic environment to reduce risk factors for vector-borne Chagas disease. This study aims to assess the adoption of this innovative community-based strategy, which included chickens’ management, indoor cleaning practices, and domestic rodent infestation control, using concepts from the Diffusion of Innovations Theory. We used questionnaires and semi-structured interviews to understand perceptions of knowledge gained, intervention adoption level, innovation attributes, and limiting or facilitating factors for adoption. The analysis process focused on five innovation attributes proposed by the Diffusion of Innovations Theory: relative advantage, compatibility, complexity, trialability, and observability. Rodent management was highly adopted by participants, as it had a relative advantage regarding the use of poison and was compatible with local practices. The higher complexity was reduced by offering several types of trapping systems and having practical workshops allowed trialability. Observability was limited because the traps were indoors, but information and traps were shared with neighbors. Chicken management was not as widely adopted due to the higher complexity of the method, and lower compatibility with local practices. Using the concepts proposed by the Diffusion of Innovations Theory helped us to identify the enablers and constraints in the implementation of the Chagas vector control strategy. Based on this experience, community engagement and intersectoral collaboration improve the acceptance and adoption of novel and integrated strategies to improve the prevention and control of neglected diseases. |
| first_indexed | 2024-03-10T16:54:53Z |
| format | Article |
| id | doaj.art-58eb3fd209934327ba14f57749bf6948 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-10T16:54:53Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-58eb3fd209934327ba14f57749bf69482023-11-20T11:09:36ZengBMCBMC Public Health1471-24582023-09-0123111510.1186/s12889-023-16516-8Adoption of community-based strategies for sustainable vector control and preventionElizabeth Pellecer Rivera0Margarita Rivera Arrivillaga1José G. Juárez2Sandra M. De Urioste-Stone3Elsa Berganza4Pamela Marie Pennington5Centro de Estudios en Salud, Universidad del Valle de GuatemalaCentro de Estudios en Salud, Universidad del Valle de GuatemalaCentro de Estudios en Salud, Universidad del Valle de GuatemalaCentro de Estudios en Salud, Universidad del Valle de GuatemalaÁrea de Salud de Jutiapa, Ministerio de Salud Pública y Asistencia SocialCentro de Estudios en Salud, Universidad del Valle de GuatemalaAbstract Community engagement strategies provide tools for sustainable vector-borne disease control. A previous cluster randomized control trial engaged nine intervention communities in seven participatory activities to promote management of the domestic and peri-domestic environment to reduce risk factors for vector-borne Chagas disease. This study aims to assess the adoption of this innovative community-based strategy, which included chickens’ management, indoor cleaning practices, and domestic rodent infestation control, using concepts from the Diffusion of Innovations Theory. We used questionnaires and semi-structured interviews to understand perceptions of knowledge gained, intervention adoption level, innovation attributes, and limiting or facilitating factors for adoption. The analysis process focused on five innovation attributes proposed by the Diffusion of Innovations Theory: relative advantage, compatibility, complexity, trialability, and observability. Rodent management was highly adopted by participants, as it had a relative advantage regarding the use of poison and was compatible with local practices. The higher complexity was reduced by offering several types of trapping systems and having practical workshops allowed trialability. Observability was limited because the traps were indoors, but information and traps were shared with neighbors. Chicken management was not as widely adopted due to the higher complexity of the method, and lower compatibility with local practices. Using the concepts proposed by the Diffusion of Innovations Theory helped us to identify the enablers and constraints in the implementation of the Chagas vector control strategy. Based on this experience, community engagement and intersectoral collaboration improve the acceptance and adoption of novel and integrated strategies to improve the prevention and control of neglected diseases.https://doi.org/10.1186/s12889-023-16516-8Diffusion of innovationsCommunity engagementGuatemalaChagas diseaseTriatoma dimidiataVector-borne disease |
| spellingShingle | Elizabeth Pellecer Rivera Margarita Rivera Arrivillaga José G. Juárez Sandra M. De Urioste-Stone Elsa Berganza Pamela Marie Pennington Adoption of community-based strategies for sustainable vector control and prevention BMC Public Health Diffusion of innovations Community engagement Guatemala Chagas disease Triatoma dimidiata Vector-borne disease |
| title | Adoption of community-based strategies for sustainable vector control and prevention |
| title_full | Adoption of community-based strategies for sustainable vector control and prevention |
| title_fullStr | Adoption of community-based strategies for sustainable vector control and prevention |
| title_full_unstemmed | Adoption of community-based strategies for sustainable vector control and prevention |
| title_short | Adoption of community-based strategies for sustainable vector control and prevention |
| title_sort | adoption of community based strategies for sustainable vector control and prevention |
| topic | Diffusion of innovations Community engagement Guatemala Chagas disease Triatoma dimidiata Vector-borne disease |
| url | https://doi.org/10.1186/s12889-023-16516-8 |
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