ArticleRevista panamericana de salud publica = Pan American journal of public health2017
[Strategy to improve access to etiological treatment of Chagas disease at the first level of care in Argentina].
Article in Revista panamericana de salud publica = Pan American journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Knowledge about Chagas disease among Primary Health Care professionals in a municipality located in northeastern Brazil.PLoS neglected tropical diseases · 2026Article
- Towards new care strategies in a suburban healthcare center in La Matanza, Argentina: performance evaluation of rapid diagnostic tests for Chagas disease in a non-endemic area.Frontiers in cellular and infection microbiology · 2026Article
- Article
- Evaluation of Quality of Care in Chagas Disease Cardiomyopathy.Global heart · 2026Article
- Laboratory diagnosis ofFrontiers in parasitology · 2023Review
- Article
- Embedded implementation research determinants in Latin American health systems.Revista de saude publica · 2021Article
- Challenges in the care of patients with Chagas disease in the Brazilian public health system: A qualitative study with primary health care doctors.PLoS neglected tropical diseases · 2020Article
- [Synthesis of evidence: Guidance for the diagnosis and treatment of Chagas diseaseSíntese de evidências: Guia de diagnóstico e tratamento da doença de Chagas].Revista panamericana de salud publica = Pan American journal of public health · 2020Article
- Embedding implementation research to enhance health policy and systems: a multi-country analysis from ten settings in Latin America and the Caribbean.Health research policy and systems · 2019Article
- A four-step process for building sustainable access to diagnosis and treatment of Chagas disease.Revista panamericana de salud publica = Pan American journal of public health · 2019Article
- Towards Chagas disease elimination: Neonatal screening for congenital transmission in rural communities.PLoS neglected tropical diseases · 2017Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveImprove distribution of etiological treatment of Chagas disease by identifying barriers to the decentralization of treatment to the first level of care in Argentina.
methodsA qualitative, exploratory, and descriptive study was conducted using semi-structured interviews of key actors belonging to the National Chagas Program and members of health teams at the first level of care, for the purpose of identifying barriers to diagnosis and treatment of Chagas disease at different levels (administrative, health agents, and community) that could affect a decentralized distribution strategy. Additionally, pilot decentralization was instituted in 10 primary health care centers in an Argentine province.
resultsSemi-structured interviews were conducted with 22 program heads and health professionals. Principal obstacles found were lack of systematic case-finding, poor coordination among levels of care and health system actors, lack of health team training on treatment, patient monitoring, and patient-related barriers. A pilot decentralization program was carried out and strategies were evaluated to optimize large-scale intervention.
conclusionsThe results made it possible to improve implementation of the plan to decentralize treatment through better inter-program coordination, capitalization on existing monitoring and communication tools, and sensitization of health teams. Furthermore, recommendations were developed to improve diagnosis and treatment of Chagas disease.
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28591327PMC6660878What OpenQuestion holds
Registered trials
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