ArticlePLoS neglected tropical diseases2019
Home improvement and system-based health promotion for sustainable prevention of Chagas disease: A qualitative study.
Article in PLoS neglected tropical diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 18 citations in OpenAlex.
- Health literacy & Chagas disease knowledge: A cross-sectional study in Southern Loja Province, Ecuador.PEC innovation · 2024Article
- Knowledge, Attitudes and Practices of Chagas a Neglected Tropical Disease in Rural Communities of the Colombian Caribbean, CHAGCOV Study.Acta parasitologica · 2024Article
- Chagas prevention and control in an endemic area from the Argentinian Gran Chaco Region: Data from 14 years of uninterrupted intervention.PLoS neglected tropical diseases · 2023Article
- Identifying Barriers and Facilitators for Home Reconstruction for Prevention of Chagas Disease: An Interview Study in Rural Loja Province, Ecuador.Tropical medicine and infectious disease · 2023Article
- Communication in Neglected Tropical Diseases' elimination: A scoping review and call for action.PLoS neglected tropical diseases · 2022Article
- Evaluation of the Effectiveness of Chemical Control for Chagas Disease Vectors in Loja Province, Ecuador.Vector borne and zoonotic diseases (Larchmont, N.Y.) · 2022Article
- Housing Risk Factors of Four Tropical Neglected Diseases: A Brief Review of the Recent Literature.Tropical medicine and infectious disease · 2022Review
- Scoping review of Neglected Tropical Disease Interventions and Health Promotion: A framework for successful NTD interventions as evidenced by the literature.PLoS neglected tropical diseases · 2021Article
- Determinants of intentions to prevent triatomine infestation based on the health belief model: An application in rural southern Ecuador.PLoS neglected tropical diseases · 2020Article
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Authors and funding
7 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundHuman transmission of Chagas disease (CD) most commonly occurs in domiciliary spaces where triatomines remain hidden to feed on blood sources during inhabitants' sleep. Similar to other neglected tropical diseases (NTDs), sustainable control of CD requires attention to the structural conditions of life of populations at risk, in this case, the conditions of their living environments. Considering socio-cultural and political dynamics involved in dwellings' construction, this study aimed to explore social factors that contribute or limit sustainability of CD's prevention models focused on home improvement. METHODS AND MAIN
findingsUsing Healthy Homes for Healthy Living (HHHL)-a health promotion strategy focused on improvement of living environments and system-based health promotion-as a reference, a qualitative study was conducted. Research participants were selected from three rural communities of a CD endemic region in southern Ecuador involved in HHHL's refurbishment and reconstruction interventions between 2013 and 2016. Folowing an ethnographic approach, data were collected through interviews, participant observation, informal conversations and document analysis. Our results indicate that the HHHL model addressed risk factors for CD at the household level, while simultaneously promoting wellbeing at emotional, economic and social levels in local communities. We argue that sustainability of the CD prevention model proposed by HHHL is enhanced by the confluence of three factors: systemic improvement of families' quality of life, perceived usefulness of control measures, and flexibility to adapt to emerging dynamics of the context.
conclusionHHHL's proposed home improvement, facilitated through system-based rather than disease specific health promotion processes, enhances agency in populations at risk and facilitates community partnerships forged around CD prevention. Although an independent analysis of cost-effectiveness is recommended, structural poverty experienced by local families is still the most important factor to consider when evaluating the sustainability and scalability of this model.
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