Malaria outbreak response in urban Santo Domingo, Dominican Republic: lessons learned for community engagement
Community engagement is crucial for public health initiatives, yet it remains an under-studied process within national disease elimination programs. This report shares key lessons learned for community engagement practices during a malaria outbreak response in the Los Tres Brazos neighborhood of urb...
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ftdoajarticles:oai:doaj.org/article:c06b1000c6fe4bffb07e5d2afede6dec 2023-05-15T15:13:17+02:00 Malaria outbreak response in urban Santo Domingo, Dominican Republic: lessons learned for community engagement Dianelba Valdez Hunter Keys Keyla Ureña Domingo Cabral Francisco Camilo Eulalia C. Ogando Luz Mercedes Gregory S. Noland Stephen B. Blount James V. Lavery Luccene Desir Jose Puello 2020-08-01T00:00:00Z https://doi.org/10.26633/RPSP.2020.92 https://doaj.org/article/c06b1000c6fe4bffb07e5d2afede6dec EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/52534 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.92 https://doaj.org/article/c06b1000c6fe4bffb07e5d2afede6dec Revista Panamericana de Salud Pública, Vol 44, Iss 92, Pp 1-6 (2020) malaria community-institutional relations community participation disease elimination dominican republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2020 ftdoajarticles https://doi.org/10.26633/RPSP.2020.92 2022-12-31T03:56:27Z Community engagement is crucial for public health initiatives, yet it remains an under-studied process within national disease elimination programs. This report shares key lessons learned for community engagement practices during a malaria outbreak response in the Los Tres Brazos neighborhood of urban Santo Domingo, Dominican Republic from 2015-2016. In this two-year period, 233 cases of malaria were reported–more than seven times the number of cases (31) reported in the previous two years. The initial outbreak response by the national malaria program emphasized “top-down” interventions such as active surveillance, vector control, and educative talks within the community. Despite a transient reduction in reported cases in mid-2015, transmission resurged at the end of 2015. The program responded by introducing active roles for trained community members that included door-to-door fever screening, testing with rapid diagnostic tests and treatment. Malaria cases declined significantly throughout 2016 and community-based active surveillance infrastructure helped to detect and limit a small episode of transmission in 2017. Results from qualitative research among community members revealed two key factors that facilitated their cooperation with community-based surveillance activities: motivation to help one’s community; and trust among stakeholders (community health workers, their neighbors and other key figures in the community, and malaria program staff and leadership). This experience suggests that community-led interventions and the program’s willingness to learn and adapt under changing circumstances can help control malaria transmission and pave the way for elimination. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 44 1 |
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malaria community-institutional relations community participation disease elimination dominican republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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malaria community-institutional relations community participation disease elimination dominican republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Dianelba Valdez Hunter Keys Keyla Ureña Domingo Cabral Francisco Camilo Eulalia C. Ogando Luz Mercedes Gregory S. Noland Stephen B. Blount James V. Lavery Luccene Desir Jose Puello Malaria outbreak response in urban Santo Domingo, Dominican Republic: lessons learned for community engagement |
topic_facet |
malaria community-institutional relations community participation disease elimination dominican republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Community engagement is crucial for public health initiatives, yet it remains an under-studied process within national disease elimination programs. This report shares key lessons learned for community engagement practices during a malaria outbreak response in the Los Tres Brazos neighborhood of urban Santo Domingo, Dominican Republic from 2015-2016. In this two-year period, 233 cases of malaria were reported–more than seven times the number of cases (31) reported in the previous two years. The initial outbreak response by the national malaria program emphasized “top-down” interventions such as active surveillance, vector control, and educative talks within the community. Despite a transient reduction in reported cases in mid-2015, transmission resurged at the end of 2015. The program responded by introducing active roles for trained community members that included door-to-door fever screening, testing with rapid diagnostic tests and treatment. Malaria cases declined significantly throughout 2016 and community-based active surveillance infrastructure helped to detect and limit a small episode of transmission in 2017. Results from qualitative research among community members revealed two key factors that facilitated their cooperation with community-based surveillance activities: motivation to help one’s community; and trust among stakeholders (community health workers, their neighbors and other key figures in the community, and malaria program staff and leadership). This experience suggests that community-led interventions and the program’s willingness to learn and adapt under changing circumstances can help control malaria transmission and pave the way for elimination. |
format |
Article in Journal/Newspaper |
author |
Dianelba Valdez Hunter Keys Keyla Ureña Domingo Cabral Francisco Camilo Eulalia C. Ogando Luz Mercedes Gregory S. Noland Stephen B. Blount James V. Lavery Luccene Desir Jose Puello |
author_facet |
Dianelba Valdez Hunter Keys Keyla Ureña Domingo Cabral Francisco Camilo Eulalia C. Ogando Luz Mercedes Gregory S. Noland Stephen B. Blount James V. Lavery Luccene Desir Jose Puello |
author_sort |
Dianelba Valdez |
title |
Malaria outbreak response in urban Santo Domingo, Dominican Republic: lessons learned for community engagement |
title_short |
Malaria outbreak response in urban Santo Domingo, Dominican Republic: lessons learned for community engagement |
title_full |
Malaria outbreak response in urban Santo Domingo, Dominican Republic: lessons learned for community engagement |
title_fullStr |
Malaria outbreak response in urban Santo Domingo, Dominican Republic: lessons learned for community engagement |
title_full_unstemmed |
Malaria outbreak response in urban Santo Domingo, Dominican Republic: lessons learned for community engagement |
title_sort |
malaria outbreak response in urban santo domingo, dominican republic: lessons learned for community engagement |
publisher |
Pan American Health Organization |
publishDate |
2020 |
url |
https://doi.org/10.26633/RPSP.2020.92 https://doaj.org/article/c06b1000c6fe4bffb07e5d2afede6dec |
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Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 44, Iss 92, Pp 1-6 (2020) |
op_relation |
https://iris.paho.org/handle/10665.2/52534 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.92 https://doaj.org/article/c06b1000c6fe4bffb07e5d2afede6dec |
op_doi |
https://doi.org/10.26633/RPSP.2020.92 |
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Revista Panamericana de Salud Pública |
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44 |
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