作者
Marilia Sá Carvalho, Nildimar Alves Honorio, Leandro Martin Totaro Garcia, Luiz Carlos Sá Carvalho
发表日期
2017
期刊
PLoS Neglected Tropical Diseases
卷号
11
期号
7
页码范围
e0005632
简介
Author summary
The available strategy for controlling the diseases transmitted by Aedes ægypti (dengue fever, Zika, and chikungunya) relies on continued community participation. Despite slogans emphasizing how easy it should be, no country has achieved it since the seventies. To better investigate potentially sustainable interventions, we developed a systemic model based on a multidisciplinary approach, integrating as deeply as possible specialized knowledge and field experience. The resulting model is composed of 4 external and 8 internal subsystems and 31 relationships, consistent with the literature and checked over multiple iterations with specialists of the many areas. We analyzed the model and the main feedback loops responsible for the system’s stability, searching for possible interventions that could shift the existing balance. We suggest the introduction of 1 more player, the local primary health care structure, with the potential to change the undesired equilibrium. The health agents in the areas are the first to detect disease cases, and they could stimulate individuals to inform about potential mosquitoes’ breeding sites and bring timely information to the vector-control program. Triggering such an action could introduce changes in people's attitude through a positive feedback loop in the desired direction.
引用总数
2017201820192020202120222023202416865941
学术搜索中的文章
MS Carvalho, NA Honorio, LMT Garcia, LCS Carvalho - PLoS neglected tropical diseases, 2017