Positive deviance study to inform a Chagas disease crontrol program in southern Ecuador

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dc.careerCiencias Biológicases
dc.category.authoraddeden_US
dc.contributor.authorBaus Carrera, Esteban Guillermo
dc.contributor.authorGrijalva Cobo, Mario Javier
dc.contributor.correspondingGrijalva Cobo, Mario Javier
dc.countryEcuadores
dc.date.accessioned2023-11-04T21:39:41Z
dc.date.available2023-11-04T21:39:41Z
dc.date.issued2015
dc.dedication.authorTCes
dc.description.abstractChagas disease is caused by Trypanosoma cruzi, which is mainly transmitted by the faeces of triatomine insects that find favourable environments in poorly constructed houses. Previous studies have documented persistent triatomine infestation in houses in the province of Loja in southern Ecuador despite repeated insecticide and educational interventions. We aim to develop a sustainable stratefy for the interruption of Chagas disease transmission by promoting living environments that are designed to prevent colonisation of rural houses by triatomines. This study used positive deviance to inform the design of an anti-triatomine prototype house by identifying knowledge, attitudes and practices used by families that have remained triatomine-free (2010-2012). Positive deviants reported practices that included maintenance of structural elements of the house, fumigation of dwellings and animal shelters, sweeping with "insect repellent" plants and relocation of domestic animals away from the house, among others. Participants favoured construction materials that do not drastically differ from those currently used (adobe walls and tile roofs). They also expressed their belief in a clear connection between a clean house and health. The family`s econocmic dynamics affect space use and must be considered in the prototype´s design. Overall, the results indicate a positive climate for the introduction of housing improvements as a protective measure against Chagas disease in this region.en_US
dc.facultyCiencias Exactas y Naturaleses
dc.id.author2000029690
dc.id.author1708757742
dc.id.type1
dc.identifier.doihttps://doi.org/10.1590/0074-02760140472
dc.identifier.issn0074-0276
dc.identifier.urihttps://repositorio.puce.edu.ec/handle/123456789/5767
dc.identifier.urihttp://www.scielo.br/scielo.php?pid=S0074-02762015005040472&script=sci_arttext&tlng=es#c01
dc.indexed.databaseScimago Journal Rankes
dc.language.isoen
dc.list.authorsNieto, C., Baus, E., Guerrero, D., & Grijalva, M.
dc.magazine.pageRange299-309
dc.magazine.titleMemorias do Instituto Oswaldo Cruzen_US
dc.magazine.volumeChapter110
dc.rightsClosedAccessen
dc.statepublisheden_US
dc.subjectEnfermedad de Chagases
dc.subjectDensidad de la poblaciónes
dc.subjectEnfermedad de Chagas
dc.subjectDensidad de la población
dc.titlePositive deviance study to inform a Chagas disease crontrol program in southern Ecuadoren_US
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