The multidimensional comprehension of Chagas disease. Contributions, approaches, challenges and opportunities from and beyond the Information, Education and Communication field

被引：13

作者：

Sanmartino, Mariana ^{[1
]}

Forsyth, Colin J. ^{[2
]}

Avaria, Andrea ^{[3
]}

Velarde-Rodriguez, Mar ^{[4
,5
]}

Prat, Jordi Gomez, I ^{[6
]}

Albajar-Vinas, Pedro ^{[7
]}

机构：

[1] Consejo Nacl Invest Cient & Tecn, Grp Didact Ciencias, Inst Fis Liquidos & Sistemas Biol, La Plata, Buenos Aires, Argentina

[2] Drugs Neglected Dis Initiat Latin Amer, Rio De Janeiro, RJ, Brazil

[3] Univ Autonoma Chile, Fac Ciencias Sociales & Humanidades, Santiago, Region Metropol, Chile

[4] Swiss Trop & Publ Hlth Inst, Dept Epidemiol & Publ Hlth, Basel, Switzerland

[5] Univ Basel, Basel, Switzerland

[6] Hosp Univ Vall dHebron, Serv Med Prevent, Unitat Salut Int Drassanes Vall dHebron, Equip Salut Publ & Comunitaria, Barcelona, Spain

[7] WHO, Dept Control Neglected Trop Dis, Geneva, Switzerland

来源：

MEMORIAS DO INSTITUTO OSWALDO CRUZ | 2022年 / 117卷

关键词：

Chagas disease; multidimensional comprehension; information; education; communication; public health; HEALTH-CARE; ACCESS;

D O I：

10.1590/0074-02760200460

中图分类号：

R38 [医学寄生虫学]; Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ; 100103 ;

摘要：

Chagas is a complex, multidimensional phenomenon in which political, economic, environmental, biomedical, epidemiological, psychological, and sociocultural factors intersect. Nonetheless, the hegemonic conceptualisation has long envisioned Chagas as primarily a biomedical question, while ignoring or downplaying the other dimensions, and this limited view has reinforced the disease's long neglect. Integrating the multiple dimensions of the problem into a coherent approach adapted to field realities and needs represents an immense challenge, but the payoff is more effective and sustainable experiences, with higher social awareness, increased case detection and follow-up, improved adherence to care, and integrated participation of various actors from multiple action levels. Information, Education, and Communication (IEC) initiatives have great potential for impact in the implementation of multidimensional programs of prevention and control successfully customised to the diverse and complex contexts where Chagas disease persists.

引用

页数：11