| Titre : | The control of schistosomiasis in Brazil : an ethno-epidemiological study of the effectiveness of a community mobilization program for health education. (2000) |
| Auteurs : | Elizabeth UCHOA ; Sandhi-M Barreto ; Joselia-Oa FIRMO ; Henrique-L GUERRA ; Maria-Fernanda-f LIMA E COSTA ; Fabiano-Gjr PIMENTA ; Department of Preventive and Social Medicine. Federal University of Minas Gerais Medical School. Belo Horizonte MG. BRA ; Laboratory of Epidemiology and Medical Anthropology. René Rachou Research Center. Oswaldo Cruz Foundation. Belo Horizonte MG. BRA |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 51, n° 10, 2000) |
| Pagination : | 1529-1541 |
| Langues: | Anglais |
| Mots-clés : | Bilharziose ; Parasitose ; Infection ; Programme santé ; Education santé ; Epidémiologie ; Evaluation ; Prévention santé ; Homme ; Brésil ; Amérique ; Amérique du Sud |
| Résumé : | [BDSP. Notice produite par INIST F2hM8R0x. Diffusion soumise à autorisation]. This study combined anthropological and epidemiological approaches to assess the effectiveness of community mobilization for health education, developed as part of the Brazilian program for the control of schistosomiasis. The study was carried out in two villages in the state of Minas Gerais, SE Brazil, exposed to the same established schistosomiaisis control strategies. Residents of one village were also exposed to the community mobilization for health education (study area) while those from the other community were not exposed to this program (control area). Schistosoma mansoni prevalence rates for the study and control villages were compared over time. A population-based survey was carried out in the two villages to obtain information on socio-demographic factors, water contact patterns and knowledge of S. mansoni transmission. Intensive ethnographic interviews with key informants in each locality were employed to determine the knowledge, attitudes and practices of the communities regarding schistosomiasis. Ethnographic data were analysed using the model of systems of signs, meanings and actions. Differences were observed in prevalence trends between the study and control areas but they could not be explained by the existence of the community mobilization program in the former. (...) |
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