IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v64y2007i4p976-988.html
   My bibliography  Save this article

Achieving sustainability of community-based dengue control in Santiago de Cuba

Author

Listed:
  • Toledo Romani, Maria E.
  • Vanlerberghe, Veerle
  • Perez, Dennis
  • Lefevre, Pierre
  • Ceballos, Enrique
  • Bandera, Digna
  • Baly Gil, Alberto
  • Van der Stuyft, Patrick

Abstract

Achieving sustainability is one of the major current challenges in disease control programmes. In 2001-2002, a community-based dengue control intervention was developed in three health zones of Santiago de Cuba. New structures (heterogeneous community working groups and provincial/municipal coordination groups inserted in the vertical programme) were formed and constituted a key element to achieve social mobilization. In three control zones, routine programme activities were intensified. We evaluated the sustainability of the intervention strategy over a period of 2 years after the withdrawal of external support. Data on maintenance of effects, level of institutionalization and continuity of activities through capacity building were collected via documental review, direct observation, questionnaires, key informant and group interviews and routine entomological surveys. The intervention effects, evaluated through larval indices and behavioural change indicators, were maintained during the 2 years of follow-up. In the intervention area, 87.5% of the water storage containers remained well covered in 2004 and 90.5% of the families continued to correctly use a larvicide, against 21.5% and 63.5%, respectively in the control area. The house indices further declined from 0.35% in 2002 to 0.17% in 2004 in the intervention area, while in the control area they increased from 0.52% to 2.25%. Institutionalization of the intervention, assessed in terms of degrees of intensiveness (passage, routine, niche saturation), was reaching saturation by the end of the study. Key elements of the intervention had lost their separate identity and became part of the control programme's regular activities. The host organization adapted its structures and procedures accordingly. Continuous capacity building in the community led to participatory planning, implementation and evaluation of the Aedes control activities. It is concluded that, in contrast to intensified routine control activities, a community-based intervention approach promises to be sustainable.

Suggested Citation

  • Toledo Romani, Maria E. & Vanlerberghe, Veerle & Perez, Dennis & Lefevre, Pierre & Ceballos, Enrique & Bandera, Digna & Baly Gil, Alberto & Van der Stuyft, Patrick, 2007. "Achieving sustainability of community-based dengue control in Santiago de Cuba," Social Science & Medicine, Elsevier, vol. 64(4), pages 976-988, February.
    • Handle: RePEc:eee:socmed:v:64:y:2007:i:4:p:976-988
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(06)00555-7
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Pluye, Pierre & Potvin, Louise & Denis, Jean-Louis, 2004. "Making public health programs last: conceptualizing sustainability," Evaluation and Program Planning, Elsevier, vol. 27(2), pages 121-133, May.
    2. Bossert, Thomas J., 1990. "Can they get along without us? Sustainability of donor-supported health projects in Central America and Africa," Social Science & Medicine, Elsevier, vol. 30(9), pages 1015-1023, January.
    3. Pluye, Pierre & Potvin, Louise & Denis, Jean-Louis & Pelletier, Jocelyne & Mannoni, Chantal, 2005. "Program sustainability begins with the first events," Evaluation and Program Planning, Elsevier, vol. 28(2), pages 123-137, May.
    4. Pluye, Pierre & Potvin, Louise & Denis, Jean-Louis, 2004. "Corrigendum to `Making public health programs last: conceptualizing sustainability' [Evaluation and Program Planning 27 (2004) 121-133]," Evaluation and Program Planning, Elsevier, vol. 27(4), pages 453-453, November.
    5. Roberto Suarez, M. & Maria Fernanda Olarte, S. & Ana, M.F.A. & Catalina González, U., 2005. "Is what I have just a cold or is it dengue? Addressing the gap between the politics of dengue control and daily life in Villavicencio-Colombia," Social Science & Medicine, Elsevier, vol. 61(2), pages 495-502, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Pérez, Dennis & Lefèvre, Pierre & Castro, Marta & Toledo, María Eugenia & Zamora, Gilberto & Bonet, Mariano & Van der Stuyft, Patrick, 2013. "Diffusion of community empowerment strategies for Aedes aegypti control in Cuba: A muddling through experience," Social Science & Medicine, Elsevier, vol. 84(C), pages 44-52.
    2. Marta Castro & Lizet Sánchez & Dennis Pérez & Carlos Sebrango & Ziv Shkedy & Patrick Van der Stuyft, 2013. "The Relationship between Economic Status, Knowledge on Dengue, Risk Perceptions and Practices," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-6, December.
    3. Madon, Shirin & Malecela, Mwele Ntuli & Mashoto, Kijakazi & Donohue, Rose & Mubyazi, Godfrey & Michael, Edwin, 2018. "The role of community participation for sustainable integrated neglected tropical diseases and water, sanitation and hygiene intervention programs: A pilot project in Tanzania," Social Science & Medicine, Elsevier, vol. 202(C), pages 28-37.
    4. Sebastian Ion Ceptureanu & Eduard Gabriel Ceptureanu & Cristian Eugen Luchian & Iuliana Luchian, 2018. "Community Based Programs Sustainability. A Multidimensional Analysis of Sustainability Factors," Sustainability, MDPI, vol. 10(3), pages 1-15, March.
    5. Montgomery, Catherine M. & Munguambe, Khátia & Pool, Robert, 2010. "Group-based citizenship in the acceptance of indoor residual spraying (IRS) for malaria control in Mozambique," Social Science & Medicine, Elsevier, vol. 70(10), pages 1648-1655, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Alfonso, Moya L. & Nickelson, Jen & Hogeboom, David L. & French, Jennifer & Bryant, Carol A. & McDermott, Robert J. & Baldwin, Julie A., 2008. "Assessing local capacity for health intervention," Evaluation and Program Planning, Elsevier, vol. 31(2), pages 145-159, May.
    2. Sridharan, Sanjeev & Go, Sodam & Zinzow, Heidi & Gray, Aracelis & Gutierrez Barrett, Melissa, 2007. "Analysis of strategic plans to assess planning for sustainability of comprehensive community initiatives," Evaluation and Program Planning, Elsevier, vol. 30(1), pages 105-113, February.
    3. Najafizada, Said Ahmad Maisam & Labonté, Ronald & Bourgeault, Ivy Lynn, 2017. "Stakeholder’s perspective: Sustainability of a community health worker program in Afghanistan," Evaluation and Program Planning, Elsevier, vol. 60(C), pages 123-129.
    4. Bennett, Sara & Ozawa, Sachiko & Rodriguez, Daniela & Paul, Amy & Singh, Kriti & Singh, Suneeta, 2015. "Monitoring and evaluating transition and sustainability of donor-funded programs: Reflections on the Avahan experience," Evaluation and Program Planning, Elsevier, vol. 52(C), pages 148-158.
    5. Douglas S. Gardner & Jacob M. Marszalek, 2014. "Does the Sustainability of Comprehensive Intervention Programs Depend on Parent Involvement?," SAGE Open, , vol. 4(3), pages 21582440145, August.
    6. Riki Savaya & Gerald Elsworth & Patricia Rogers, 2009. "Projected Sustainability of Innovative Social Programs," Evaluation Review, , vol. 33(2), pages 189-205, April.
    7. Ana Claudia Figueiro & Sydia Rosana Oliveira & Zulmira Hartz & Yves Couturier & Jocelyne Bernier & Maria Freire & Isabella Samico & Maria Guadalupe Medina & Ronice Franco Sa & Louise Potvin, 2017. "A tool for exploring the dynamics of innovative interventions for public health: the critical event card," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(2), pages 177-186, March.
    8. Sebastian Ion Ceptureanu & Eduard Gabriel Ceptureanu & Cristian Eugen Luchian & Iuliana Luchian, 2018. "Community Based Programs Sustainability. A Multidimensional Analysis of Sustainability Factors," Sustainability, MDPI, vol. 10(3), pages 1-15, March.
    9. Johnson, K.W. & Grube, J.W. & Ogilvie, K.A. & Collins, D. & Courser, M. & Dirks, L.G. & Ogilvie, D. & Driscoll, D., 2012. "A community prevention model to prevent children from inhaling and ingesting harmful legal products," Evaluation and Program Planning, Elsevier, vol. 35(1), pages 113-123.
    10. Stella Nordhagen & Khadidjatou Thiam & Souleymane Sow, 2019. "The sustainability of a nutrition-sensitive agriculture intervention: a case study from urban Senegal," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 11(5), pages 1121-1134, October.
    11. Sachiko Ozawa & Suneeta Singh & Kriti Singh & Vibha Chhabra & Sara Bennett, 2016. "The Avahan Transition: Effects of Transition Readiness on Program Institutionalization and Sustained Outcomes," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-15, July.
    12. Lawrence A Palinkas & Claudia V Chavarin & Claudia M Rafful & Mee Young Um & Doroteo V Mendoza & Hugo Staines & Gregory A Aarons & Thomas L Patterson, 2015. "Sustainability of Evidence-Based Practices for HIV Prevention among Female Sex Workers in Mexico," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-17, October.
    13. Scheirer, Mary Ann & Hartling, Gretchen & Hagerman, Diane, 2008. "Defining sustainability outcomes of health programs: Illustrations from an on-line survey," Evaluation and Program Planning, Elsevier, vol. 31(4), pages 335-346, November.
    14. Williams, Randi M. & Zhang, Jing & Woodard, Nathaniel & Slade, Jimmie & Santos, Sherie Lou Zara & Knott, Cheryl L., 2020. "Development and validation of an instrument to assess institutionalization of health promotion in faith-based organizations," Evaluation and Program Planning, Elsevier, vol. 79(C).
    15. Sebastian Ion Ceptureanu & Eduard Gabriel Ceptureanu, 2019. "Community-Based Healthcare Programs Sustainability Impact on the Sustainability of Host Organizations: A Structural Equation Modeling Analysis," IJERPH, MDPI, vol. 16(20), pages 1-18, October.
    16. Sridharan, Sanjeev & Nakaima, April, 2011. "Ten steps to making evaluation matter," Evaluation and Program Planning, Elsevier, vol. 34(2), pages 135-146, May.
    17. Deribe Assefa Aga & N. Noorderhaven & B. Vallejo, 2018. "Project beneficiary participation and behavioural intentions promoting project sustainability: The mediating role of psychological ownership," Development Policy Review, Overseas Development Institute, vol. 36(5), pages 527-546, September.
    18. Impoinvil, Daniel E. & Ahmad, Sajjad & Troyo, Adriana & Keating, Joseph & Githeko, Andrew K. & Mbogo, Charles M. & Kibe, Lydiah & Githure, John I. & Gad, Adel M. & Hassan, Ali N. & Orshan, Laor & Warb, 2007. "Comparison of mosquito control programs in seven urban sites in Africa, the Middle East, and the Americas," Health Policy, Elsevier, vol. 83(2-3), pages 196-212, October.
    19. Souha El Khanji, 2022. "Donors’ Interest in Water and Sanitation Subsectors," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 34(2), pages 611-654, April.
    20. Stockmann, Reinhard, 1997. "The sustainability of development projects: An impact assessment of German vocational-training projects in Latin America," World Development, Elsevier, vol. 25(11), pages 1767-1784, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:64:y:2007:i:4:p:976-988. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.