Análisis de sostenibilidad de la política de control de malaria del municipio de El Bagre, Colombia

Abstract

El objetivo de esta investigación fue analizar la sostenibilidad de la política de control de malariaen el municipio de El Bagre durante el año 2011. Se llevó a cabo un estudio de diseño mixtode modelo dominante CUAL→cuan, de carácter exploratorio. Se hicieron catorce entrevistasy una revisión documental, para identificar procesos sociales y ecológicos involucrados con lamalaria, y también para describir y analizar la política de control de esta enfermedad. Se encontróque la minería, las migraciones, las prácticas y creencias culturales, el conflicto armado y lasvariaciones climáticas se relacionaban con la dinámica de la enfermedad y, asimismo, que laestructura de la política de control da cuenta de escasa capacidad de los actores para adaptar lasacciones de control a estos procesos socioecológicos de la región. La política de control mostróser efectiva aunque, bajo los supuestos del modelo, es escasamente sostenible.

A systematic review of mixed studies on malaria in Colombia 1980–2022: what the “bifocal vision” discovers

“…In the quantitative component, 1729 subjects were included in whom were applied surveys about knowledge, attitudes, and practices on malaria [ 35 , 36 ], perceived morbidity [ 36 ], all the studies inquired about institutional issues on the management of the disease, and six studies analyzed trends in morbidity or mortality from malaria [ 37 – 42 ]. Additionally, four studies [ 37 , 39 – 41 ] supplemented their research with documentary reviews on regulations, programs, manuals, and previous researches on malaria control (Table 3 ).…”

“…Additionally, four studies [ 37 , 39 – 41 ] supplemented their research with documentary reviews on regulations, programs, manuals, and previous researches on malaria control (Table 3 ).…”

“…Some authors allude to deficiencies in physical infrastructure and medical equipment, making it difficult to give an adequate diagnosis and timely notification of cases. Despite this, it is essential to highlight that microscopists have a good reputation, and among the decision-makers and the community, they are trusted for their performance [ 41 ].…”

Barriers to the care of febrile patients in a malaria endemic area : El Bagre (Antioquia, Colombia) 2016.

“…They leave wells with wastewaters from indiscriminate gold-mining in their path, which favors the reproduction of vectors that transmit different types of diseases including malaria. This is reflected in the high incidence of diseases in the town (4,16). Population and Participants.…”

“…There are social and cultural interaction processes in healthcare services that imply differences between patients and service providers regarding communication and language. El Bagre, a town inhabited by African descendants and indigenous communities, has informal small-scale and illegal mining activities; migrants from different parts of the country are characterized by their socialcultural diversity (4). When this population, mainly from far-off zones in the most vulnerable communities, has a febrile disease, they mostly go to malaria diagnostic centers and healthcare centers where microscopists (Health Care technicians and assistants) (4) treat them.…”