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首页> 外文期刊>BMC International Health and Human Rights >Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador
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Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador

机译：建立研究人员，从业人员，政策制定者和社区的实践社区，以可持续地管理厄瓜多尔的环境健康风险

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BackgroundThe Sustainably Managing Environmental Health Risk in Ecuador project was launched in 2004 as a partnership linking a large Canadian university with leading Cuban and Mexican institutes to strengthen the capacities of four Ecuadorian universities for leading community-based learning and research in areas as diverse as pesticide poisoning, dengue control, water and sanitation, and disaster preparedness.MethodsIn implementing curriculum and complementary innovations through application of an ecosystem approach to health, our interdisciplinary international team focused on the question: “Can strengthening of institutional capacities to support a community of practice of researchers, practitioners, policy-makers and communities produce positive health outcomes and improved capacities to sustainably translate knowledge?” To assess progress in achieving desired outcomes, we review results associated with the logic framework analysis used to guide the project, focusing on how a community of practice network has strengthened implementation, including follow-up tracking of program trainees and presentation of two specific case studies.ResultsBy 2009, train-the-trainer project initiation involved 27 participatory action research Master’s theses in 15 communities where 1200 community learners participated in the implementation of associated interventions. This led to establishment of innovative Ecuadorian-led master’s and doctoral programs, and a Population Health Observatory on Collective Health, Environment and Society for the Andean region based at the Universidad Andina Simon Bolivar. Building on this network, numerous initiatives were begun, such as an internationally funded research project to strengthen dengue control in the coastal community of Machala, and establishment of a local community eco-health centre focusing on determinants of health near Cuenca.DiscussionStrengthening capabilities for producing and applying knowledge through direct engagement with affected populations and decision-makers provides a fertile basis for consolidating capacities to act on a larger scale. This can facilitate the capturing of benefits from the “top down” (in consolidating institutional commitments) and the “bottom up” (to achieve local results).ConclusionsAlliances of academic and non-academic partners from the South and North provide a promising orientation for learning together about ways of addressing negative trends of development. Assessing the impacts and sustainability of such processes, however, requires longer term monitoring of results and related challenges.
机译：背景厄瓜多尔可持续管理环境健康风险项目于2004年启动，是一项将加拿大大型大学与领先的古巴和墨西哥研究所联系起来的伙伴关系，以增强四所厄瓜多尔大学在农药中毒等领域领导社区学习和研究的能力方法，登革热控制，水和卫生设施以及防灾措施。方法在通过将生态系统方法应用于健康方面来实施课程和补充创新时，我们的跨学科国际团队关注以下问题：“能否加强机构能力以支持研究人员的实践社区，从业者，决策者和社区会产生积极的健康成果，并提高可持续翻译知识的能力？”为了评估实现预期结果的进度，我们将审查与用于指导项目的逻辑框架分析相关的结果，重点是实践社区网络如何加强实施，包括跟踪培训计划学员和介绍两个具体案例研究结果到2009年，培训师项目的启动涉及15个社区的27个参与式行动研究硕士论文，其中1200名社区学习者参与了相关干预措施的实施。这导致建立了由厄瓜多尔领导的创新性硕士和博士学位课程，并在安迪娜·西蒙·玻利瓦尔大学建立了安第斯地区集体健康，环境与社会人口健康观察站。在此网络的基础上，开始采取了许多举措，例如一项国际资助的研究项目，以加强对Machala沿海社区的登革热控制，并建立一个专注于昆卡附近健康决定因素的地方社区生态健康中心。通过与受灾人群和决策者直接接触来应用知识，为巩固大规模行动能力提供了肥沃的基础。这可以促进从“自上而下”（巩固机构承诺）和“自下而上”（以实现本地成果）中获取收益。结论来自南方和北方的学术和非学术伙伴的联盟为一起学习解决不良发展趋势的方法。但是，评估此类流程的影响和可持续性需要对结果和相关挑战进行长期监控。

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