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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Philosophy and preventive medicine
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Philosophy and preventive medicine

机译：哲学与预防医学

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This article provides an overview of methods and cross-site insights of a 5-year research and capacity building initiative conducted between 2006 and 2011 in six countries of South Asia (India, Sri Lanka) and South-East Asia (Indonesia, Myanmar, Philippines, Thailand).The initiative managed an interdisciplinary investigation of ecological, biological, and social (i.e., eco-bio-social) dimensions of dengue in urban and peri-urban areas, and developed community-based interventions aimed at reducing dengue vector breeding and viral transmission. The multicountry study comprised interdisciplinary research groups from six leading Asian research institutions. The groups conducted a detailed situation analysis to identify and characterize local eco-bio-social conditions, and formed a community-of-practice for EcoHealth research where group partners disseminated results and collaboratively developed site-specific intervention tools for vector-borne diseases. In sites where water containers produced more than 70% of Aedes pupae, interventions ranged from mechanical lid covers for containers to biological control. Where small discarded containers presented the main problem, groups experimented with solid waste management, composting and recycling schemes. Many intervention tools were locally produced and all tools were implemented through community partnership strategies. All sites developed socially and culturally appropriate health education materials. The study also mobilised and empowered women's, students' and community groups and at several sites organized new volunteer groups for environmental health. The initiative's programmes showed significant impact on vector densities in some sites. Other sites showed varying effect - partially attributable to the 'contamination' of control groups - yet led to significant outcomes at the community level where local groups united around broad interests in environmental hygiene and sanitation. The programme's findings are relevant for defining efficient, effective and ecologically sound vector control interventions based on local evidence and in accordance with WHO's strategy for integrated vector management.
机译：本文概述了2006年至2011年之间在南亚（印度，斯里兰卡）和东南亚（印度尼西亚，缅甸，菲律宾）的六个国家进行的为期5年的研究和能力建设计划的方法和跨站点的见解。该倡议管理了对城市和城市周边地区登革热的生态，生物和社会（即生态-生物-社会）方面的跨学科调查，并制定了旨在减少登革热媒介繁殖和减少感染的社区干预措施。病毒传播。这项多国研究包括来自六个亚洲领先研究机构的跨学科研究小组。小组进行了详细的情况分析，以识别和描述当地的生态-生物-社会状况，并形成了生态健康研究实践社区，小组合作伙伴传播了结果，并合作开发了针对病媒传播疾病的针对特定地点的干预工具。在水容器生产的伊蚊超过70％的场所，干预措施从容器的机械盖罩到生物防治不等。在小小的废弃容器成为主要问题的地方，小组进行了固体废物管理，堆肥和再循环方案的试验。许多干预工具是本地生产的，所有工具都是通过社区伙伴关系战略实施的。所有站点都开发了适合社会和文化的健康教育材料。该研究还动员并增强了妇女，学生和社区团体的权能，并在几个地点组织了新的环境卫生志愿者团体。该计划的计划对某些站点的媒介密度显示了重大影响。其他场所则表现出不同的影响-部分归因于对照组的“污染”-但在社区一级导致了重大成果，当地团体围绕环境卫生和环境卫生的广泛利益团结起来。该计划的发现与根据当地证据并根据世界卫生组织综合媒介管理战略确定有效，有效和生态无害的媒介控制干预措施有关。

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