Recognizing territorial vulnerabilities to Zika virus: a participatory health education model

Authors

DOI:

https://doi.org/10.17267/2594-7907ijeh.2022.e4392

Keywords:

Health promotion, Community Participation, Health Education, Zika Virus, Qualitative Research

Abstract

INTRODUCTION: Considering that the engagement of the population in the control of arboviruses should not be restricted to care to avoid domestic foci of the Aedes aegypti, health education initiatives must approach the social health determinants in the territories. OBJETIVE: To describe a proposal for a pedagogical model aimed at community participation in recognizing vulnerabilities to the Zika virus and the main results of its application. METHODS: Based on Paulo Freire’s critical-problematizing pedagogy and within the framework of vulnerability and human rights, a workshop model was developed and applied in participatory research to train community health workers to diagnose local vulnerabilities to the Zika virus in a community of Rio de Janeiro, Brazil. Four 20-hour workshops were held in weekly meetings with 38 participants. It included activities involving territory mapping, experiences with the virus, and identifying community spaces vulnerable to the proliferation of mosquitos. RESULTS: The proposed pedagogical model identified territorial spaces vulnerable to the proliferation of mosquitoes that do not depend only on the will or behavior of its residents. These aspects are conditioned to social contexts that express the tense relationship between residents, the State, and drug traffickers with a vital power relationship in the territory. CONCLUSIONS: By transcending the traditional vertical health education model, the proposed participatory method was sensitive and timely to capture the participants’ deep knowledge of the territory of residence, not only to identify mosquito foci but, above all, understanding multiple vulnerability determinations.

Downloads

Download data is not yet available.

References

(1) Donalisio MR, Freitas ARR, Zuben APBV. Arboviruses emerging in Brazil: challenges for clinic and implications for public health. Rev Saúde Pública. 2017;51:30. https://doi.org/10.1590/s1518-8787.2017051006889

(2) Gould E, Pettersson J, Higgs S, Charrel R, Lamballerie X. Emerging arboviruses: Why today? One Health. 2017;4:1-13. https://doi.org/10.1016/j.onehlt.2017.06.001

(3) Liang G, Gao X, Gould EA. Factors responsible for the emergence of arboviruses; strategies, challenges and limitations for their control. Emerg Microbes Infect. 2015;4(1)1-5. https://doi.org/10.1038%2Femi.2015.18

(4) Cabral B, Fonseca MGD, Mota FB. Tecnologias emergentes para a prevenção e controle do vetor de arboviroses: expectativas de especialistas para os próximos vinte anos. Rio de Janeiro: Fiocruz; 2018.

(5) Zara ALSA, Santos SM, Fernandes-Oliveira ES, Carvalho RG, Coelho GE. Aedes aegypti control strategies: a review. Epidemiol Serv Saúde. 2016;25(2):391-404. https://doi.org/10.5123/S1679-49742016000200017

(6) Caprara A, Lima JWO, Peixoto ACR, Motta CMV, Nobre JMS, Sommerfeld J, et al. Entomological impact and social participation in dengue control: a cluster randomized trial in Fortaleza, Brazil. Trans R Soc Trop Med Hyg 2015;109(2):99-105. https://doi.org/10.1093/trstmh/tru187

(7) Freire P. Extension or Communication. New York: McGraw-Hill; 1973.

(8) Freire P. Pedagogy of Freedom: Ethics, Democracy, and Civic Courage. Lanham: Rowman & Littlefield; 1998.

(9) Freire P. Daring to dream: Toward a pedagogy of the unfinished. New York: Routledge; 2016.

(10) Freire P. Pedagogy of the Oppressed. 30a ed. New York: Continuum; 2017.

(11) Mann J, Tarantola DJM, Netter TW. Aids in the world. Cambridge: Harvard University Press; 1992.

(12) Ayres JRCM. Vulnerabilidade, Direitos Humanos e Cuidado: aportes conceituais. In: Barros S. Atenção à Saúde de Populações Vulneráveis. Barueri: Manole; 2014. p. 1-25.

(13) Silva NEK, Ventura M, Paro CA. The potential of the vulnerability and human rights framework for studies and practices in the prevention of arbovirus infections. Cad Saúde Pública 2020; 36(9):e00213119. https://doi.org/10.1590/0102-311X00213119

(14) Thiollent M. Action Research and participatory research: an overview. Int J Action Res [Internet]. 2011;7(2):160-174. Disponível em: https://www.ssoar.info/ssoar/bitstream/handle/document/41407/ssoar-ijar-2011-2-thiollent-Action_Research_and_Participatory_Research.pdf?sequence=1

(15) Freire P, Donaldo M. Literacy: Reading the Word & the World. London: Routledge and Kegan Paul; 1987.

(16) Malinowski B. A scientific theory of culture and other essays. London: Routledge; 2004.

(17) Santos M. O espaço do cidadão. São Paulo: Nobel; 2002.

(18) Fernandes VR, Monken M, Gondin GMM et al. Denaturalizing “long-lasting endemic diseases”: social mobilization in the context of arboviral diseases in Brazil. In: Salazar, LM, Villar RCL. Globalization and health inequities in Latin America. Cham: Springer; 2018. p. 91-106.

(19) Paro CA, Ventura M, Silva NEK. Paulo Freire and untested feasibility: hope, utopia and transformation in health. Trab educ saúde 2020;18(1):e0022757. https://doi.org/10.1590/1981-7746-sol00227

(20) Morosini MVGC, Fonseca AF, Lima LD. National Policy of Primary Healthcare 2017: setbacks and risks to the Unified Health System. Saúde debate. 2018;42(116):11-24. https://doi.org/10.1590/0103-1104201811601

(21) Melo EA, Mendonça MHM, Teixeira M. The economic crisis and primary health care in the SUS of Rio de Janeiro, Brazil. Ciênc Saúde Colet. 2019;24(12):4593-4598. https://doi.org/10.1590/1413-812320182412.25432019

Published

09/29/2022

Issue

Section

Original Articles

How to Cite

Recognizing territorial vulnerabilities to Zika virus: a participatory health education model . (2022). International Journal of Education and Health, 6, e4392. https://doi.org/10.17267/2594-7907ijeh.2022.e4392

Most read articles by the same author(s)

1 2 3 4 5 6 7 8 9 10 > >>