Comparative evaluation of community interventions for the immigrant population of Latin American origin at risk for Chagas disease in the city of Barcelona

Chagas disease presents bio-psycho-social and cultural determinants for infected patients, their family members, close friends, and society. For this reason, diagnosis and treatment require an active approach and an integral focus, so that we can prevent the disease from creating stigma and exclusio...

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Bibliographic Details
Published in:PloS one 2020-07, Vol.15 (7), p.e0235466-e0235466
Main Authors: Gómez I Prat, Jordi, Peremiquel-Trillas, Paula, Claveria Guiu, Isabel, Caro Mendivelso, Johanna, Choque, Estefa, de Los Santos, Juan José, Sulleiro, Elena, Ouaarab Essadek, Hakima, Albajar Viñas, Pedro, Ascaso Terren, Carlos
Format: Article
Language:English
Subjects:
Associations
Biology and Life Sciences
Care and treatment
Chagas disease
Chagas Disease - epidemiology
Chagas Disease - genetics
Chagas Disease - pathology
Community health services
Community Medicine
Comparative analysis
Conferences
Demographic aspects
Diagnosis
Disease
Emigrants and Immigrants
Epidemiology
Family
Female
Health aspects
Health care
Health care services accessibility
Health risks
Health screening
Health services
Hispanic Americans - genetics
Humans
Latin America - epidemiology
Latin American immigrants
Male
Medical diagnosis
Medicine and Health Sciences
Methods
Metropolitan areas
Noncitizens
Patients
People and places
Population
Preventive medicine
Public health
Risk factors
Social Sciences
Spain - epidemiology
Statistics
Tropical diseases
Vector-borne diseases
Workshops
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Description
Summary:Chagas disease presents bio-psycho-social and cultural determinants for infected patients, their family members, close friends, and society. For this reason, diagnosis and treatment require an active approach and an integral focus, so that we can prevent the disease from creating stigma and exclusion, as is actively promoting access to diagnosis, medical attention and social integration. The study was conducted in the Metropolitan Area of Barcelona (Catalonia, Spain) from 2004 to 2017. After an increased detection rates of CHD in our region, the process of construction of community strategies started (2004-2013). Different community interventions with informational, educational, and communication components were designed, developed, implemented, and evaluated. The results of the evaluation helped to determine which intervention should be prioritized: 1) workshop; 2) community event; 3) in situ screening. Afterwards, those strategies were implemented (2014-2017). Each of the three strategies resulted in a different level of coverage, or number of people reached. The in situ screening interventions reached the highest coverage (956 persons, 58.98%).Clear differences exist (p-value
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0235466