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https://www.arca.fiocruz.br/handle/icict/16902
A RESEARCH AGENDA FOR HELMINTH DISEASES OF HUMANS: SOCIAL ECOLOGY, ENVIRONMENTAL DETERMINANTS, AND HEALTH SYSTEMS.
Author
Affilliation
Universidade Federal de Minas Gerais. Escola de Enfermagem. Belo Horizonte, MG, Brazil/ Instituto Nacional de Ciência e Tecnologia em Doenças Tropicais. Belo Horizonte, MG, Brazil
Instituto Nacional de Ciência e Tecnologia em Doenças Tropicais. Belo Horizonte, MG, Brazil/Fundação Oswaldo Cruz. Centro de Pesquisas Rene Rachou. Belo Horizonte, MG, Brazil
Jiangsu Institute of Parasitic Diseases. Department of Schistosomiasis Control. Jiangsu, People's Republic of China
Ministère de la Santé Publique et de la Lutte contre les Endémies. Niger Accra, Ghana
University of California Medical Center Department of Epidemiology and Biostatistics. San Francisco, CA, United States of America
Instituto Nacional de Ciência e Tecnologia em Doenças Tropicais. Belo Horizonte, MG, Brazil/Fundação Oswaldo Cruz. Centro de Pesquisas Rene Rachou. Belo Horizonte, MG, Brazil
Jiangsu Institute of Parasitic Diseases. Department of Schistosomiasis Control. Jiangsu, People's Republic of China
Ministère de la Santé Publique et de la Lutte contre les Endémies. Niger Accra, Ghana
University of California Medical Center Department of Epidemiology and Biostatistics. San Francisco, CA, United States of America
Abstract
In this paper, the Disease Reference Group on Helminth Infections (DRG4), established in 2009 by the Special Programme for Research and Training in Tropical Diseases (TDR), with the mandate to review helminthiases research and identify research priorities and gaps, focuses on the environmental, social, behavioural, and political determinants of human helminth infections and outlines a research and development agenda for the socioeconomic and health systems research required for the development of sustainable control programmes. Using Stockols' social-ecological approach, we describe the role of various social (poverty, policy, stigma, culture, and migration) and environmental determinants (the home environment, water resources development, and climate change) in the perpetuation of helminthic diseases, as well as their impact as contextual factors on health promotion interventions through both the regular and community-based health systems. We examine these interactions in regard to community participation, intersectoral collaboration, gender, and possibilities for upscaling helminthic disease control and elimination programmes within the context of integrated and interdisciplinary approaches. The research agenda summarises major gaps that need to be addressed.
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