Ascención BRF, Romero GAJ, González AIJ, Fernández ARA, Rea RVK, Aguilar OS, Paredes EC

Language: Spanish
References: 12
Page: 38-44
PDF size: 250.88 Kb.

ABSTRACT

The objective of the present investigation is the evaluation of the Chagas disease program in Nayarit, Mexico. Methodologically, the strategic planning is used to evaluate the achievements of the program itself, which is in charge of the Department of Vectors and Zoonoses of the Subdirectorate of Prevention and Control of Diseases of Health Services of the state of Nayarit, who assumes the functions of Rector and coordinates the Works of the public and private institutions of the state health system.
With data obtained in the positioning matrix, Chagas disease program is located in quadrant number VIII, presented by an average competitiveness (2.39) and low attractiveness (1.96).
The recommendation of the methodology itself suggests restructuring or eliminating program operations. Change to more attractive segments or prepare to eliminate the program and install a new one. In conclusion we recommend: 1) Restructure and Strengthen Institutional coordination of the Chagas disease program in Nayarit; 2) Restructure the methods of intentional search for the disease; 3) Strengthen the management and administrative management in the institutions of the State Health System in relation to the surveillance and medical care systems of Chagas disease.

REFERENCES

1. World Health Organization. Sustaining the drive to overcome the global impact of neglected tropical diseases. Ginebra; 2015.

2. Zavala V, Panzón C, Flores C, Damián C. La enfermedad de Chagas en el estado de Yucatan. Estudio Serológico en Humanos y animales. Salud Publica Mex. 1984;26(1):254–7.

3. Velasco C, Rivas S. Apuntes para la historia de la enfermedad de Chagas en México. Bol Med Hosp Infant Mex. 2008;65(1):59–73.

4. Lozano K, Magallon E, Soto G, Kasten M, France M, Fréderique S. Conocimiento epidemiológico y situacion actual de la enfermedad de Chagas en el estado de Jalisco, México. Salud Publica Mex. 2008;50(6):34–42.

5. Vallejo M, Reyes P. Tripanosomiasis Americana. Un problema sociomédico en México? Arch Inst Cardiol Mex. 2006;66(2):95–7.

6. Zarate L, Zarate R. A checklist of the Triatominae (Hemiptera: Reduvidae). Int J Entomol. 1985;27(2):102–27.

7. Ancha P. Zoonosis y enfermedades transmisibles comunes al hombre y a los animales: parasitosis. Tercera ed. Washington, D.C.: OPS; 2013. 27 p.

8. Diario Oficial de la Federacion. Norma Oficial Mexicana para la vigilancia epidemiológica, prevención y control de las enfermedades transmitidas por vector. México: Secretaria de Gobernación; 2010 p. 43.

9. Medicos sin Fonteras. Chagas: Diagnostico y tratamiento. Washington, D.C.; 2009.

10. Dias J, Briceño-León R, Storino R. Aspectos sociales, económicos, políticos culturales y psicologicos en enfermedad de chagas. Doyma Argentina. 2004;2(1):527–48. 10. Dias J, Briceño-León R, Storino R. Aspectos sociales, económicos, políticos culturales y psicologicos en enfermedad de chagas. Doyma Argentina. 2004;2(1):527–48.

11. Miller J. Chagas disease in Panamá. Report of three cases. South Med J. 2011;24(1):645–67.

12. Perez S, Hernandez E, Rodriguez A. La enfermedad de Chagas como un rezago social en salud. Rev Cuba Salud Pública. 2012;37(1):159–74.