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A realist synthesis of community-based interventions in vector-borne diseases Instituut voor Tropische Geneeskunde

Dennis Perez, Emilie Robert, Elsury J Pérez, Veerle Vanlerberghe, Pierre Lefèvre, Valery Ridde

Randomized control trials have provided evidence that some community-based interventions (CBIs) work in vector-borne diseases (VBDs). Conversely, there is limited evidence on how well those CBIs succeed in producing specific outcomes in different contexts. To conduct a realist synthesis for knowledge translation on this topic, we examined the extent to which realist concepts (context, mechanisms, and outcomes) and their relationships are ...

Insecticide treated curtains and residual insecticide treatment to control Aedes aegypti: an acceptability study in Santiago de Cuba Instituut voor Tropische Geneeskunde Universiteit Gent

Dennis Perez, Patrick Van der Stuyft, Maria Eugenia Toledo, Enrique Ceballos, Francisco Fabre, Pierre Lefèvre

Background

Within the context of a field trial conducted by the Cuban vector control program (AaCP), we assessed acceptability of insecticide-treated curtains (ITCs) and residual insecticide treatment (RIT) with deltamethrin by the community. We also assessed the potential influence of interviewees' risk perceptions for getting dengue and disease severity.

Methodology/principal findings

We embedded a qualitative study ...

Mutuelles de santé en Afrique: caractéristiques et relations contractuelles avec les prestataires de soins pour la prise en charge de la qualité des soins Instituut voor Tropische Geneeskunde

Pascal Ndiaye, Veerle Vanlerberghe, Pierre Lefèvre, Bart Criel

En Afrique, une part importante de la population est encore confrontée à plusieurs barrières pour accéder aux soins. Les mutuelles de santé (MS) sont mises en place pour réduire la barrière financière et assurer à leurs membres un accès à des soins de qualité. Les MS établissent des relations avec les prestataires de soins sous forme de contrat, dont certaines clauses peuvent contenir des notions de qualité des soins (QS). A travers une vue ...

Patients pathways to tuberculosis diagnosis and treatment in a fragmented health system Instituut voor Tropische Geneeskunde Universiteit Gent

Vijayashree Holalkere Yellappa, Pierre Lefèvre, Tullia Carla Enrica Battaglioli, Narayanan Devadasan, Patrick Van der Stuyft

BACKGROUND: India's Revised National Tuberculosis (TB) Control Programme (RNTCP) offers free TB diagnosis and treatment. But more than 50% of TB patients seek care from private practitioners (PPs), where TB is managed sub-optimally. In India, there is dearth of studies capturing experiences of TB patients when they navigate through health facilities to seek care. Also, there is less information available on how PPs make decisions to refer TB ...

Coping with tuberculosis and directly observed treatment Instituut voor Tropische Geneeskunde Universiteit Gent

Vijayashree Holalkere Yellappa, Pierre Lefèvre, Tullia Carla Enrica Battaglioli, Devadasan Narayanan, Patrick Van der Stuyft

BACKGROUND: In India, the Revised National TB control programme (RNTCP) offers free diagnosis and treatment for tuberculosis (TB), based on the Directly Observed Treatment Short course (DOTS) strategy. We conducted a qualitative study to explore the experience and consequences of having TB on patients enrolled in DOTS and their caretakers in Tumkur district, located in a southern state of India, Karnataka.

METHODS: We conducted 33 ...

Why latrines are not used Instituut voor Tropische Geneeskunde Universiteit Gent

Séverine Thys, Kabemba E Mwape, Pierre Lefèvre, Pierre Dorny, Tanguy Marcotty, Andrew M Phiri, Isaak K Phiri, Sarah Gabriël

Taenia solium cysticercosis is a neglected parasitic zoonosis occurring in many developing countries. Socio-cultural determinants related to its control remain unclear. Studies in Africa have shown that the underuse of sanitary facilities and the widespread occurrence of free-roaming pigs are the major risk factors for porcine cysticercosis. The study objective was to assess the communities' perceptions, practices and knowledge regarding ...