<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-3349</journal-id>
<journal-title><![CDATA[Revista de salud publica del Paraguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud publica Parag.]]></abbrev-journal-title>
<issn>2307-3349</issn>
<publisher>
<publisher-name><![CDATA[INSTITUTO NACIONAL DE SALUD - MSP Y BS]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-33492023000100016</article-id>
<article-id pub-id-type="doi">10.18004/rspp.2023.abril.03</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Barreras que limitan la implementación de una estrategia de comunicación para el control de criaderos de Aedes aegypti en Asunción-Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Barriers limiting the implementation of a communication strategy for controlling Aedes aegypti breeding sites in Asunción-Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Burgos]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rúa-Uribe]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia Facultad Nacional de Salud Pública Calle 62 N° 52 - 59]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia Facultad de Medicina Carrera 51D N° 62 - 29. Laboratorio 321]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<volume>13</volume>
<numero>1</numero>
<fpage>16</fpage>
<lpage>26</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-33492023000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-33492023000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-33492023000100016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Latinoamérica es una de las zonas más afectadas por el dengue en los últimos años. Paraguay no estuvo ajeno a esta problemática. Distintos esfuerzos se han hecho desde el sector salud para contrarrestarlo, pero no se han obtenido los resultados esperados. Conocer los aspectos que limitan conseguir estos resultados es importante para la elaboración de estrategias efectivas.  Objetivo:  Identificar barreras para adherencia, cobertura y adopción de una estrategia de comunicación orientada al control de criaderos de Aedes aegypti.  Materiales y Métodos: Empleando entrevistas realizadas a funcionarios encargados de la implementación de la estrategia (adherencia) y encuestas aplicadas a la población beneficiaria (cobertura y adopción) se realizó un estudio observacional analítico tipo cross sectional con la inclusión de un componente cualitativo fenomenológico con perspectiva comprensiva interpretativa.  Resultados: Las barreras percibidas para la adherencia se relacionaron con determinantes estructurales (barreras políticas, institucionales y socioeconómicas) y determinantes intermedios (barreras ambientales, físicas y conductuales). Mientras que, para la cobertura, se observó que, en los barrios de Alto (ARE) y Bajo Riesgo Entomológico (BRE) las principales barreras fueron el acceso a internet en el hogar y el no conocimiento de la campaña de comunicación orientada al control de criaderos del vector. En cuanto a la adopción, se observó que, para ambos grupos ARE y BRE ninguna variable resultó significativamente asociada. Así también, se observó que, entre ambos tipos de barrios, no se registraron diferencias significativas en la cobertura y en la adopción.  Conclusión:  Existen barreras percibidas para la adherencia a las estrategias de comunicación, y otras emergentes relacionadas con las tareas de control vectorial, al igual que, barreras que limitan la cobertura y la adopción de la estrategia de comunicación. La información obtenida será de gran utilidad para la toma de decisiones por parte de las autoridades sanitarias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT In recent years, Latin America has been most affected by dengue fever. Paraguay is not exempt from this issue. Various efforts have been made by the health system to deal with the problem, but the expected results have not been achieved. Knowing which aspects limit the achievement of these outcomes is important to developing effective strategies.  Objective:  to identify barriers for proper adherence, coverage, and adoption of a communication strategy aimed at controlling Aedes aegypti breeding sites.  Methods: on the basis of interviews conducted with those responsible for the execution of the strategy (adherence) and surveys applied to the beneficiary population (coverage and adoption), a cross-sectional analytical observation study was performed with the inclusion of a qualitative phenomenological component with a comprehensive interpretive perspective.  Results: perceived barriers for the adherence were related to structural determinants (political, institutional, and socioeconomic barriers) and intermediate determinants (environmental, physical, and behavioral barriers). For coverage, it was observed that in the High (HER) and Low Entomological Risk (LER) neighborhoods, the main barriers were access to the Internet at home and the lack of knowledge about the awareness campaign aimed at controlling the vector breeding sites. In terms of adoption, no variables were found to be significantly associated with the HER or LER groups. It was also found that there were no meaningful differences in coverage and adoption between the two types of neighborhoods.  Conclusion: there are perceived barriers for the adherence to communication strategies and other emerging ones related to vector control tasks, as well as barriers that limit coverage and adoption of the communication strategy. The information obtained will be very useful for decision-making by the health authorities.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Aedes aegypti]]></kwd>
<kwd lng="es"><![CDATA[ciencia de la implementación]]></kwd>
<kwd lng="es"><![CDATA[comunicación]]></kwd>
<kwd lng="es"><![CDATA[sistemas de salud]]></kwd>
<kwd lng="es"><![CDATA[Paraguay]]></kwd>
<kwd lng="en"><![CDATA[Aedes aegypti]]></kwd>
<kwd lng="en"><![CDATA[implementation science]]></kwd>
<kwd lng="en"><![CDATA[communication]]></kwd>
<kwd lng="en"><![CDATA[health systems]]></kwd>
<kwd lng="en"><![CDATA[Paraguay]]></kwd>
</kwd-group>
</article-meta>
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