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Type: Artigo
Title: Difficulties In Implementing The Guidelines Of The Brazilian Visceral Leishmaniasis Control Program In Large Cities
Title Alternative: Dificuldades Na Execução Das Diretrizes Do Programa De Vigilância E Controle Da Leishmaniose Visceral Em Grandes Municípios Brasileiros
Author: von Zuben A.P.B.
Donalísio M.R.
Abstract: The expansion of visceral leishmaniasis (VL) transmission areas in Brazil raises questions concerning the country’s control strategies. The guidelines of the Brazilian Visceral Leishmaniasis Control Program (PVCLV) focus on decreases in morbidity and case-fatality, reservoir and vector control, and health education. This article assesses difficulties in implementing the measures recommended by the PVCLV, according to the program’s coordinators in large cities with canine and/or human transmission (Campinas, Bauru, Goiânia, Campo Grande, Fortaleza, and Belo Horizonte). Semi-structured interviews identified the following main problems: discontinuity of control activities, resistance to canine euthanasia by dog owners, and low coverage of chemical vector control. Conclusion: the interviews revealed numerous obstacles to implementation of the measures proposed by the PVCLV and a clear need to reassess Brazil’s VL policy. © 2016, Fundacao Oswaldo Cruz. All Rights Reserved.
Subject: Disease Prevention
Health Programs And Plans
Visceral Leishmaniasis
Editor: Fundacao Oswaldo Cruz
Rights: aberto
Identifier DOI: 10.1590/0102-311X00087415
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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