Community perceptions on challenges and solutions to implement an Aedes aegypti control project in Ponce, Puerto Rico (USA).

This study characterizes community perceptions on a large-scale project seeking to reduce the population of Aedes aegypti mosquitoes and prevent arboviral disease transmission in Ponce, Puerto Rico; and to leverage on these perceptions to make modifications to ensure effective project implementation...

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Main Authors: Carmen L Pérez-Guerra, Coral Rosado-Santiago, Sue A Ramos, Karla M Marrero, Gladys González-Zeno, Julieanne Miranda-Bermúdez, Marianyoly Ortíz-Ortíz, Vanessa Rivera-Amill, Stephen Waterman, Gabriela Paz-Bailey, Liliana Sánchez-González
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0284430&type=printable
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author Carmen L Pérez-Guerra
Coral Rosado-Santiago
Sue A Ramos
Karla M Marrero
Gladys González-Zeno
Julieanne Miranda-Bermúdez
Marianyoly Ortíz-Ortíz
Vanessa Rivera-Amill
Stephen Waterman
Gabriela Paz-Bailey
Liliana Sánchez-González
author_facet Carmen L Pérez-Guerra
Coral Rosado-Santiago
Sue A Ramos
Karla M Marrero
Gladys González-Zeno
Julieanne Miranda-Bermúdez
Marianyoly Ortíz-Ortíz
Vanessa Rivera-Amill
Stephen Waterman
Gabriela Paz-Bailey
Liliana Sánchez-González
author_sort Carmen L Pérez-Guerra
collection DOAJ
description This study characterizes community perceptions on a large-scale project seeking to reduce the population of Aedes aegypti mosquitoes and prevent arboviral disease transmission in Ponce, Puerto Rico; and to leverage on these perceptions to make modifications to ensure effective project implementation. In 2017-2018 the team conducted informal interviews, focus groups, and in-depth interviews with leaders and residents of the communities, focusing on challenges and potential solutions to the project implementation. Possible challenges to the project implementation included the lack of geographic consistency between clusters defined by researchers and the participants' description of the communities' geographic boundaries. Few children living in the communities could affect the ability of the project to adequately measure arboviral disease incidence. Also, population attrition due to out-migration, and lack of community leaders and communication channels after Hurricane Maria could affect participation in project activities. Lack of trust on strangers was an important challenge due to criminal activity involving violence and drug use in some community areas. Solutions to the identified challenges included identifying emerging leaders and implementing community meetings to promote project activities. The information that community members provided helped us to understand the natural disasters' impact on population attrition in these communities with a disproportionate impact in younger groups, resulting in an aging population. We identified lack of community organization and leadership and increasing number of abandoned houses that could turn into Aedes aegypti breeding sites. The formative work helped to better define the geographic areas that the study would cover, evaluate the acceptability of innovative vector control methods, and identify communication methods used by residents. With this information, challenges and potential solutions in recruiting participants were anticipated, and the community engagement and communications plans were developed. We recommend selecting clusters before research, because opinions towards mosquito control technologies could vary in added clusters.
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publishDate 2023-01-01
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spelling doaj-art-6dc8a2f956644eaaad505643238794f02025-08-20T03:46:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01184e028443010.1371/journal.pone.0284430Community perceptions on challenges and solutions to implement an Aedes aegypti control project in Ponce, Puerto Rico (USA).Carmen L Pérez-GuerraCoral Rosado-SantiagoSue A RamosKarla M MarreroGladys González-ZenoJulieanne Miranda-BermúdezMarianyoly Ortíz-OrtízVanessa Rivera-AmillStephen WatermanGabriela Paz-BaileyLiliana Sánchez-GonzálezThis study characterizes community perceptions on a large-scale project seeking to reduce the population of Aedes aegypti mosquitoes and prevent arboviral disease transmission in Ponce, Puerto Rico; and to leverage on these perceptions to make modifications to ensure effective project implementation. In 2017-2018 the team conducted informal interviews, focus groups, and in-depth interviews with leaders and residents of the communities, focusing on challenges and potential solutions to the project implementation. Possible challenges to the project implementation included the lack of geographic consistency between clusters defined by researchers and the participants' description of the communities' geographic boundaries. Few children living in the communities could affect the ability of the project to adequately measure arboviral disease incidence. Also, population attrition due to out-migration, and lack of community leaders and communication channels after Hurricane Maria could affect participation in project activities. Lack of trust on strangers was an important challenge due to criminal activity involving violence and drug use in some community areas. Solutions to the identified challenges included identifying emerging leaders and implementing community meetings to promote project activities. The information that community members provided helped us to understand the natural disasters' impact on population attrition in these communities with a disproportionate impact in younger groups, resulting in an aging population. We identified lack of community organization and leadership and increasing number of abandoned houses that could turn into Aedes aegypti breeding sites. The formative work helped to better define the geographic areas that the study would cover, evaluate the acceptability of innovative vector control methods, and identify communication methods used by residents. With this information, challenges and potential solutions in recruiting participants were anticipated, and the community engagement and communications plans were developed. We recommend selecting clusters before research, because opinions towards mosquito control technologies could vary in added clusters.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0284430&type=printable
spellingShingle Carmen L Pérez-Guerra
Coral Rosado-Santiago
Sue A Ramos
Karla M Marrero
Gladys González-Zeno
Julieanne Miranda-Bermúdez
Marianyoly Ortíz-Ortíz
Vanessa Rivera-Amill
Stephen Waterman
Gabriela Paz-Bailey
Liliana Sánchez-González
Community perceptions on challenges and solutions to implement an Aedes aegypti control project in Ponce, Puerto Rico (USA).
PLoS ONE
title Community perceptions on challenges and solutions to implement an Aedes aegypti control project in Ponce, Puerto Rico (USA).
title_full Community perceptions on challenges and solutions to implement an Aedes aegypti control project in Ponce, Puerto Rico (USA).
title_fullStr Community perceptions on challenges and solutions to implement an Aedes aegypti control project in Ponce, Puerto Rico (USA).
title_full_unstemmed Community perceptions on challenges and solutions to implement an Aedes aegypti control project in Ponce, Puerto Rico (USA).
title_short Community perceptions on challenges and solutions to implement an Aedes aegypti control project in Ponce, Puerto Rico (USA).
title_sort community perceptions on challenges and solutions to implement an aedes aegypti control project in ponce puerto rico usa
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0284430&type=printable
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