{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,15]],"date-time":"2026-11-15T03:02:07Z","timestamp":1794711727479,"version":"4.9.1"},"reference-count":25,"publisher":"FapUNIFESP (SciELO)","issue":"5","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>El objetivo fue describir experiencias, barreras y facilitadores en la implementaci\u00f3n de intervenciones de control del Aedes aegypti en Am\u00e9rica Latina y Caribe. Fue realizado un abordaje cualitativo con entrevistas en profundidad semiestructuradas a expertos en implementaci\u00f3n de programas (19 participantes de nueve pa\u00edses). Se utiliz\u00f3 un software para la codificar los datos y se confeccionaron matrices para su comparaci\u00f3n. En base a los hallazgos desarrollamos una representaci\u00f3n gr\u00e1fica de dimensiones te\u00f3ricas que agrupan las barreras y facilitadores para la implementaci\u00f3n de intervenciones. A nivel global, el ambiente natural y construido contribuye a la reproducci\u00f3n del mosquito. En el sistema de salud, la falta de priorizaci\u00f3n del problema y la escasez de recursos materiales y humanos representan los obst\u00e1culos m\u00e1s importantes. Se necesita que otros sectores diferentes al de salud se responsabilicen de las acciones para mejorar los determinantes sociales de la salud. Existen barreras transversales relacionadas con la gobernanza, como la descoordinaci\u00f3n entre los niveles centrales y locales, falta de continuidad de las intervenciones y de los grupos t\u00e9cnicos. La comunidad enfrenta problemas como la falta de informaci\u00f3n, pobreza o resistencias a recomendaciones. La opini\u00f3n p\u00fablica puede tener un impacto positivo o negativo, influyendo indirectamente en las decisiones pol\u00edticas. Este estudio propone un marco de dimensiones de an\u00e1lisis construido desde los hallazgos; describe factores influyentes en la implementaci\u00f3n de pol\u00edticas que pueden orientar las acciones futuras desde un enfoque integrado.<\/jats:p>","DOI":"10.1590\/0102-311x00092618","type":"journal-article","created":{"date-parts":[[2019,5,18]],"date-time":"2019-05-18T19:39:19Z","timestamp":1558208359000},"source":"Crossref","is-referenced-by-count":7,"title":["Experiencias, barreras y facilitadores en la implementaci\u00f3n de intervenciones de control del Aedes aegypti en Am\u00e9rica Latina y Caribe: estudio cualitativo"],"prefix":"10.1590","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3892-6776","authenticated-orcid":false,"given":"Elena","family":"Tapia-L\u00f3pez","sequence":"first","affiliation":[{"name":"Instituto de Efectividad Cl\u00ednica y Sanitaria,  Argentina; Centro de Investigaci\u00f3n de Epidemiolog\u00eda y Salud P\u00fablica,  Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4437-0073","authenticated-orcid":false,"given":"Ariel","family":"Bardach","sequence":"additional","affiliation":[{"name":"Instituto de Efectividad Cl\u00ednica y Sanitaria,  Argentina; Centro de Investigaci\u00f3n de Epidemiolog\u00eda y Salud P\u00fablica,  Argentina; Consejo Nacional de Investigaciones Cient\u00edficas y T\u00e9cnicas,  Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5142-6122","authenticated-orcid":false,"given":"Agust\u00edn","family":"Ciapponi","sequence":"additional","affiliation":[{"name":"Instituto de Efectividad Cl\u00ednica y Sanitaria,  Argentina; Centro de Investigaci\u00f3n de Epidemiolog\u00eda y Salud P\u00fablica,  Argentina; Consejo Nacional de Investigaciones Cient\u00edficas y T\u00e9cnicas,  Argentina; Centro Cochrane Argentino,  Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4260-8239","authenticated-orcid":false,"given":"Andrea","family":"Alcaraz","sequence":"additional","affiliation":[{"name":"Instituto de Efectividad Cl\u00ednica y Sanitaria,  Argentina; Centro de Investigaci\u00f3n de Epidemiolog\u00eda y Salud P\u00fablica,  Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6945-8261","authenticated-orcid":false,"given":"Herney Andr\u00e9s","family":"Garc\u00eda-Perdomo","sequence":"additional","affiliation":[{"name":"Universidad del Valle,  Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8729-1119","authenticated-orcid":false,"given":"Silvina","family":"Ruvinsky","sequence":"additional","affiliation":[{"name":"Hospital Dr. Juan P. 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