{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T19:11:42Z","timestamp":1774638702041,"version":"3.50.1"},"reference-count":39,"publisher":"FapUNIFESP (SciELO)","issue":"12","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"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>Esta investigaci\u00f3n analiza pr\u00e1cticas m\u00e9dicas vinculadas con la hidatidosis en la provincia de Santiago del Estero, Argentina. Esta zoonosis parasitaria e infecciosa es reconocida como un importante problema de salud p\u00fablica en Am\u00e9rica del Sur. Sin embargo, forma parte del conjunto de enfermedades clasificadas como desatendidas por la Organizaci\u00f3n Mundial de la Salud, que afectan principalmente a poblaciones pobres que habitan zonas rurales, remotas o marginales, con acceso limitado a los servicios de salud. El objetivo del estudio es analizar la configuraci\u00f3n de la hidatidosis como problema sanitario, a partir del abordaje de las pr\u00e1cticas m\u00e9dicas implicadas en su atenci\u00f3n, gesti\u00f3n e investigaci\u00f3n, desde perspectivas del Sur Global. Para ello, se adopt\u00f3 un dise\u00f1o cualitativo que incluy\u00f3 entrevistas a profesionales de la salud con experiencia en el tema y la construcci\u00f3n de un corpus documental compuesto por informes t\u00e9cnicos (2015-2023) y pol\u00edticas p\u00fablicas en distintos niveles. El estudio identifica tres caracter\u00edsticas principales de las pr\u00e1cticas en torno a la hidatidosis en Santiago del Estero: (1) una gesti\u00f3n m\u00e9dica de corte colonial y autoritario, en tensi\u00f3n con la autonom\u00eda t\u00e9cnica local debilitada por la falta de apoyo pol\u00edtico; (2) trabajo y atenci\u00f3n fragmentados, con escasa articulaci\u00f3n intersectorial y predominio de modelos biom\u00e9dicos y tecnocr\u00e1ticos; y (3) una investigaci\u00f3n en salud alineada con prioridades globales, poco vinculada a necesidades locales. Estas din\u00e1micas expresan una dependencia estructural de enfoques estandarizados, en detrimento de estrategias contextualizadas e integrales de salud p\u00fablica.<\/jats:p>","DOI":"10.1590\/0102-311xes114225","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T18:41:57Z","timestamp":1774636917000},"source":"Crossref","is-referenced-by-count":0,"title":["Islas interdependientes: pol\u00edticas sanitarias y pr\u00e1cticas m\u00e9dicas en la asistencia, gesti\u00f3n e investigaci\u00f3n de una enfermedad desatendida en el Sur Global"],"prefix":"10.1590","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6284-9788","authenticated-orcid":false,"given":"Laurencia","family":"Silveti","sequence":"first","affiliation":[{"name":"Universidad Nacional de Santiago del Estero\/Consejo Nacional de Investigaciones Cient\u00edficas y T\u00e9cnicas,  Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2497-9861","authenticated-orcid":false,"given":"Adelyne Maria Mendes","family":"Pereira","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"Enfermedades tropicales desatendidas."},{"key":"ref2","series-title":"WHO\/OIE manual on echinococcosis in humans and animals: a public health problem of global concern","author":"Eckert J","year":"2001"},{"key":"ref3","first-page":"e00075","article-title":"Echinococcosis advances in the 21st century","volume":"32","author":"Wen H","year":"2019","journal-title":"Clin Microbiol Rev"},{"key":"ref4","series-title":"Hidatidose humana no Brasil: manual de procedimentos t\u00e9cnicos para o diagn\u00f3stico parasitol\u00f3gico e 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