Chagas Disease Case Study

Improved Essays
Select one of the agendas for action proposed by the World Health Organization for malaria (WHA64.17), Chagas disease (WHA63.20), or schistosomiasis (WHA65.21) studied in modules 2,3, and 4. How is that particular agenda addressing socio-cultural issues related to the disease at hand? Provide two arguments two justify your answer.

One is the patient perception of Chagas disease. Initially, patients had great fear of the disease and chose not to seek treatment in relation to feeling burdensome. Another is health practice. Latin America being an underdeveloped country, health practice is not of the highest degree. This could include chicken coops near or attached to the house, dirt floors, poor air ventilation, and poor housing. Lastly is behavioral resistance. Chagas is looked at as a problem, not an epidemic. Most are happy to call a home a home. Trying to live day by day, these individuals are happy to reach the end of the day. Another way we are addressing socio-cultural issues is aiding and education in high efficiency housing programs. Poor housing is a major contributing factor in fighting chagas disease. Programs that educate and aid in building houses from natural resources occurring in Latin America and the owner being able to build the new house is a cultural trait of Latin Americans to builds ones own house. Cultural ecologies can create both external and internal vulnerability to disease. Briefly explain each one of them using one of the diseases studied in modules 2,3, and 4. Latin American’s are extremely vulnerable. Some major external vulnerability is political/economic environment, and lack of resources being that most of the Latin America countries affected are underdeveloped. Poor housing creates vulnerability. These individual within these countries are poor, and are sometimes lucky to even call home a home. The Latin Americans within these countries are also vulnerable because of the lack health care. Some patients that show symptoms of the acute phase cannot and are not able to reach or seek help. Internal vulnerability can result from the way cultural beliefs and social configurations create a social ecology. An example of internal vulnerability is the use of drug to treat Chagas disease has terrible side effects, creating resistance among the affected, and in turn not aiding in the fight on Chagas. Mention and explain two ways of “tailoring” a health intervention to a particular population or community as defined by Edberg.
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When addressing these disease in areas of difference is crucial in incorporate all aspects of the cultures. In doing so, we must tailor our health interventions. Identifying and major contributing factor in one location may not be the same in another. In relation to Chagas disease, one village may be extremely knowledgeable about chagas disease due to higher rate within the village yet has created behavioral resistance. Chagas is looked at as a problem, not an epidemic. Another village in Latin America may have fair and reasonable housing yet lack education about housing animals near homes.

Define the concept of sustainability and provide two ideas to keep an intervention going as proposed by Edberg. Sustainability is to plan ahead when funding runs out and community capacity is reached and link form a link with other resources. One example is train or hire members of the community to operate the program. Another is to search for other sources of funding, such as local, state, and national. One a local

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