Disaster risk management and emergency response

Dealing Together with Zika: A Binational DRR and Human Rights Approach to the Epidemic

Duración:
30/09/2016 - 29/09/2019

Contacto:
lharman@webtesteo.com

Lugar de intervención:
Cajamarca, Lambayeque, Piura, Tumbes

Donante

United States Agency for International Development (USAID).

Aliados estratégicos

Ministry of Health, Regional Governments, Managements and Regional Health Directorates of Piura, Lambayeque, and Tumbes; Subregional Directorate of Jaén.

Objetivo del proyecto

Strengthen community, local and national capacities to respond to the Zika virus outbreak and reduce its transmission, maintaining a gender focus and contextualizing interventions to the social and cultural environment.

Grupo de impacto

Women (especially of reproductive age) and adolescent women and men.

Innovación

The closing event where all the experiences and innovations were shared with the various actors (an application called SVBC that each government, together with the community, applied in their field) and the meeting of community monitors from all areas to exchange the experience developed.

Fortalecimiento de la sociedad civil

Development of work plans and communication plans in the communities where the SVBC pilot escalated, which were reinforced with resources for their execution. As a result, messages were disseminated in the community and meetings between community monitors to exchange experiences.

The empowered monitors remain as part of the committees where they discuss, raise their authorities, and present their progress on the management of the SVBC to take joint control and prevention measures.

Modelos efectivos

The SVBC community-based surveillance system that has great challenges in terms of its institutionalization. This challenge is related to sustainability, especially financial, to maintain the system and the political commitment of local governments, but also to the level of coordination that must exist between the local government and the health and education sector in the space of the Multisectoral Committee and the Community Plan.

The SVBC must be worked in close coordination with the health sector because it must be part of its epidemiological surveillance system. In this sense, the SVBC information system (application and information flow) must be agreed with the health sector because it must be an input for the formal epidemiological surveillance system.

Aprendizajes

  • Multilevel and locally articulate diverse actors based on inter-institutional agreements and conventions and on the approval of sectoral norms that allow the formalization of project activities within the institutions, especially in health and education.
  • Signing of inter-institutional agreements between the Regional Government (health, education, and environment), local governments, community leaders, Medical College and other organizations in the field that allowed to reinforce and support the community, especially in changes or rotations of authorities.
  • The project evidenced the importance of conducting on-site field visits with local authorities and the health sector so that they can fully understand the actions carried out within the framework of the Community-Based Surveillance System. This allowed for a real understanding of the role of community participation in the prevention and control of Zika. Several local municipalities were able to allocate resources to maintain the activities of the community monitors; they planned actions and resources for the post-project stage prior to capacity building.
  • The identification of good practices through the annual awards and the implementation of the best initiatives facilitated the project to gain time and take advantage of the experiences and synergies in the attention to the Zika emergency. Based on the findings of the Evidence-Based Analysis and Knowledge of Attitudes and Practices on vector control and prevention of Zika, the experience of intervention in Sechura during the dengue outbreak of 2001 was analyzed and some experts were interviewed in the issue at the regional level. As a result of this work, six protocols were identified to implement in pilot areas and many of the good practices were scaled up in other regions.

Impacto del proyecto

Total beneficiarios directos

Total beneficiarios indirectos

Mujeres beneficiadas directas

Mujeres beneficiadas indirectas