Bive prevents

Social problem: 

VTEs account for more than 17% of all infectious diseases in the world and each year cause more than 700,000 deaths worldwide. 145 million people in 21 countries in the Americas live in areas at risk for VTE such as dengue, Zika, and malaria. The Pan American Health Organization reports that, in 2019, the region had 3,140,872 cases of dengue and 177,469 cases of Zika, while in 2017 451,242 cases of malaria were reported. There is a link between TVE and social vulnerability. Its prevalence is higher in rural, poor and marginalized populations, who generally lack access to adequate water, sanitation and hygiene (WASH) measures. In 2019, Colombia reported 127,553 cases of dengue, 70,000 of malaria, and 2,130 of Zika in 2017. In recent years, dengue has been increasing rapidly in Colombia, with 2019 being the year with the highest number of cases in the last decade. The spread of these diseases is reinforced by the combination of geographic conditions (86% of municipalities - 951 out of 1103 - in Colombia are located less than 2,200 meters above sea level), poor living conditions and measures of inadequate sanitation that are generally found in 22.3% of Colombians living in rural areas. As in the countryside, household income is highly dependent on agriculture, people may also have greater exposure to vectors. The first are the basic conditions that the health system must face in order to control VTE.

General purpose: 

Strengthen capacities for the prevention, early detection, and timely intervention of prevalent VTE (Dengue, Zika, and Malaria) in four high-incidence rural territories in the central and pacific regions of Colombia.

How do we do it?: 

BP uses three strategies to strengthen community management capacities in health and primary health care for VTE in the Colombian health system:

 

  • Management of community health by technology: We identify the characteristics of the population, risk factors and the adoption of preventive measures in the community against VTE. This process is carried out through the Community Health Worker “Bive Previene” (a technological platform for the collection, visualization and analysis of georeferenced data), which is the central point for the implementation of community health education strategies.

 

  • Health education for vulnerable and hard-to-reach communities: We implemented a mixed model of education (virtual and face-to-face) based on the use of mobile technology (with high penetration in rural areas of the country) and a community health network of workers equipped with technological tools to capture data and educate communities.

 

  • Education through technology: application of community education in TVE that will be used by Community Health Workers for their training, the multiplication of information, collection and transmission of data through mobile technology.

 

  • Community Health Workers TCS: network of community health leaders charged with characterizing community risk factors, reporting them, and educating their assigned families. They will be a link between rural public health providers, Bive, and the community, to ensure continuity of care for suspected or confirmed cases in the community.

 

  • Facilitate access to health: We will implement a virtual assistant for the timely identification of cases at risk, follow-up of confirmed cases and resolution of problems of access to health services related to ETV. It will be prepared to resolve most of the doubts associated with prevention, symptoms and adherence to VTE care, identify suspected cases, and offer basic guidelines for users to connect with their primary care provider in case of need for assistance. sanitary.

 
Results: 

Expected results: (Scope): 2,000 people characterized, 20,000 people trained in 4 municipalities in the Andean and Pacific region of Colombia (Tadó (Chocó), Pueblo Rico (Risaralda), Mariquita (Tolima), La Dorada (Caldas), 4 Local support networks made up of community leaders in each municipality.