Brechas de gobernanza intersectorial en gestión de riesgos epidemiológicos del Aedes aegypti
Intersectoral governance gaps in epidemiological risk management of Aedes aegyptiBarra lateral del artículo
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El dengue persiste en América Latina evidenciando el fracaso de los modelos de control centrados únicamente en el sector salud. Este estudio tuvo como objetivo desarrollar un marco conceptual operacional para identificar las dimensiones estructurales de la fragmentación intersectorial en la gestión del riesgo por Aedes aegypti. Se realizó una revisión sistemática integradora de literatura científica y técnica (2000-2025), analizada mediante metodología cualitativa temática. Los resultados permitieron operacionalizar seis dimensiones críticas de fragmentación en un marco con indicadores empíricamente sustentados, proporcionando una herramienta para el diagnóstico territorial. Se concluye que la persistencia del dengue es un problema de gobernanza, requiriendo estrategias que prioricen la coordinación intersectorial estructural sobre las intervenciones técnicas aisladas.
Dengue persists in Latin America, evidencing the failure of control models focused solely on the health sector. This study aimed to develop an operational conceptual framework to identify the structural dimensions of intersectoral fragmentation in Aedes aegypti risk management. An integrative systematic review of scientific and technical literature (2000-2025) was conducted, analyzed using thematic qualitative methodology. The results enabled the operationalization of six critical fragmentation dimensions into a framework with empirically supported indicators, providing a tool for territorial diagnosis. It is concluded that the persistence of dengue is a governance problem, requiring strategies that prioritize structural intersectoral coordination over isolated technical interventions.
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