Browsing by Autor "Claire Billot"

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Achievements and Challenges upon the Implementation of a Program for National Control of Congenital Chagas in Bolivia: Results 2004–2009
(Public Library of Science, 2013) Cristina Alonso‐Vega; Claire Billot; Faustino Torrico
Bolivia is one of the most endemic countries for Chagas disease. Data of 2005 shows that incidence is around 1.09‰ inhabitants and seroprevalence in children under 15 ranged from 10% in urban areas to 40% in rural areas. In this article, we report results obtained during the implementation of the congenital Chagas program, one of the biggest casuistry in congenital Chagas disease, led by National Program of Chagas and Belgian cooperation from 2004 to 2009. The program strategy was based on serological results during pregnancy and on the follow up of children born from positive mothers until one year old; if positive, treatment was done with Benznidazole, 10 mg/Kg/day/30 days with one post treatment control 6 months later. Throughout the length of the program, a total of 318,479 pregnant women were screened and 23.31% were detected positive. 42,538 children born from positive mothers were analyzed at birth by micromethod, of which 1.43% read positive. 10,120 children returned for their second micromethod control of which 2.29% read positive, 7,650 children returned for the serological control, of which 3.32% turned out positive. From the 1,093 positive children, 70% completed the 30 day-treatment and 122 returned for post treatment control with 96% showing a negative result. It has been seen that maternal-fetal transmission rates vary between 2% and 4%, with an average of 2.6% (about half of previously reported studies that reached 5%). In this work, we show that it is possible to implement, with limited resources, a National Congenital Chagas Program and to integrate it into the Bolivian health system. Keys of success are population awareness, health personnel motivation, and political commitment at all levels.
[Cost effectiveness study of a control program of congenital Chagas disease in Bolivia].
(National Institutes of Health, 2005) Claire Billot; Faustino Torrico; Yves Carlier
Cost effectiveness analysis of Chagas' vertical transmission control program in Bolivia: Today, Bolivia is the most concerned country in America by Chagas disease: Trypanosoma cruzi infection affects 20% of whole population, around 1800000 inhabitants, and mother-to-child transmission is around 5%, from 1.6 to 9.8%. Direct and indirect costs derived from disease complications and death, from birth to adulthood, add up around US$ 21 millions per year for 2,718 infected new-borns. This cost falls on individual, family and society, when the nation is struggling in a depressed economy. On the other side, an effective control program could detect and treat all cases with an investment of US$ 123 per infected new-born, or US$ 1.2 per new-born in Bolivia. Indirect benefits, apart of suffering relieve and improving of life quality, are related with Chagas vector control program, increasing the demand thanks to increasing risk awareness and also induced demand testing all pregnant women in endemic areas. So the conclusion is that such investment is profitable.
Implementación de un modelo de comunicación en Chagas basado en la estrategia de educación por pares
(2020) Evelyn Wendy Pardo Flores; Claire Billot; Nilce Mendoza Claure; Eliana Claros Zanabria; Faustino Torrico; Daniel Franz Lozano Beltrán
Objetivos: el presente estudio evalúa el cambio en las perspectivas, conocimientos, actitudes y prácticas de los familiares de un grupo de pacientes capacitados con la estrategia de educación por pares que fueron tratados en la Plataforma de atención integral de Chagas, y si ese cambio se traduce en un aumento de la demanda de atención integral de Chagas en los servicios de salud del Valle Alto de Cochabamba. Métodos: se comparó los resultados de la encuesta realizada en 32 familiares de 8 pacientes capacitados en 2018 (grupo A) con una encuesta similar realizada en 64 familiares de 16 pacientes tratados en 2017 (grupo B) que no fueron capacitados, pero en cambio recibieron la consejería que provee el personal de salud de forma rutinaria. Resultados: los resultados obtenidos muestran que los familiares de pacientes educadores pares han modificado sus conocimientos, actitudes, prácticas y percepciones sobre la enfermedad de Chagas y este cambio ha influido positivamente la demanda de atención de servicios integrales para dicha enfermedad. Conclusión: la estrategia de educación por pares ha demostrado ser eficaz, fácil de aplicar por un personal de enfermería en los 1º y 2º niveles de atención, y que permite llegar a las familias afectadas a un costo relativamente bajo.
Lessons from community engagement to improve COVID-19 diagnosis and treatment in Cochabamba, Bolivia
(Taylor & Francis, 2024) Elizabeth Posada; Nilce Mendoza; Cristina Alonso‐Vega; Claire Billot; Beatriz Mallén Muñoz; Leonardo de la Torre; Adalid Paiva; Luís Villarroel; Regina Rabinovich
Through a stepped and multi-pronged approach, incorporating co-creation and community listening, the engagement could respond to emerging local challenges during the pandemic. The project created spaces for dialogue and opportunities for collaboration that strengthened links between the community and the health services.
Social determinants in the access to health care for Chagas disease: A qualitative research on family life in the “Valle Alto” of Cochabamba, Bolivia
(Public Library of Science, 2021) Irène Jimeno; Nilce Mendoza; F. Zapana; Luis De La Torre; Faustino Torrico; Daniel Lozano; Claire Billot; María‐Jesús Pinazo
Intersectional disease management and community involvement are essential for deciding the most appropriate and effective actions. Education, detection, health care, and social programs engaging family units ought to be the pillars of a promising approach.
Street Youths Are the Only High-Risk Group for HIV in a Low-Prevalence South American Country
(Lippincott Williams & Wilkins, 2005) Marie‐Laurence Lambert; Faustino Torrico; Claire Billot; Deogatias Mazina; Marleen Boelaert; Patrick Van der Stuyft
In a low-prevalence setting where intravenous drug use is uncommon, street youths are a threat for the expansion of the HIV epidemic. We argue that HIV prevention in this population requires a comprehensive approach to their health and social problems.