Publication Date

2017-12-14

Availability

Open access

Embargo Period

2017-12-14

Degree Type

Thesis

Degree Name

Master of Arts (MA)

Department

Ecosystem Science and Policy (Graduate)

Date of Defense

2017-11-16

First Committee Member

Justin Stoler

Second Committee Member

Louis Herns Marcelin

Third Committee Member

Sarah J. Mahler

Abstract

Leading among arboviral disease morbidity and mortality is dengue fever with an estimated 390 million infections a year of which 96 million present clinical manifestations. In the Dominican Republic (DR), dengue fever is endemic where high incidence and outbreaks continue, with the most recent epidemic occurring in 2015. Failed prevention and control efforts have placed an onus on early diagnosis and treatment to aid in surveillance and help reduce dengue disease burden. This study explored dengue care, management and prevention perceptions among three main actors of the dengue diagnostic-management-surveillance scheme: patients, practitioners, and policy-makers. Participant observation, structured interviews, semi-structured interviews, and focus groups were conducted to achieve this aim. Resulting themes provided a deeper understanding of the issues in dengue care, management, and prevention among the three groups of actors, offering sociocultural and political accounts of dengue fever realities in the DR related to the diagnostic-management-surveillance scheme that can be used in policy and decision-making aimed at dengue fever disease mitigation.

Keywords

dengue fever; case management; surveillance; sociopolitical; perceptions; Dominican Republic

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