, Volume 13, Issue 3, pp 535–548 | Cite as

The Role of Gender in Chagas Disease Prevention and Control in Honduras: An Analysis of Communication and Collaboration Networks

  • Diana Rocío Rodríguez Triana
  • Frédéric Mertens
  • Concepción Valeriano Zúniga
  • Yolanda Mendoza
  • Eduardo Yoshio Nakano
  • Maria Carlota Monroy
Original Contribution


In Honduras, where Chagas disease is a serious health and environmental concern, prevention measures face the challenge of achieving widespread and long-term sustainable adoption by communities. The article integrates social network analysis and a gender-sensitive approach to understand the role of men and women in the implementation of a community-level intervention, based on the adoption of housing improvements to reduce the presence of the insect vector. A total of 108 people in the community of El Salitre were interviewed. Data were collected on socio-demographic characteristics, participation in project activities, communication and collaboration networks related to Chagas disease prevention, knowledge of Chagas disease, and adoption of housing improvements techniques. Communication mostly occurred between the same gender individuals and was associated with knowledge of Chagas disease. Socioeconomic status, Chagas disease knowledge, and collaboration with men were associated with women adopting housing improvements. For men, however, participation in project activities, formal education, and collaboration with women were associated with adoption. These findings suggest that men and women were driven by distinct concerns, interests, and motivations when adopting new Chagas disease prevention strategies. Participatory community interventions that seek to generate health knowledge and foster collaborations to reduce health risk should address gender differences.


social network analysis Chagas disease gender ecohealth diffusion of health innovation health prevention 



We express our deep gratitude to the villagers of El Salitre for their hospitality and their participation and collaboration in fieldwork. We also thank Jordan Sky Oestreicher for English language editing of the manuscript. This work was financially supported by the International Development Research Centre (IDRC) of Canada, project ID 106531-001, the Community of Practice in Ecosystem Approaches to Health in Latin America and the Caribbean (CoPEH-LAC), and the Ecohealth Field Building Leadership in Prevention and Control of Vector Borne Diseases in Latin America and the Caribbean.


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Copyright information

© International Association for Ecology and Health 2016

Authors and Affiliations

  • Diana Rocío Rodríguez Triana
    • 1
  • Frédéric Mertens
    • 1
    • 2
  • Concepción Valeriano Zúniga
    • 3
  • Yolanda Mendoza
    • 4
  • Eduardo Yoshio Nakano
    • 5
  • Maria Carlota Monroy
    • 6
  1. 1.Centro de Desenvolvimento SustentávelUniversidade de BrasíliaBrasíliaBrazil
  2. 2.Community of Practice in Ecosystem Approaches to Health in Latin America and the Caribbean (CoPEH-LAC)BrasíliaBrazil
  3. 3.Departamento de Vigilancia de la SaludHospital Escuela UniversitarioTegucigalpaHonduras
  4. 4.Ecohealth Field Building Leadership in Prevention and Control of Vector Borne Diseases in Latin America and the CaribbeanTegucigalpaHonduras
  5. 5.Department of StatisticsUniversity of BrasiliaBrasíliaBrazil
  6. 6.Laboratorio de entomologia aplicada y ParasitologíaUniversidad de San CarlosGuatemalaGuatemala

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