Fostering social innovation and building adaptive capacity for dengue control in Cambodia: a case study

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(2020) 9:126

CASE STUDY

Open Access

Fostering social innovation and building adaptive capacity for dengue control in Cambodia: a case study Pierre Echaubard1*, Chea Thy2* , Soun Sokha2, Set Srun2, Claudia Nieto-Sanchez3, Koen Peters Grietens3, Noel R. Juban4, Jana Mier-Alpano4, Sucelle Deacosta4, Mojgan Sami5, Leo Braack2, Bernadette Ramirez6 and Jeffrey Hii7

Abstract Background: The social-ecological systems theory, with its unique conception of resilience (social-ecological systems & resilience, SESR), provides an operational framework that currently best meets the need for integration and adaptive governance as encouraged by the Sustainable Development Goals. SESR accounts for the complex dynamics of social-ecological systems and operationalizes transdisciplinarity by focusing on community engagement, value co-creation, decentralized leadership and social innovation. Targeting Social Innovation (SI) in the context of implementation research for vector-borne diseases (VBD) control offers a low-cost strategy to contribute to lasting and contextualized community engagement in disease control and health development in low and middle income countries of the global south. In this article we describe the processes of community engagement and transdisciplinary collaboration underpinning community-based dengue management in rural primary schools and households in two districts in Cambodia. Methods: Multiple student-led and community-based interventions have been implemented focusing on empowering education, communication for behavioral change and participatory epidemiology mapping in order to engage Cambodian communities in dengue control. We describe in particular the significance of the participatory processes that have contributed to the design of SI products that emerged following iterative consultations with community stakeholders to address the dengue problem. Results: The SI products that emerged following our interaction with community members are 1) adult mosquito traps made locally from solid waste collections, 2) revised dengue curriculum with hands-on activities for transformative learning, 3) guppy distribution systems led by community members, 4) co-design of dengue prevention communication material by students and community members, 5) community mapping. (Continued on next page)

* Correspondence: [email protected]; [email protected] 1 SOAS University London, Thornhaugh Street, London WC1H 0XG, UK 2 Malaria Consortium, Phnom Penh, Cambodia Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless