Community perception of malaria in a vulnerable municipality in the Colombian Pacific

Background: Malaria primarily affects populations living in poor socioeconomic conditions, with limited access to basic services, deteriorating environmental conditions, and barriers to accessing health services. Control programmes are designed without participation from the communities involved, ig...

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Autores:
Rosero Galindo, Carol Yovanna
Jaramillo, Gloria Isabel
Montenegro Coral, Franco Andrés
Garcia, Cesar
Coral Chaucanes, Arelis Alexandra
Tipo de recurso:
Article of investigation
Fecha de publicación:
2020
Institución:
Universidad Cooperativa de Colombia
Repositorio:
Repositorio UCC
Idioma:
OAI Identifier:
oai:repository.ucc.edu.co:20.500.12494/32922
Acceso en línea:
https://hdl.handle.net/20.500.12494/32922
Palabra clave:
Malaria
Comunidad
Conocimiento
Actitudes
Practicas
Colombia
Malaria
Community
Knowledge
Attitude
Practice
Colombia
Rights
openAccess
License
Atribución – No comercial – Sin Derivar
id COOPER2_cfa366dbf5900717a7b8e95b6b9b5b00
oai_identifier_str oai:repository.ucc.edu.co:20.500.12494/32922
network_acronym_str COOPER2
network_name_str Repositorio UCC
repository_id_str
dc.title.spa.fl_str_mv Community perception of malaria in a vulnerable municipality in the Colombian Pacific
title Community perception of malaria in a vulnerable municipality in the Colombian Pacific
spellingShingle Community perception of malaria in a vulnerable municipality in the Colombian Pacific
Malaria
Comunidad
Conocimiento
Actitudes
Practicas
Colombia
Malaria
Community
Knowledge
Attitude
Practice
Colombia
title_short Community perception of malaria in a vulnerable municipality in the Colombian Pacific
title_full Community perception of malaria in a vulnerable municipality in the Colombian Pacific
title_fullStr Community perception of malaria in a vulnerable municipality in the Colombian Pacific
title_full_unstemmed Community perception of malaria in a vulnerable municipality in the Colombian Pacific
title_sort Community perception of malaria in a vulnerable municipality in the Colombian Pacific
dc.creator.fl_str_mv Rosero Galindo, Carol Yovanna
Jaramillo, Gloria Isabel
Montenegro Coral, Franco Andrés
Garcia, Cesar
Coral Chaucanes, Arelis Alexandra
dc.contributor.author.none.fl_str_mv Rosero Galindo, Carol Yovanna
Jaramillo, Gloria Isabel
Montenegro Coral, Franco Andrés
Garcia, Cesar
Coral Chaucanes, Arelis Alexandra
dc.subject.spa.fl_str_mv Malaria
Comunidad
Conocimiento
Actitudes
Practicas
Colombia
topic Malaria
Comunidad
Conocimiento
Actitudes
Practicas
Colombia
Malaria
Community
Knowledge
Attitude
Practice
Colombia
dc.subject.other.spa.fl_str_mv Malaria
Community
Knowledge
Attitude
Practice
Colombia
description Background: Malaria primarily affects populations living in poor socioeconomic conditions, with limited access to basic services, deteriorating environmental conditions, and barriers to accessing health services. Control programmes are designed without participation from the communities involved, ignoring local knowledge and sociopolitical and cultural dynamics surrounding their main health problems, which implies imposing decontextualized control measures that reduce coverage and the impact of interventions. The objective of this study was to determine the community perception of malaria in the municipality of Olaya Herrera in the Colombian Pacific. Methods: A 41-question survey on knowledge, attitudes, and practices (KAP) related to malaria, the perception of actions by the Department of Health, and access to the health services network was conducted.Results: A total of 134 adults were surveyed, in whose households a total of 671 people lived. According to the survey data, about 80% of the household members included teenagers and children, out of which 61% had malaria at one time, and for 75.3%, this disease is a persistent problem. In spite of this, 57.2% of people who fell ill due to malaria were never visited by health personnel for a follow up. This population claimed that responsibility for who should prevent the disease is shared between each person and the Department of Health. However, personal actions were focused on using mosquito nets, ignoring other important practices to prevent bites. Despite campaigns by the Department of Health, 11.9% of respondents did not know how malaria was transmitted, and 8.96% thought it was transmitted through water. Also, 43.5% said that the Department of Health did not do any work to control malaria and 16% did not know if any action was taken. Conclusions: In spite of the knowledge about malaria and the efforts of the Department of Health to prevent it, the community actions do not seem to be consistent with this knowledge, as the number of cases of malaria is still high in the area.
publishDate 2020
dc.date.issued.none.fl_str_mv 2020-09-21
dc.date.accessioned.none.fl_str_mv 2021-01-28T15:40:19Z
dc.date.available.none.fl_str_mv 2021-01-28T15:40:19Z
dc.type.none.fl_str_mv Artículos Científicos
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dc.identifier.bibliographicCitation.spa.fl_str_mv Rosero, C.A.; Jaramillo, G.I.; Montenegro, F.A.; Garcia, C. y Coral, A.A. (2020). Community perception of malaria in a vulnerable municipality in the Colombian Pacific. Malaria Journal, 19:343.
identifier_str_mv 1475-2875
10.1186/s12936-020-03404-4
Rosero, C.A.; Jaramillo, G.I.; Montenegro, F.A.; Garcia, C. y Coral, A.A. (2020). Community perception of malaria in a vulnerable municipality in the Colombian Pacific. Malaria Journal, 19:343.
url https://hdl.handle.net/20.500.12494/32922
dc.relation.isversionof.spa.fl_str_mv https://doi.org/10.1186/s12936-020-03404-4
dc.relation.ispartofjournal.spa.fl_str_mv Malaria Journal
dc.relation.references.spa.fl_str_mv WHO. World malaria report 2019. Geneva, World Health Organization, 2019.
Canelas T, Castillo-Salgado C, Baquero OS, Ribeiro H. Environmental and socioeconomic analysis of malaria transmission in the Brazilian Amazon, 2010–2015. Rev Saude Publica. 2019;53:49
Valero-Bernal MV. Proportion of fever attributable to malaria in Colombia: Potential indicators for monitoring progress towards malaria elimination. Revista de Salud Pública. 2017;19:45–51.
INS. Instituto Nacional de Salud. Informe del Evento: Malaria, Colombia, Semestre I-2018. Informe de Evento. Bogotá: Instituto Nacional de Salud. 2018.
Murillo-Palacios OL, Pedroza C, Bolaños C, Toro ED, Cubillos J, Chaparro P, et al. Malaria complicada en el Chocó: hallazgos clínicos y comparación de datos con el sistema de vigilancia. Rev Salud Pública (Bogota). 2018;20:73–81.
OPS. Organización Panamericana de la Salud. Situación de la malaria en la región de las Américas, 2000-2016. 2018.
INS. Instituto Nacional de Salud. Boletín Epidemiológico Semanal, semana 29. Bogotá: Instituto Nacional de Salud. 2018.
Molineros LF, López OC, Ramírez HB, Carol CC, Burbano CT. Aplicaciones de un modelo integral para el estudio de la malaria urbana en San Andrés de Tumaco Colombia. Rev Cubana Med Trop. 2014;66:3–19.
Murta FLG, Mendes MO, Sampaio VS, Baze AS Jr, Diaz-Bermudez ZP, Monteiro W, et al. Misperceptions of patients and health workers regarding malaria elimination in the Brazilian Amazon: a qualitative study. Malar J. 2019;18:223
Castrillón A, Santa Gil V, Loaiza L, Ortíz D, Aragón V. Relación entre conocimientos, hábitos y participación comunitaria frente a la transmisión del dengue y chikungunya. CES Salud Pública. 2017;8:70–81
Molineros-Gallón Luis F. Conocimientos, actitudes, percepciones y prácticas comunitarias sobre la malaria urbana. Tumaco, Colombia. Rev Salud Pública (Bogota). 2018;20:82-8.
Krisher LK, Krisher J, Ambuludi M, Arichabala A, Beltran-Ayala E, Navarette P, et al. Successful malaria elimination in the Ecuador-Peru border region: epidemiology and lessons learned. Malar J. 2016;15:573.
Win HO, Gold L, Moore K, Agius PA, Fowkes FJI. The impact of communitydelivered models of malaria control and elimination: a systematic review. Malar J. 2019;18:269.
Trajman A, Wakof-Pereira MF, Ramos-Silva J, Cordeiro-Santos M, de Albuquerque MF, Hill PC, et al. Knowledge, attitudes and practices on tuberculosis transmission and prevention among auxiliary healthcare professionals in three Brazilian high-burden cities: a cross-sectional survey. BMC Health Serv Res. 2019;19:532
IDSN. Instituto Departamental de Salud de Nariño. Proyección población departamento de Nariño. Pasto. 2018.
Molina Gómez K, Caicedo MA, Gaitán A, Herrera-Varela M, Arce MI, Vallejo AF, et al. Characterizing the malaria rural-to-urban transmission interface: The importance of reactive case detection. PLoS Negl Trop Dis. 2017;11:e0005780
Hlongwana KW, Mabaso ML, Kunene S, Govender D, Maharaj R. Community knowledge, attitudes and practices (KAP) on malaria in Swaziland: a country earmarked for malaria elimination. Malar J. 2009;8:29
Mora-Ruiz M, Penilla RP, Ordóñez JG, Lopez AD, Solis F, Torres-Estrada JL, et al. Socioeconomic factors, attitudes and practices associated with malaria prevention in the coastal plain of Chiapas Mexico. Malar J. 2014;13:157
Kinung’hi SM, Mashauri F, Mwanga JR, Nnko SE, Kaatano GM, Malima R, et al. Knowledge, attitudes and practices about malaria among communities: comparing epidemic and non-epidemic prone communities of Muleba district North-western Tanzania. BMC Public Health. 2010;10:395.
Mazigo HD, Obasy E, Mauka W, Manyiri P, Zinga M, Kweka EJ, et al. Knowledge, attitudes, and practices about malaria and its control in rural Northwest Tanzania. Malar Res Treat. 2010;2010:794261.
Podder D, Paul B, Dasgupta A, Bandyopadhyay L, Pal A, Roy S. Community perception and risk reduction practices toward malaria and dengue: A mixed-method study in slums of Chetla, Kolkata. Indian J Public Health. 2019;63:178.
Forero D, Chaparro P, Vallejo A, Benavides Y, Gutiérrez J, Arévalo M, et al. Knowledge, attitudes and practices of malaria in Colombia. Malar J. 2014;13:165.
Sáenz FE, Arévalo-Cortés A, Valenzuela G, Vallejo AF, Castellanos A, Poveda-Loayza AC, et al. Malaria epidemiology in low-endemicity areas of the northern coast of Ecuador: high prevalence of asymptomatic infections. Malar J. 2017;16:300.
Shimaponda N, Tembo E, Gebreslasie M, Mukaratirwa S. Knowledge, attitudes and practices in the control and prevention of malaria in four endemic provinces of Zambia. S Afr J Infect Dis. 2017;32:29–39
Padilla JC, Lizarazo FE, Murillo OL, Mendigaña FA, Pachón E, Vera MJ. Epidemiología de las principales enfermedades transmitidas por vectores en Colombia, 1990-2016. Biomédica. 2017;37:27–40.
Rondón-Cotacio M, Tobón-Castaño A. Actividades de vigilancia epidemiológica de la malaria en la red diagnóstica de la frontera colombianaperuana. Rev Peru Med Exp Salud Publica. 2018;35:373–81.
Calle-Londoño DA, Álvarez ON, Osorio L, Piñeros-Jiménez JG, León-Rúa Uribe G. Conocimientos sobre malaria y prácticas de uso de mosquiteros insecticidas de larga duración en dos departamentos de Colombia Perú. Rev Peru Med Exp Salud Publica. 2018;35:382–9.
Fernández JA, Idrovo AJ, Giraldo V, Molina HF. Los dominios culturales de la malaria: una aproximación a los saberes no institucionales. Biomédica. 2014;34:250–9
El Osorio L. control de la malaria en la costa Pacífca colombiana. Biomédica. 2006;26:313–6
Newell I, Wiskin C, Anthoney J, Meza G, de Wildt G. Preventing malaria in the Peruvian Amazon: a qualitative study in Iquitos Peru. Malar J. 2018;17:31.
Carmona G, Donaires LF. Percepciones comunitarias relativas a la prevención del dengue en asentamientos humanos afectados. Lima-Perú, Interface-Comunicação. Saúde Educação. 2015;2016(20):839–52.
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spelling Rosero Galindo, Carol YovannaJaramillo, Gloria IsabelMontenegro Coral, Franco AndrésGarcia, CesarCoral Chaucanes, Arelis Alexandra19:3432021-01-28T15:40:19Z2021-01-28T15:40:19Z2020-09-211475-287510.1186/s12936-020-03404-4https://hdl.handle.net/20.500.12494/32922Rosero, C.A.; Jaramillo, G.I.; Montenegro, F.A.; Garcia, C. y Coral, A.A. (2020). Community perception of malaria in a vulnerable municipality in the Colombian Pacific. Malaria Journal, 19:343.Background: Malaria primarily affects populations living in poor socioeconomic conditions, with limited access to basic services, deteriorating environmental conditions, and barriers to accessing health services. Control programmes are designed without participation from the communities involved, ignoring local knowledge and sociopolitical and cultural dynamics surrounding their main health problems, which implies imposing decontextualized control measures that reduce coverage and the impact of interventions. The objective of this study was to determine the community perception of malaria in the municipality of Olaya Herrera in the Colombian Pacific. Methods: A 41-question survey on knowledge, attitudes, and practices (KAP) related to malaria, the perception of actions by the Department of Health, and access to the health services network was conducted.Results: A total of 134 adults were surveyed, in whose households a total of 671 people lived. According to the survey data, about 80% of the household members included teenagers and children, out of which 61% had malaria at one time, and for 75.3%, this disease is a persistent problem. In spite of this, 57.2% of people who fell ill due to malaria were never visited by health personnel for a follow up. This population claimed that responsibility for who should prevent the disease is shared between each person and the Department of Health. However, personal actions were focused on using mosquito nets, ignoring other important practices to prevent bites. Despite campaigns by the Department of Health, 11.9% of respondents did not know how malaria was transmitted, and 8.96% thought it was transmitted through water. Also, 43.5% said that the Department of Health did not do any work to control malaria and 16% did not know if any action was taken. Conclusions: In spite of the knowledge about malaria and the efforts of the Department of Health to prevent it, the community actions do not seem to be consistent with this knowledge, as the number of cases of malaria is still high in the area.Background: Malaria primarily affects populations living in poor socioeconomic conditions, with limited access to basic services, deteriorating environmental conditions, and barriers to accessing health services. Control programmes are designed without participation from the communities involved, ignoring local knowledge and sociopolitical and cultural dynamics surrounding their main health problems, which implies imposing decontextualized control measures that reduce coverage and the impact of interventions. The objective of this study was to determine the community perception of malaria in the municipality of Olaya Herrera in the Colombian Pacific.Methods: A 41-question survey on knowledge, attitudes, and practices (KAP) related to malaria, the perception of actions by the Department of Health, and access to the health services network was conducted.Results: A total of 134 adults were surveyed, in whose households a total of 671 people lived. According to the survey data, about 80% of the household members included teenagers and children, out of which 61% had malaria at one time, and for 75.3%, this disease is a persistent problem. In spite of this, 57.2% of people who fell ill due to malaria were never visited by health personnel for a follow up. This population claimed that responsibility for who should prevent the disease is shared between each person and the Department of Health. However, personal actions were focused on using mosquito nets, ignoring other important practices to prevent bites. Despite campaigns by the Department of Health, 11.9% of respondents did not know how malaria was transmitted, and 8.96% thought it was transmitted through water. Also, 43.5% said that the Department of Health did not do any work to control malaria and 16% did not know if any action was taken. Conclusions: In spite of the knowledge about malaria and the efforts of the Department of Health to prevent it, the community actions do not seem to be consistent with this knowledge, as the number of cases of malaria is still high in the area.https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000253227http://scienti.colciencias.gov.co:8081/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000149799http://scienti.colciencias.gov.co:8081/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001306650http://scienti.colciencias.gov.co:8081/cvlac/visualizador/generarCurriculoCv.do?cod_rh=00005848940000-0002-4320-91410000-0002-7597-38730000-0002-7054-71380000-0002-0750-5541https://scienti.minciencias.gov.co/gruplac/jsp/Medicion/graficas/verPerfiles.jsp?id_convocatoria=19&nroIdGrupo=00000000002977https://scienti.minciencias.gov.co/gruplac/jsp/visualiza/visualizagr.jsp?nro=00000000009671carol.roserog@campusucc.edu.cogloria.jaramillor@campusucc.edu.cofranco.montenegro@campusucc.edu.cocesar.garcia@campusucc.edu.cohttps://scholar.google.com/citations?user=MvEMZQgAAAAJ&hl=es1-12Universidad Cooperativa de Colombia, Facultad de Ciencias de la Salud, Medicina, VillavicencioMedicinaVillavicenciohttps://doi.org/10.1186/s12936-020-03404-4Malaria JournalWHO. World malaria report 2019. Geneva, World Health Organization, 2019.Canelas T, Castillo-Salgado C, Baquero OS, Ribeiro H. Environmental and socioeconomic analysis of malaria transmission in the Brazilian Amazon, 2010–2015. Rev Saude Publica. 2019;53:49Valero-Bernal MV. Proportion of fever attributable to malaria in Colombia: Potential indicators for monitoring progress towards malaria elimination. Revista de Salud Pública. 2017;19:45–51.INS. Instituto Nacional de Salud. Informe del Evento: Malaria, Colombia, Semestre I-2018. Informe de Evento. Bogotá: Instituto Nacional de Salud. 2018.Murillo-Palacios OL, Pedroza C, Bolaños C, Toro ED, Cubillos J, Chaparro P, et al. Malaria complicada en el Chocó: hallazgos clínicos y comparación de datos con el sistema de vigilancia. Rev Salud Pública (Bogota). 2018;20:73–81.OPS. Organización Panamericana de la Salud. Situación de la malaria en la región de las Américas, 2000-2016. 2018.INS. Instituto Nacional de Salud. Boletín Epidemiológico Semanal, semana 29. Bogotá: Instituto Nacional de Salud. 2018.Molineros LF, López OC, Ramírez HB, Carol CC, Burbano CT. Aplicaciones de un modelo integral para el estudio de la malaria urbana en San Andrés de Tumaco Colombia. Rev Cubana Med Trop. 2014;66:3–19.Murta FLG, Mendes MO, Sampaio VS, Baze AS Jr, Diaz-Bermudez ZP, Monteiro W, et al. Misperceptions of patients and health workers regarding malaria elimination in the Brazilian Amazon: a qualitative study. Malar J. 2019;18:223Castrillón A, Santa Gil V, Loaiza L, Ortíz D, Aragón V. Relación entre conocimientos, hábitos y participación comunitaria frente a la transmisión del dengue y chikungunya. CES Salud Pública. 2017;8:70–81Molineros-Gallón Luis F. Conocimientos, actitudes, percepciones y prácticas comunitarias sobre la malaria urbana. Tumaco, Colombia. Rev Salud Pública (Bogota). 2018;20:82-8.Krisher LK, Krisher J, Ambuludi M, Arichabala A, Beltran-Ayala E, Navarette P, et al. Successful malaria elimination in the Ecuador-Peru border region: epidemiology and lessons learned. Malar J. 2016;15:573.Win HO, Gold L, Moore K, Agius PA, Fowkes FJI. The impact of communitydelivered models of malaria control and elimination: a systematic review. Malar J. 2019;18:269.Trajman A, Wakof-Pereira MF, Ramos-Silva J, Cordeiro-Santos M, de Albuquerque MF, Hill PC, et al. Knowledge, attitudes and practices on tuberculosis transmission and prevention among auxiliary healthcare professionals in three Brazilian high-burden cities: a cross-sectional survey. BMC Health Serv Res. 2019;19:532IDSN. Instituto Departamental de Salud de Nariño. Proyección población departamento de Nariño. Pasto. 2018.Molina Gómez K, Caicedo MA, Gaitán A, Herrera-Varela M, Arce MI, Vallejo AF, et al. Characterizing the malaria rural-to-urban transmission interface: The importance of reactive case detection. PLoS Negl Trop Dis. 2017;11:e0005780Hlongwana KW, Mabaso ML, Kunene S, Govender D, Maharaj R. Community knowledge, attitudes and practices (KAP) on malaria in Swaziland: a country earmarked for malaria elimination. Malar J. 2009;8:29Mora-Ruiz M, Penilla RP, Ordóñez JG, Lopez AD, Solis F, Torres-Estrada JL, et al. Socioeconomic factors, attitudes and practices associated with malaria prevention in the coastal plain of Chiapas Mexico. Malar J. 2014;13:157Kinung’hi SM, Mashauri F, Mwanga JR, Nnko SE, Kaatano GM, Malima R, et al. Knowledge, attitudes and practices about malaria among communities: comparing epidemic and non-epidemic prone communities of Muleba district North-western Tanzania. BMC Public Health. 2010;10:395.Mazigo HD, Obasy E, Mauka W, Manyiri P, Zinga M, Kweka EJ, et al. Knowledge, attitudes, and practices about malaria and its control in rural Northwest Tanzania. Malar Res Treat. 2010;2010:794261.Podder D, Paul B, Dasgupta A, Bandyopadhyay L, Pal A, Roy S. Community perception and risk reduction practices toward malaria and dengue: A mixed-method study in slums of Chetla, Kolkata. Indian J Public Health. 2019;63:178.Forero D, Chaparro P, Vallejo A, Benavides Y, Gutiérrez J, Arévalo M, et al. Knowledge, attitudes and practices of malaria in Colombia. Malar J. 2014;13:165.Sáenz FE, Arévalo-Cortés A, Valenzuela G, Vallejo AF, Castellanos A, Poveda-Loayza AC, et al. Malaria epidemiology in low-endemicity areas of the northern coast of Ecuador: high prevalence of asymptomatic infections. Malar J. 2017;16:300.Shimaponda N, Tembo E, Gebreslasie M, Mukaratirwa S. Knowledge, attitudes and practices in the control and prevention of malaria in four endemic provinces of Zambia. S Afr J Infect Dis. 2017;32:29–39Padilla JC, Lizarazo FE, Murillo OL, Mendigaña FA, Pachón E, Vera MJ. Epidemiología de las principales enfermedades transmitidas por vectores en Colombia, 1990-2016. Biomédica. 2017;37:27–40.Rondón-Cotacio M, Tobón-Castaño A. Actividades de vigilancia epidemiológica de la malaria en la red diagnóstica de la frontera colombianaperuana. Rev Peru Med Exp Salud Publica. 2018;35:373–81.Calle-Londoño DA, Álvarez ON, Osorio L, Piñeros-Jiménez JG, León-Rúa Uribe G. Conocimientos sobre malaria y prácticas de uso de mosquiteros insecticidas de larga duración en dos departamentos de Colombia Perú. Rev Peru Med Exp Salud Publica. 2018;35:382–9.Fernández JA, Idrovo AJ, Giraldo V, Molina HF. Los dominios culturales de la malaria: una aproximación a los saberes no institucionales. Biomédica. 2014;34:250–9El Osorio L. control de la malaria en la costa Pacífca colombiana. Biomédica. 2006;26:313–6Newell I, Wiskin C, Anthoney J, Meza G, de Wildt G. Preventing malaria in the Peruvian Amazon: a qualitative study in Iquitos Peru. Malar J. 2018;17:31.Carmona G, Donaires LF. Percepciones comunitarias relativas a la prevención del dengue en asentamientos humanos afectados. Lima-Perú, Interface-Comunicação. Saúde Educação. 2015;2016(20):839–52.MalariaComunidadConocimientoActitudesPracticasColombiaMalariaCommunityKnowledgeAttitudePracticeColombiaCommunity perception of malaria in a vulnerable municipality in the Colombian PacificArtículos Científicoshttp://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAtribución – No comercial – Sin Derivarinfo:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2PublicationLICENSElicense.txtlicense.txttext/plain; charset=utf-84334https://repository.ucc.edu.co/bitstreams/b460c0d0-6f6a-4830-a1fc-be910af84326/download3bce4f7ab09dfc588f126e1e36e98a45MD52ORIGINALmalaria Olaya Herrera 2020.pdfmalaria Olaya Herrera 2020.pdfArtículoapplication/pdf1373476https://repository.ucc.edu.co/bitstreams/6f4de671-e42e-4b6a-a2ac-57b9301432c6/download8e52e88d24506734bb4fc3bc169bf906MD51THUMBNAILmalaria Olaya Herrera 2020.pdf.jpgmalaria Olaya Herrera 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