Pre-Implementation Evaluation of a Community-Based Surveillance System for Migrants' Sexual Health in Chile
Adrian Parra, Constanza (Universitat Autònoma de Barcelona)
Stuardo Ávila, Valeria 1983- (Universidad Andrés Bello)
Low Andrade, Kenny
Lisboa Donoso, Cristian (Universidad Autonoma de Chile)
Solís, Débora (APROFA)
Gómez, Danilo (Chilean Red Cross Local Branch in Antofagasta)
Cortés, Evelyn (Crealuz Centro Cultural y de Desarrollo Personal)
Bustos Ibarra, Cecilia (Universidad de Concepción)
Contreras Hernández, Paola (Universidad de Tarapacá)
Barrientos Delgado, Jaime (Universidad Alberto Hurtado)
Carrasco-Portiño, Mercedes (Universidad de Concepción)

Data:	2025
Resum:	The increasing migration phenomenon and its impact on sexual health highlight the urgency of improving access to preventive services and developing responsive surveillance mechanisms. This study aims to describe the context and define the implementation circuits of a Community-Based Surveillance System (CBSS) focused on social epidemiological aspects related to sexual health in Chile's migrant population. A two-phase qualitative design was employed: Phase 1 involved formative research, and Phase 2 focused on the design of CBSS implementation circuits. The formative phase led to the selection and characterization of three community-based organizations (CBOs)-two in Santiago and one in Antofagasta-and two primary healthcare centers (PHCs). Findings revealed heterogeneity in institutional capacities, limited coordination between CBOs and the health system, and a high level of willingness to participate. PHCs showed comparable profiles. Based on this, differentiated operational circuits were co-designed and adapted with stakeholders, and formalized through site-specific implementation manuals. This pre-implementation evaluation helped identify critical contextual barriers and generate tailored strategies for CBSS deployment. The active involvement of local actors is essential to ensuring the contextual relevance, institutional acceptability, and future sustainability of the proposed model. These insights offer transferable learning for the design of health interventions in underserved and structurally constrained settings.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Sexual health ; Community-based surveillance ; Migrants ; Implementation research
Publicat a:	Sexes, Vol. 6 Núm. 3 (August 2025) , ISSN 2411-5118

DOI: 10.3390/sexes6030047

16 p, 1.8 MB

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