Strengthening a Culture of Prevention in Low- and Middle-Income Countries: Balancing Scientific Expectations and Contextual Realities

Rubén Parra-Cardona, Patty Leijten, Jamie M. Lachman, Anilena Mejía, Ana A. Baumann, Nancy G. Amador Buenabad, Lucie Cluver, Jenny Doubt, Frances Gardner, Judy Hutchings, Catherine L. Ward, Inge M. Wessels, Rachel Calam, Victoria Chavira, Melanie M. Domenech Rodríguez

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Relevant initiatives are being implemented in low- and middle-income countries (LMICs) aimed at strengthening a culture of prevention. However, cumulative contextual factors constitute significant barriers for implementing rigorous prevention science in these contexts, as defined by guidelines from high-income countries (HICs). Specifically, disseminating a culture of prevention in LMICs can be impacted by political instability, limited health coverage, insecurity, limited rule of law, and scarcity of specialized professionals. This manuscript offers a contribution focused on strengthening a culture of prevention in LMICs. Specifically, four case studies are presented illustrating the gradual development of contrasting prevention initiatives in northern and central Mexico, Panamá, and Sub-Saharan Africa. The initiatives share the common goal of strengthening a culture of prevention in LMICs through the dissemination of efficacious parenting programs, aimed at reducing child maltreatment and improving parental and child mental health. Together, these initiatives illustrate the following: (a) the relevance of adopting a definition of culture of prevention characterized by national commitments with expected shared contributions by governments and civil society, (b) the need to carefully consider the impact of context when promoting prevention initiatives in LMICs, (c) the iterative, non-linear, and multi-faceted nature of promoting a culture of prevention in LMICs, and (d) the importance of committing to cultural competence and shared leadership with local communities for the advancement of prevention science in LMICs. Implications for expanding a culture of prevention in LMICs are discussed.

Original languageEnglish
Pages (from-to)7-17
Number of pages11
JournalPrevention Science
Volume22
Issue number1
DOIs
StatePublished - Jan 2021

Keywords

  • Culture of prevention
  • International prevention science
  • Low- and middle-income countries

Fingerprint

Dive into the research topics of 'Strengthening a Culture of Prevention in Low- and Middle-Income Countries: Balancing Scientific Expectations and Contextual Realities'. Together they form a unique fingerprint.

Cite this