[Schistosomiasis and the challenge of community participation].

Using a semiotic and hermeneutical approach, the present paper discusses various theoretical elements in the analysis of popular views of schistosomiasis. Based on field work conducted in the State of Bahia, the authors identify two main processes in the construction of meaning related to schistosomiasis and show that depending on the social context of experience the disease may have a primary or secondary meaning for the populations affected by it. The first level of meaning refers to bodily experiences and is shared intersubjectively, whereas the second type is built on the discourse of health professionals. In the latter case, the popular view of the illness is directly linked to discourses and actions previously established by health programs designed for the control of the disease.