Dear Dr. Rojas,

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

Reviewer #1: Yes

Reviewer #2: No

Reviewer #3: Yes

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2. Has the statistical analysis been performed appropriately and rigorously? -->?>

Reviewer #1: Yes

Reviewer #2: No

Reviewer #3: Yes

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3. Have the authors made all data underlying the findings in their manuscript fully available??>

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.-->

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

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4. Is the manuscript presented in an intelligible fashion and written in standard English??>

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

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Reviewer #1: The presented manuscript offers an important approach to a prevalent public health problem worldwide. I believe that the findings identified in the qualitative approach, which enriches the study, should be forther ditail.

Reviewer #2: Dengue prevention in Mexico relies on vector control, with a particular focus on eliminating Aedes aegypti breeding sites. How much of dengue control activities are directed against breeding sites? The problem with initiatives directed against breeding sites is to evaluate number, type, size, capacity frequency of positiveness and productivity so as to direct specific efforts to what containers /breeding sites are most productive and when interventions should be implemented. While authors mentioned that a pilot study was performed no data on the data explore is presented. They assume ha the reality in Rio Florido is not different from any other place in the city or the state.

Evaluate the implementation fidelity of the E&CS program in Río Florido promotes community practices to eliminate Aedes aegypti breeding sites. Institutionally driven intervention that aims to foster social participation in health promotion and disease prevention through the transformation of physical and social environments is a very complex task. The authors do not mention any particular trait of the entomological situation in Rio Florido that could influence or enrich the implementation of E&CS program.

As stated by the authors protocol includes: 1) participatory diagnosis of health risks and environmental hazards; 2) joint identification of intervention priorities; 3) development of a community action plan; 4) execution of activities such as cleanup campaigns, home visits, and educational workshops; and 5) monitoring and evaluation of results with feedback to the community. These stages are facilitated by health personnel in collaboration with community leaders, health committees, and other social actors, with the goal of fostering sustainable practices that reduce vector presence and improve environmental conditions. Without entomological situational diagnosis it is doom to fail in terms of participation and adherence.

To evaluate the degree to which an intervention is delivered as intended, -Implementation fidelity-, is a critical component to ensure the expected impact. The evaluation of Implementation fidelity is understood as a complex enterprise by the health personnel and the community.

In this study, they intend to evaluate the implementation fidelity of the Health Secretariat personnel to key E&CS program components and the perceived barriers and facilitators from institutional and community perspectives through the Consolidated Framework for Implementation Research (CFIR) , which systematically examines internal and external contextual factors affecting implementation (qualitative data), and the Conceptual Framework for Implementation Fidelity (CFIF) (6), which considers dimensions such as adherence to Content Details, Duration, Frequency, and Coverage (quantitative data). The authors fail to illustrate the dimensions or components of content, duration, frequency and coverage of the program in a clear manner. Results are very simplistic, poorly described and figures are not clear in terms of presenting frequencies or %, chi square values or significance. Approach is descriptive and no analysis is presented.

Reviewer #3: Dear Authors,

My acknowledgement for your manuscript about fidelity implementation of a dengue program. I found your analysis clear and your methodology adequate. Aiming to improve your presentation, I have some suggestion for you:

1) It is necesary to provide the objective of the study or the objerctive of the evaluation. Generally, it is provided in the last paragraph of the introduction.

2) I found also relevant to describe the objectives of the analyzed program, for better understand the barriers described in the manuscript.

3) It is not clear why to highlight in red some lines.

With kind regards,

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what does this mean?). If published, this will include your full peer review and any attached files.). If published, this will include your full peer review and any attached files.). If published, this will include your full peer review and any attached files.). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our For information about this choice, including consent withdrawal, please see our For information about this choice, including consent withdrawal, please see our For information about this choice, including consent withdrawal, please see our Privacy Policy..-->

Reviewer #1: No

Reviewer #2: No

Reviewer #3: Yes: Emanuel Orozco Núñez, Ma.Emanuel Orozco Núñez, Ma.Emanuel Orozco Núñez, Ma.Emanuel Orozco Núñez, Ma.

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To ensure your figures meet our technical requirements, please review our figure guidelines: https://journals.plos.org/plosone/s/figures

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Implementation fidelity of a community-based Aedes aegypti breeding site elimination program for dengue control in southeastern Mexico

PONE-D-25-50635R1

Dear Dr. Rojas,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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Kind regards,

Miquel Vall-llosera Camps

Senior Staff Editor

PLOS One

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

Reviewer #3: All comments have been addressed

**********

2. Is the manuscript technically sound, and do the data support the conclusions??>

Reviewer #3: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously? -->?>

Reviewer #3: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available??>

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.-->

Reviewer #3: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English??>

Reviewer #3: Yes

**********

Reviewer #3: Thank you for considering my suggestions. This manuscript will be useful for improving local conditions, but also to improve dengue control in some other places.

With kind regards,

**********

what does this mean?). If published, this will include your full peer review and any attached files.). If published, this will include your full peer review and any attached files.). If published, this will include your full peer review and any attached files.). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our For information about this choice, including consent withdrawal, please see our For information about this choice, including consent withdrawal, please see our For information about this choice, including consent withdrawal, please see our Privacy Policy..-->

Reviewer #3: Yes: Emanuel Orozco Núñez, Ma.Emanuel Orozco Núñez, Ma.Emanuel Orozco Núñez, Ma.Emanuel Orozco Núñez, Ma.

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