Journal
TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE
Volume 104, Issue 6, Pages 379-386Publisher
OXFORD UNIV PRESS
DOI: 10.1016/j.trstmh.2009.07.027
Keywords
Vectors; Dengue; Control; Service analysis; Health-systems research; Integrated vector management
Funding
- World Health Organization (TDR/WHO)
Ask authors/readers for more resources
The increasing incidence and geographic expansion of dengue suggest limitations of vector-control operations. We undertook an analysis of services with two methods: a systematic literature review; and case studies (stakeholder interviews, questionnaires) in Brazil, Guatemala, The Philippines and Viet Nam. In the systematic literature review there were only a few studies (strict criteria, 9 studies; less strict criteria, a further 16 studies and 3 guidelines). Of the 9 studies, 3 showed little change of control operations over time but did show strategic changes (decentralisation, intersectoral collaboration). Staffing levels, capacity building, management and organisation, funding and community engagement were insufficient. The case studies confirmed most of this information: (1) a lack of personnel (entomologists, social scientists, operational vector-control staff); (2) a lack of technical expertise at decentralised levels of services; (3) insufficient budgets; (4) inadequate geographical coverage; (5) interventions relying mostly on insecticides; (6) difficulties in engaging communities; (7) little capacity building; (8) almost no monitoring and evaluation. Stakeholders' doubts about service effectiveness were widespread, but interventions were assumed to be effective with increased resources. The analysis underlined the need for: operational standards; evidence-based selection/delivery of combinations of interventions; development/application of monitoring and evaluation tools; needs-driven capacity building. (C) 2009 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available