Integrated vector management: The Zambian experience

Chanda, Emmanuel; Masaninga, Fred; Coleman, Michael; Sikaala, Chadwick H.; Katebe, Cecilia; MacDonald, Michael B.; Baboo, K.S.; Govere, J.; Manga, Lucien

doi:10.1186/1475-2875-7-164

Cited by 91 publications

(105 citation statements)

References 4 publications

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“…The rationale is that sustainable disease control requires coordinated efforts to address common conditions that may facilitate transmission or impede access to prevention, case detection, diagnosis and treatment. 4,5 This paper describes a unified paradigm of STI control where HIV is an important focus. The approach is analytical and programme-oriented, with attention to public health outcomes and means.…”

Section: Introductionmentioning

confidence: 99%

Control of sexually transmitted infections and prevention of HIV transmission: mending a fractured paradigm

Steen¹,

Wi²,

Kamali³

et al. 2009

Bull World Health Org

116

103

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Control of sexually transmitted infections (STIs) is feasible, leads to improved sexual and reproductive health and contributes to preventing HIV transmission. The most advanced HIV epidemics have developed under conditions of poor STI control, particularly where ulcerative STIs were prevalent. Several countries that have successfully controlled STIs have documented stabilization or reversal of their HIV epidemics.STI control is a public health outcome measured by reduced incidence and prevalence. The means to achieve this include: (i) targeting and outreach to populations at greatest risk; (ii) promoting and providing condoms and other means of prevention; (iii) effective clinical interventions; (iv) an enabling environment; and (v) reliable data.Clinical services include STI case management, screening and management of STIs in sex partners. Syndromic case management is effective for most symptomatic curable STIs and screening strategies exist to detect some asymptomatic infections. Presumptive epidemiologic treatment of sex partners and sex workers complement efforts to interrupt transmission and reduce prevalence. Clinical services alone are insufficient for control since many people with STIs do not attend clinics. Outreach and peer education have been effectively used to reach such populations.STI control requires effective interventions with core populations whose rates of partner change are high enough to sustain transmission. Effective, appropriate targeting is thus necessary and often sufficient to reduce prevalence in the general population. Such efforts are most effective when combined with structural interventions to ensure an enabling environment for prevention. Reliable surveillance and related data are critical for designing and evaluating interventions and for assessing control efforts.Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español. ‫املقالة.‬ ‫لهذه‬ ‫الكامل‬ ‫النص‬ ‫نهاية‬ ‫يف‬ ‫الخالصة‬ ‫لهذه‬ ‫العربية‬ ‫الرتجمة‬ a

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Section: Introductionmentioning

confidence: 99%

Control of sexually transmitted infections and prevention of HIV transmission: mending a fractured paradigm

Steen¹,

Wi²,

Kamali³

et al. 2009

Bull World Health Org

116

103

View full text Add to dashboard Cite

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“…Several malaria control programmes have fragmentary empirical evidence to inform policy formulation for rational vector control. For this reason, malaria control programmes are encouraged to adopt the WHO-led IVM strategy [48], which should be an evidence-based decision making process that requires coherent monitoring and evaluation component [49]. This should include routine surveillance of resistance profiles of major malaria vectors and potential resistance mechanisms to facilitate informed decisions and policy changes, such as the incorporation of insecticide resistance management operations into control programmes [29].…”

Section: Insecticides and Malaria Vector Controlmentioning

confidence: 99%

Optimizing Strategic Insecticide Resistance Management Planning in Malaria Vectors

Chanda¹

2016

Insecticides Resistance

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In the past decade, there has been rapid scale-up of insecticide-based malaria vector control in the context of integrated vector management (IVM). But, the continued efficacy of vector control interventions is threatened by the selection of insecticide resistance. Evidence of insecticide resistance operationally undermining malaria vector control programmes is invariably mounting and is resulting in policy changes. Monitoring and management of resistant disease vectors is essential to limit the selection and spread of insecticide resistance and to maintain the effectiveness of vector control. Thus, countries are encouraged to implement pre-emptive insecticide resistance management (IRM) strategies against malaria vectors according to the Global Plan for IRM. However, substantial challenges for implementation exist at country level. The IVM strategy provides a potential platform that could be exploited for enhanced national strategic IRM planning and operationalisation. Nevertheless, significant coordinated response among stakeholders and political commitment is needed for timely and effective policy implementation within the context of a national health system.

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“…Insecticide resistance in target vector populations coupled with environmental and health concerns associated with insecticide use has led to a burgeoning interest in the development of alternative forms of vector control [17] as well as to implementation of integrated vector management strategies. [18,19] Entomological surveillance is a fundamentally important activity in a malaria vector control programme, for several reasons, and operational research and specialised diagnostics arise from activities such as species identification using morphological and molecular methods, vector incrimination using immunological methods, and insecticide susceptibility testing.…”

Section: Malaria Vector Controlmentioning

confidence: 99%