Laboratory of Entomology, Wageningen University, The Netherlands.
Malar J. 2012 Aug 8;11:269. doi: 10.1186/1475-2875-11-269.
Analysis is lacking on the management of vector control systems in disease-endemic countries with respect to the efficiency and sustainability of operations.
Three locations were selected, at the scale of province, municipality and barangay (i.e. village). Data on disease incidence, programme activities, and programme management were collected on-site through meetings and focus group discussions.
Adaptation of disease control strategies to the epidemiological situation per barangay, through micro-stratification, brings gains in efficiency, but should be accompanied by further capacity building on local situational analysis for better selection and targeting of vector control interventions within the barangay. An integrated approach to vector control, aiming to improve the rational use of resources, was evident with a multi-disease strategy for detection and response, and by the use of combinations of vector control methods. Collaboration within the health sector was apparent from the involvement of barangay health workers, re-orientation of job descriptions and the creation of a disease surveillance unit. The engagement of barangay leaders and use of existing community structures helped mobilize local resources and voluntary services for vector control. In one location, local authorities and the community were involved in the planning, implementation and evaluation of malaria control, which triggered local programme ownership.
Strategies that contributed to an improved efficiency and sustainability of vector control operations were: micro-stratification, integration of vector control within the health sector, a multi-disease approach, involvement of local authorities, and empowerment of communities. Capacity building on situational analysis and vector surveillance should be addressed through national policy and guidelines.
在疾病流行国家，缺乏对病媒控制体系管理的分析，涉及运营的效率和可持续性。
在省、市和乡村（即村庄）三个层面选择了三个地点。通过会议和焦点小组讨论，在现场收集了关于疾病发病率、规划活动和规划管理的数据。
通过微观分层，使每个乡村的疾病控制策略适应流行病学情况，提高了效率，但应进一步加强对当地情况分析的能力建设，以便更好地选择和针对乡村内的病媒控制干预措施。病媒控制的综合方法旨在提高资源的合理利用，通过多疾病的检测和应对策略以及病媒控制方法的组合使用，这一方法得到了体现。在卫生部门内的合作明显体现在乡村卫生工作者的参与、工作描述的重新定位以及疾病监测单位的设立。乡村领导的参与和利用现有的社区结构有助于为病媒控制调动当地资源和志愿服务。在一个地点，地方当局和社区参与了疟疾控制的规划、实施和评估，这引发了当地方案的所有权。
有助于提高病媒控制运营效率和可持续性的策略包括：微观分层、将病媒控制纳入卫生部门、多疾病方法、地方当局的参与以及社区的赋权。应通过国家政策和准则解决有关情况分析和病媒监测的能力建设问题。
