Ministry of Health of Myanmar, Yangon, Myanmar.
Pathog Glob Health. 2012 Dec;106(8):461-8. doi: 10.1179/2047773212Y.0000000057.
To build up and analyse the feasibility, process, and effectiveness of a partnership-driven ecosystem management intervention in reducing dengue vector breeding and constructing sustainable partnerships among multiple stakeholders.
A community-based intervention study was conducted from May 2009 to January 2010 in Yangon city. Six high-risk and six low-risk clusters were randomized and allocated as intervention and routine service areas, respectively. For each cluster, 100 households were covered. Bi-monthly entomological evaluations (i.e. larval and pupal surveys) and household acceptability surveys at the end of 6-month intervention period were conducted, supplemented by qualitative evaluations. Intervention description: The strategies included eco-friendly multi-stakeholder partner groups (Thingaha) and ward-based volunteers, informed decision-making of householders, followed by integrated vector management approach.
Pupae per person index (PPI) decreased at the last evaluation by 5·7% (0·35-0·33) in high-risk clusters. But in low-risk clusters, PPI remarkably decreased by 63·6% (0·33-0·12). In routine service area, PPI also decreased due to availability of Temephos after Cyclone Nargis. As for total number of pupae in all containers, when compared to evaluation 1, there was a reduction of 18·6% in evaluation 2 and 44·1% in evaluation 3 in intervention area. However, in routine service area, more reduction was observed. All intervention tools were found as acceptable, being feasible to implement by multi-stakeholder partner groups.
The efficacy of community-controlled partnership-driven interventions was found to be superior to the vertical approach in terms of sustainability and community empowerment.
构建并分析伙伴关系驱动的生态系统管理干预措施在减少登革热媒介滋生和构建多方利益相关者可持续伙伴关系方面的可行性、过程和效果。
2009 年 5 月至 2010 年 1 月在仰光市开展了一项基于社区的干预研究。将 6 个高风险和 6 个低风险集群随机分配为干预和常规服务区域。每个集群覆盖 100 户家庭。在干预 6 个月结束时进行了每两个月一次的昆虫学评估（即幼虫和蛹调查）和家庭可接受性调查，并辅以定性评估。干预描述：策略包括环保型多利益相关者伙伴团体（Thingaha）和基于病房的志愿者、房主知情决策，随后采用综合媒介管理方法。
在最后一次评估中，高风险集群中的每人体蛹指数（PPI）下降了 5.7%（0.35-0.33）。但在低风险集群中，PPI 显著下降了 63.6%（0.33-0.12）。在常规服务区域，由于 Nargis 旋风后 Temephos 的供应，PPI 也有所下降。至于所有容器中的总蛹数，与第 1 次评估相比，第 2 次评估减少了 18.6%，第 3 次评估减少了 44.1%，而在常规服务区域，减少的幅度更大。所有干预工具都被认为是可接受的，多利益相关者伙伴团体可以实施。
在可持续性和社区赋权方面，社区控制的伙伴关系驱动干预措施的效果优于垂直方法。
