Instituto de Efectividad Clínica y Sanitaria, Buenos Aires, Argentina.
Centro de Investigación de Epidemiología y Salud Pública, Buenos Aires, Argentina.
Cad Saude Publica. 2019;35(4):e00092918. doi: 10.1590/0102-311X00092918. Epub 2019 Apr 8.
This article presents the results of a dialogue between decision-makers and experts in Latin America and the Caribbean on priority-setting for interventions and studies on Aedes aegypti control. The article is part of a project that included a systematic review of mosquito control strategies and a qualitative study with key informants from the region. Using a collective deliberative process assisted by the results of the above-mentioned projects, a list of priorities was developed by consensus for the implementation of vector control strategies and the development of key regional research lines. It was agreed that the best strategy is integrated vector management, divided into: (a) chemical control; (b) biological control; (c) environmental management; (d) community participation; and (e) integrated surveillance. The workshop highlighted the crucial role of government leadership and inter-sector coordination between government agencies and civil society stakeholders. The proposed priorities for research lines were: Ae. aegypti vector competence and associated factors; community components of interventions; incorporation of technology into vector control and monitoring; most efficient modalities of integrated surveillance; entomological indicators with the best predictive capacity; and resistance to insecticides. The policy dialogue methodology allowed validating and enriching the results of other levels of research, besides establishing priorities for regional research and control strategies.
本文呈现了决策者和拉丁美洲及加勒比地区专家就埃及伊蚊控制干预措施和研究的优先事项设定进行对话的结果。本文是一个项目的一部分,该项目包括对蚊虫控制策略的系统评价和对该地区主要信息提供者的定性研究。通过上述项目的结果协助的集体审议过程,通过共识制定了实施病媒控制策略和制定关键区域研究重点的优先事项清单。大家一致认为,最佳策略是综合病媒管理,分为:(a)化学控制;(b)生物控制;(c)环境管理;(d)社区参与;和(e)综合监测。研讨会强调了政府领导和政府机构与民间社会利益攸关方之间的跨部门协调的关键作用。提出的研究重点包括:埃及伊蚊媒介效能及其相关因素;干预措施的社区组成部分;将技术纳入病媒控制和监测;综合监测最有效的模式;具有最佳预测能力的昆虫学指标;以及对杀虫剂的抗性。政策对话方法除了为区域研究和控制策略确定优先事项外,还验证和丰富了其他研究层面的结果。