[Rapid review: effectiveness of the strategy for arbovirus controlRevisión sistemática rápida: efectividad de la estrategia de control con en la lucha contra las arbovirosis].

OBJECTIVE

To identify and synthesize evidence of the effectiveness and cost-effectiveness of the methodology for reducing cases of arboviral infection.

METHODOLOGY

Rapid systematic review. A search of five online portals and bibliographic databases was conducted in February 2022. Two reviewers conducted the selection stages, with any disagreements resolved by a third investigator. Data were extracted by one reviewer and subsequently checked by another. The inclusion criteria were studies describing the cost-effectiveness and effectiveness of the methodology, based on field interventions, published in Portuguese, English, and Spanish, with no restrictions on date of publication.

RESULTS

Four studies were included: one cluster randomized trial, two quasi-experimental studies, and one pre-post study, published between 2019 and 2021 in four countries. The included studies reported effectiveness for some of the outcomes of interest, such as a reduction in the incidence of dengue, Zika, and chikungunya cases. Although no experimental studies addressing the cost-effectiveness of the strategy were identified, some modeling studies have demonstrated potential cost-benefit of this methodology.

CONCLUSION

Considering the results of the included studies, has the potential to be an economically effective strategy that leads to reductions in the incidence of dengue, Zika, and chikungunya. Nevertheless, this strategy cannot yet be recommended as a public policy; additional large-scale studies with high methodological quality are still needed to inform political decision-making.