TY - JOUR
T1 - Operational scale entomological intervention for malaria control
T2 - Strategies, achievements and challenges in Zambia
AU - Chanda, Emmanuel
AU - Mukonka, Victor M.
AU - Kamuliwo, Mulakwa
AU - Macdonald, Michael B.
AU - Haque, Ubydul
N1 - Funding Information:
The authors thank Dr. Peter Mwaba, the Permanent Secretary, Ministry of Health Zambia for facilitating the study. The authors gratefully acknowledge the programme officers at National Malaria Control Centre and the Districts staff for coordinating and implementing the interventions respectively. UH is supported by an A. Ralph and Sylvia E. Barr Fellowship from the W. Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health.
PY - 2013
Y1 - 2013
N2 - Background: While consensus on malaria vector control policy and strategy has stimulated unprecedented political-will, backed by international funding organizations and donors, vector control interventions are expansively being implemented based on assumptions with unequaled successes. This manuscript reports on the strategies, achievements and challenges of the past and contemporary malaria vector control efforts in Zambia. Case description. All available information and accessible archived documentary records on malaria vector control in Zambia were reviewed. Retrospective analysis of routine surveillance data from the Health Management Information System (HMIS), data from population-based household surveys and various operations research reports was conducted to assess the status in implementing policies and strategies. Discussion and evaluation. Empirical evidence is critical for informing policy decisions and tailoring interventions to local settings. Thus, the World Health Organization (WHO) encourages the adoption of the integrated vector management (IVM) strategy which is a rational decision making process for optimal use of available resources. One of the key features of IVM is capacity building at the operational level to plan, implement, monitor and evaluate vector control and its epidemiological and entomological impact. In Zambia, great progress has been made in implementing WHO-recommended vector control policies and strategies within the context of the IVM Global Strategic framework with strong adherence to its five key attributes. Conclusions: The country has solid, consistent and coordinated policies, strategies and guidelines for malaria vector control. The Zambian experience demonstrates the significance of a coordinated multi-pronged IVM approach effectively operationalized within the context of a national health system.
AB - Background: While consensus on malaria vector control policy and strategy has stimulated unprecedented political-will, backed by international funding organizations and donors, vector control interventions are expansively being implemented based on assumptions with unequaled successes. This manuscript reports on the strategies, achievements and challenges of the past and contemporary malaria vector control efforts in Zambia. Case description. All available information and accessible archived documentary records on malaria vector control in Zambia were reviewed. Retrospective analysis of routine surveillance data from the Health Management Information System (HMIS), data from population-based household surveys and various operations research reports was conducted to assess the status in implementing policies and strategies. Discussion and evaluation. Empirical evidence is critical for informing policy decisions and tailoring interventions to local settings. Thus, the World Health Organization (WHO) encourages the adoption of the integrated vector management (IVM) strategy which is a rational decision making process for optimal use of available resources. One of the key features of IVM is capacity building at the operational level to plan, implement, monitor and evaluate vector control and its epidemiological and entomological impact. In Zambia, great progress has been made in implementing WHO-recommended vector control policies and strategies within the context of the IVM Global Strategic framework with strong adherence to its five key attributes. Conclusions: The country has solid, consistent and coordinated policies, strategies and guidelines for malaria vector control. The Zambian experience demonstrates the significance of a coordinated multi-pronged IVM approach effectively operationalized within the context of a national health system.
KW - Community involvement
KW - Integrated vector management
KW - Malaria vector control
KW - Monitoring and evaluation
KW - Policy and strategy
KW - Private sector engagement
UR - http://www.scopus.com/inward/record.url?scp=84871990285&partnerID=8YFLogxK
U2 - 10.1186/1475-2875-12-10
DO - 10.1186/1475-2875-12-10
M3 - Article
C2 - 23298401
AN - SCOPUS:84871990285
SN - 1475-2875
VL - 12
JO - Malaria Journal
JF - Malaria Journal
IS - 1
M1 - 10
ER -