Integrated vector management for malaria control.
Integrated vector management for malaria control.
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DOI：
10.1186/1475-2875-7-s1-s4
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发表时间：
2008-12-11
期刊：
影响因子：
3
通讯作者：
Novak, Robert J.
中科院分区：
文献类型：
--
作者：
Beier, John C.;Keating, Joseph;Githure, John I.;Macdonald, Michael B.;Impoinvil, Daniel E.;Novak, Robert J.
病媒综合管理被定义为“最佳利用病媒控制资源的合理决策过程”，包括五个关键要素：（1）循证决策;（2）综合办法;（3）卫生部门内部和与其他部门的合作;（4）宣传、社会动员和立法;（5）能力建设。2004年，世卫组织在全球采用病媒综合防治来控制所有病媒传播疾病。在非洲国家疟疾控制方案发展和推广病媒综合防治方面，最近取得了重要进展，而成功的疟疾控制方案正在扩大驱虫蚊帐和（或）室内滞留喷洒的覆盖范围。虽然在许多情况下，仅使用驱虫蚊帐和/或室内滞留喷洒的干预措施成功地降低了疟疾的传播强度和负担，但尚不清楚仅凭这些干预措施是否能够达到导致消灭疟疾的关键低水平。尽管成功地实施了全面综合疟疾控制方案，但通过病媒综合防治进一步加强病媒控制的组成部分仍具有现实意义，特别是在控制取得成功的“最后阶段”，需要进一步努力，从低传播情况走向在地方和全国范围持续消除疟疾。为了满足这一需要并确保控制工作的可持续性，疟疾控制方案应加强其利用数据进行决策的能力，以便评价目前的病媒控制方案，结合驱虫蚊帐/室内滞留喷洒战术使用更多的病媒控制工具，以及病例发现和治疗战略，并确定为实现消灭疟疾需要多少和哪些类型的病媒控制和跨学科投入。同样，在全球范围内，有必要继续开展研究，以确定和评价可与国家疟疾控制方案内现有生物医学战略相结合的病媒控制新工具。本审查概述了病媒综合防治方案的执行情况，并就进一步发展病媒综合防治以实现非洲国家疟疾控制方案的目标提出了建议。
Integrated vector management (IVM) is defined as "a rational decision-making process for the optimal use of resources for vector control" and includes five key elements: 1) evidence-based decision-making, 2) integrated approaches 3), collaboration within the health sector and with other sectors, 4) advocacy, social mobilization, and legislation, and 5) capacity-building. In 2004, the WHO adopted IVM globally for the control of all vector-borne diseases. Important recent progress has been made in developing and promoting IVM for national malaria control programmes in Africa at a time when successful malaria control programmes are scaling-up with insecticide-treated nets (ITN) and/or indoor residual spraying (IRS) coverage. While interventions using only ITNs and/or IRS successfully reduce transmission intensity and the burden of malaria in many situations, it is not clear if these interventions alone will achieve those critical low levels that result in malaria elimination. Despite the successful employment of comprehensive integrated malaria control programmes, further strengthening of vector control components through IVM is relevant, especially during the "end-game" where control is successful and further efforts are required to go from low transmission situations to sustained local and country-wide malaria elimination. To meet this need and to ensure sustainability of control efforts, malaria control programmes should strengthen their capacity to use data for decision-making with respect to evaluation of current vector control programmes, employment of additional vector control tools in conjunction with ITN/IRS tactics, case-detection and treatment strategies, and determine how much and what types of vector control and interdisciplinary input are required to achieve malaria elimination. Similarly, on a global scale, there is a need for continued research to identify and evaluate new tools for vector control that can be integrated with existing biomedical strategies within national malaria control programmes. This review provides an overview of how IVM programmes are being implemented, and provides recommendations for further development of IVM to meet the goals of national malaria control programmes in Africa.