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This handbook presents an operational framework to guide managers and those implementing vector-borne disease control programs in designing more efficient, cost-effective systems. As a national IVM policy and an intersectoral steering committee are essential for establishing IVM as a national strategy, the handbook begins with the policy and institutional framework for IVM. Policy analysis is a means for identifying options for policy reform and suggesting instruments for implementing policy.
IVM transforms the conventional system of vector control by making it more evidence-based, integrated and participative. This may require changes in roles, responsibilities and organizational links. The transition to IVM involves both reorientation of vector-borne disease control programs and embedding IVM within local health systems. Intersectoral partnerships and collaboration at both national and local levels will result in cost savings and benefits to other health services. Other relevant sectors, such as agriculture, environment, mining, industry, public works, local government and housing, should incorporate IVM and vector control into their own activities to prevent vector proliferation and disease transmission.
Planning and implementing IVM involve assessing the epidemiological and vector situation at country level, analyzing the local determinants of disease, identifying and selecting vector control methods, assessing requirements and resources and designing locally appropriate implementation strategies. Solid evidence on the cost-effectiveness of interventions and their underlying parameters and a comprehensive vector surveillance system are essential for locally appropriate decision-making.
Capacity-building, in particular human resource development, is a major challenge, because the IVM strategy requires skilled staff and adequate infrastructure at central and local levels. The handbook outlines the core functions and essential competence required for IVM at central and local levels, complementing a separate set of documents containing the Core structure for training curricula on integrated vector management and associated training materials.
Like any new approach, IVM must be actively advocated and communicated in order to become established. The handbook lays out the elements and processes of IVM to enable policy-makers, donors and implementing partners to use it for vector-borne disease control. During the period of transition and consolidation of an IVM strategy, regular feedback is required on performance and impact in order to ensure continued support. The general public must also be made aware of the strategy and participate in its implementation. The communication tools for reaching the public are the media and various types of educational interventions to increase their knowledge and skills, which should lead to behavioral change and empowerment.
The final section presents a comprehensive framework for monitoring and evaluation of IVM, covering aspects discussed in the previous sections. Indicators and methods for measuring process, outcomes and impact are proposed.
1.5 Problem-solving app
512 1.6 Purpose
511 Chapter 2 Polic
612 2.1 Situation analysis
2.2 The policy environment 712 2.3 Instituti
1012 2.4 Decent
1212 2.5 Monito
1311 Chapter 3 Organization a
1412 3.1 With
1512 3.2 I
1912 3.4 Mobil
2012 3.5 Informatio
2212 3.6 Monitoring and evalua
2211 Chapter 4 Planning and i
2312 4.1 Disease situat
2412 4.2 Local de
3012 4.4 Requirements and resource
3412 4.5 Implementation strategy 3412
Generating an evidence bas
3712 4.7 Vector surveillance 4012
Monitoring and evaluation 4111 Chapter 5
4212 5.2 Advocacy 43
5.3 Communication and empowerment 4
5.4 Monitoring and evaluat
5011 Chapter 6 Capacity-buildin
5112 6.1 Learning environment 5112 6.
Core functions and r
6.3 Curriculum preparation 5312 6.
Training and education 5412 6.5
5412 6.6 Monitorin
5511 Chapter 7
Monitoring and evaluation 5612 7.1 Framework
7.2 Methods 5901 Bibliogr
6201 References 6201 Anne