TropIKA.net coverage

• Meeting home
• Meeting news
• Interviews
• Daily Reports
  • Monday 2 November
  • Tuesday 3 November
  • Wednesday 4 November
  • Thursday 5 November
  • Friday 6 November
• Session reports
• Profiles
• Meeting blog
• Social calendar
• Event photos

Monitoring and Evaluation of Vector control

Source: TropIKA

Title of the session: Monitoring and Evaluation of Vector control

Date: 3rd November 2009

Agenda item: Symposium 20

Session theme: Vector control

Meeting room: Tsavo Ballroom 1

Chair(s): Prof/Janet Hemingway/ Liver pool school of Tropical Medicine (UK)

Presenters:

• Dr./Jacob Williams
• Dr./Themba Mzilahowa
• Dr./ Ann winters on behalf of Marlize Coleman
• Dr. Immo Kleinschmidt

TropIKA rapporteur: Sabina Wachira

Major topics:

• Monitoring and Evaluation requirements for large scale programmes
• Operational vector control M&E-the Malawian experience
• New developments in malaria decision support systems
• Surveillance to improve vector control & estimate intervention impact

Keywords:

• Monitoring
• Vector, control

Scope: Vector control

REPORT ON ORIGINAL SESSION

Overview

IVCC-Innovative Vector Control Consortium controlled the session.

Monitoring and evaluation of vector control strategies is very important and entomologist should be able to tell the best method to control mosquitoes depending on season and geographical location in a particular country.

The use of good software for storage and retrieval of information at the local level on the methods used for control and their results is an important strategy.

Use of IRS, ITNs caused a decrease in the number of Anopheles mosquitoes. Use of permethrin decreased number of Anopheles mosquito but the number of culex mosquitoes remained high.

MDSS Malaria Decision Support System which will be available in April 2010 covers all the major components for malaria control programme. The purpose of surveillance is to improve vector control and to measure impact of interventions.

CONTEXT AND ISSUE

How can monitoring and evaluation be standardized? Can all the countries use the same strategies for vector control?

Initiatives on the ground; experience/s derived

Entomological monitoring & surveillance: maintain standards yet innovate by using e.g. mobile phone to report.

With the help of WHO there should be harmonization of monitoring and evaluation methods. PMI countries (Angola, Benin, Ethiopia, Ghana, Kenya, Liberia, Madagascar, Malawi, Mali, Mozambique, Rwanda, Senegal Uganda, Tanzania, Zambia (Plus: Amazon, Mekong, Nigeria, Sudan, DRC) have a standardized method for monitoring and evaluation.

Research Findings

Anopheles abundance was markedly reduced in sprayed compared to unsprayed areas using permethrin , results from a pilot case study of Malawi indicates.

MDSS software covers all the major components required for a malaria control programme

Routine surveillance can provide powerful insight into strengths and shortcomings of control program

Issues raised, obstacles, difficulties

Decentralization, roles and skills/competency distribution; Methods and routes of collection, analysis and feedback to implementation and policy not well defined; Varying partner focus/criteria;Inadequate infrastructure; The age factor of mosquito not able to monitor in the field; and Conditions of nets and prevalence of infection not monitored

Future plans

To include more districts in survey and also use different insecticides rather than just using one.

FINDINGS AND CONCLUSIONS

Anopheles abundance was markedly reduced in sprayed compared to unsprayed areas using permethrin in the pilot case study from Malawi. An. funestus was found in large number 60% followed by An. arabienses and An. gambiae s.s.

MDSS software covers all the major components required for a malaria control programme, provides a central database where automated or customized queries, maps and reports can support decision making, is completely configurable and adaptable, complies with reporting requirements, and provides a framework for targeted operational decision making

Routine surveillance can provide powerful insight into strengths and shortcomings of control program, analysis of surveillance data should be used to inform policy decisions, improved technology is needed to monitor IRS programs

From open discussions/debates

The elimination of anopheles mosquito might create another problem of increase of Culex mosquitoes and hence ending up with another problem eliminating one problem and creating another. Look for strategies that can eliminate all kinds of mosquitoes. The policy guidelines of monitoring and evaluation should be in place for every country. The existing WHO guidelines on vector control monitoring and evaluation can be modified to fit each individual country depending o the geographical location of the country

Identified conclusions

Main points of agreement

Need of harmonization methods to be used for monitoring and evaluation of vector control programmes. To partner with the local people who can be for monitoring programs

Recommendations

Benefits of mass effect of vector control should be studied. If a neighbour uses IRS can that protect others living nearby?

Comments

Monitoring and evaluation of vector control strategies should be followed closely in order to achieve the common goal for malaria free for all

Personal observations from rapporteur

The discussion went on well

Comments