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Implementing a vector surveillanceresponse system for chagas disease control:a 4-year field trial in Nicaragua

作     者:Kota Yoshioka Doribel Tercero Byron Perez Jiro Nakamura Lenin Perez 

作者机构:Doctor of Public Health ProgramHarvard T.H.Chan School of Public HealthBostonUSA School of Tropical Medicine and Global HealthNagasaki UniversityNagasakiJapan Former Chagas Disease Control ProjectJapan International Cooperation AgencyManaguaNicaragua Department of Disease PreventionMinistry of Health in NicaraguaManaguaNicaragua 

出 版 物:《Infectious Diseases of Poverty》 (贫困所致传染病(英文))

年 卷 期:2017年第6卷第1期

页      面:154-165页

核心收录:

学科分类:0809[工学-电子科学与技术(可授工学、理学学位)] 08[工学] 

基  金:This study used funding from the Ministry of Health in Nicaragua(MoH)and Japan International Cooperation Agency(JICA) The MoH played an important role in the design of the study and data collection as described in the paper.Neither organization were not involved in analysing and interpreting data or in writing the manuscript 

主  题:Chagas disease Triatoma dimidiata Vector control Surveillance-response system Programme integration Nicaragua 

摘      要:Background:Chagas disease is one of the neglected tropical diseases(NTDs).International goals for its control involve elimination of vector-borne *** American countries face challenges in establishing sustainable vector control programmes,since the main vector,Triatoma dimidiata,cannot be *** 2012,the Ministry of Health in Nicaragua started a field test of a vector surveillance-response system to control domestic vector *** paper reports the main findings from this pilot ***:This study was carried out from 2012 to 2015 in the Municipality of *** Japan International Cooperation Agency provided technical cooperation in designing and monitoring the surveillance-response system until *** system involved 1)vector reports by householders to health facilities,2)data analysis and planning of responses at the municipal health centre and 3)house visits or insecticide spraying by health personnel as a *** registered all vector reports and responses in a digital *** collected data were used to describe and analyse the system performance in terms of amount of vector reports as well as rates and timeliness of ***:During the study period,*** was reported 396 *** analysis identified some high-risk *** houses reported to be infested were visited by health personnel in 2013 and this response rate dropped to 39%in *** of insecticide spraying rose above 80%in 2013 but no spraying was carried out in the following 2 *** timeliness of house visits improved significantly after the responsibility was transferred from a vector control technician to primary health care ***:We argue that the proposed vector surveillance-response system is workable within the resourceconstrained health system in *** to the primary health care services was a key to improve the system *** efforts are necessary to keep adap

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