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Capacity of National Malaria Control Programmes to implement vector surveillance: a global analysis
Tanya L Russell1, Robert Farlow2, Myo Min3
1Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, Australia. tanya.russell@jcu.edu.au.
Malaria Journal
|November 24, 2020
Summary
National Malaria Control Programmes (NMCPs) struggle with vector surveillance capacity due to weak strategic planning and insufficient staff. Significant investment in training and capacity building is crucial for malaria control and elimination efforts.
Area of Science:
- Public Health
- Vector-Borne Disease Control
- Epidemiology
Background:
- Malaria control necessitates skilled workforces, infrastructure, funding, and strategic planning.
- National Malaria Control Programmes (NMCPs) are essential for coordinating malaria elimination efforts.
- Programme capacity is evaluated based on strategic frameworks, financing, human resources, logistics, infrastructure, and information systems.
Purpose of the Study:
- To analyze the capacity of NMCPs in implementing vector surveillance and control activities.
- To identify strengths and weaknesses in programme capacity for malaria control.
- To inform strategies for strengthening malaria control programmes.
Main Methods:
- Survey of NMCPs across multiple countries.
- Assessment of core programme capacity elements: strategic frameworks, financing, human resources, logistics, infrastructure, and information systems.
- Evaluation of capacity for specific vector control interventions: vector surveillance, long-lasting insecticidal nets (LLINs), indoor residual spraying (IRS), and larval source management (LSM).
Main Results:
- Vector surveillance capacity was severely limited, with only 8% of NMCPs reporting sufficient capability.
- Capacity for LLINs (57%), IRS (56%), and LSM (28%) implementation varied significantly.
- A lack of updated strategic plans prioritizing vector surveillance and decision-making frameworks was a common underlying issue.
Conclusions:
- Strategic planning deficiencies and a shortage of trained entomologists significantly hinder vector surveillance.
- Countries progressing towards malaria elimination typically possess more field staff and established training systems.
- Substantial investment in increasing programmatic staff numbers and capacity is essential for countries in the control phase to achieve significant progress.
