INTEGRATED VECTOR MANAGEMENT

1
INTEGRATED VECTOR MANAGEMENT
2
INTEGRATED VECTOR MANAGEMENT

• 
  Robert Bos
• Cluster of Sustainable Development
• and Healthy Environments
• Department Protection of the Human Environment
• Water, Sanitation
  and Health

3
INTEGRATED VECTOR MANAGEMENT

• (1) Brief historic review
• (2) Elements of IVM
• (3) How to promote IVM

4
Integrated Vector Management Brief Historic
Review

• Integrated Vector Control (IVC)
• the utilization of all appropriate
  technological and management techniques to bring
  about an effective degree of vector suppression
  in a cost-effective manner
• WHO 1983

5
Integrated Vector Management Brief Historic
Review

• Integrated Vector Control (IVC)
• the utilization of all appropriate
  technological and management techniques to bring
  about an effective degree of vector suppression
  in a cost-effective manner
• Elements
• economics
• vector control technology
• output indicator is vague

6
Integrated Vector Management Brief Historic
Review

• Selective Vector Control
• the targeted use of different vector
  control methods alone or in combination to
  prevent or reduce human-vector contact
  cost-effectively, while addressing sustainability
  issues
• WHO, 1994

7
Integrated Vector Management Brief Historic
Review

• Selective Vector Control
• the targeted use of different vector
  control methods alone or in combination to
  prevent or reduce human-vector contact
  cost-effectively, while addressing sustainability
  issues
• Elements
• economics
• sustainability
• flexibility
• output indicator transmission risk level

8
Integrated Vector Management Brief Historic
Review

• Integrated Vector Management
• A process of evidence-based decision-making
  procedures aimed to plan, deliver, monitor and
  evaluate targeted, cost-effective and
  sustainable combinations of regulatory and
  operational vector control measures, with a
  measurable impact on transmission risks,
  adhering to the principles of subsidiarity,
  intersectoriality and partnership
• working definition, 2001

9
Integrated Vector Management Elements of IVM

• Its about process, not contents
• It spells out the need for an evidence base
• it retains economics and sustainability as key
  criteria
• it mentions both regulatory and operational
  measures
• it further defines the output indicator
• it embraces three principles, relating to health
  sector reform, and action outside of the health
  sector

10
Integrated Vector Management Elements of IVM

• Evidence brings in the issue of ecosystem
  analysis as a starting point
• This in turn leads to a logical build-up of
  integrated measures, from environmental
  management methods, through biological to
  chemical methods of control
• An IVM approach invites the re-consideration of
  the conventional boxes of chemical, biological
  and environmental control
• Leaving chemicals as a measure of last resort
  recognises their value as a resource that needs
  to be sustained as long as possible.

11
Integrated Vector Management Elements of IVM

• A regulatory role and the concept of
  subsidiarity raise the issue of where IVM fits
• In the health sector or in the environment sector
  ?
• In the core of the health sector (with disease
  control programmes), or
• At the boundary, where it can better interact
  with other sectors?
• How are essential functions going to be divided
  over the
• various levels (national, provincial, district) ?

12
Integrated Vector Management How to proceed
with IVM ?

• WHOs normative role in vector control
  should be extended from technical tools and good
  technical practice to include good practice in
  managing vector control programmes
• WHO must start a process of mainstreaming
  the concept of IVM with a view to making it its
  core strategy for the next 10-20 years.

13
Integrated Vector Management How to proceed
with IVM ?

• WHO must start a process of mainstreaming
  the concept of IVM with a view to making it its
  core strategy for the next 10-20 years.
• This will require a process of consensus
  building in the Organization itself.
• It also requires stakeholder consultation
  outside the Organization to get other partners on
  board

14
Integrated Vector Management How to proceed
with IVM ?

• The delivery of this concept to the Member
  States should take advantage of the currently
  ongoing processes of health sector reform,
  including de-centralisation

15
Integrated Vector Management How to proceed
with IVM ?

• Assistance to Member States may consist of
• (1) regional workshops promoting key IVM
  principles such as cost-effectiveness analysis
  (with follow-up)
• (2) assisting a small number of truly interested
  countries in the process of completely
  overhauling their vector control programme and
  serve as a model in their Region
• (3)detailed documentation of all experiences for
  analysis and dissemination to all Member States
• (4) capacity building

16
Integrated Vector Management Capacity
building

• Carry out a needs assessment
• Redesign the vector control programme and its
  essential functions
• Prepare a blue print for decision making criteria
  and procedures
• Review options for regulation
• Organise workshops on cost-effectiveness analysis
  of vector control options
• Establish or strengthen arrangements for
  intersectoral collaboration

17
INTEGRATED VECTOR MANAGEMENTThank you for
your attention