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Vector Control Progress Report From Lahore to Esfahan....


... Progress Report. From Lahore to Esfahan. Abraham Mnzava ... What was recommended in Lahore ... What has been achieved since Lahore. Capacity strengthening ... – PowerPoint PPT presentation

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Title: Vector Control Progress Report From Lahore to Esfahan....

Vector Control Progress Report From Lahore to
  • Abraham Mnzava
  • Scientist, Vector Control

What was recommended in Lahore
  • WHO to strengthen national capacity through
    revitalization of national and regional
    training/collaborating centres
  • Provide technical cooperation to monitor and
    manage insecticide resistance
  • WHO to ensure the functioning of the EMNVR and
    strengthen national capacity to monitor and
    manage insecticide resistance
  • Provide technical cooperation to MS in the
    planning, implementation, evaluation, monitoring
    and coordination of malaria control

What has been achieved since Lahore
Capacity strengthening
  • Entomology and vector control capacity is weak in
    many countries
  • In some of these countries there is no national
    focal point for vector control
  • Training in entomology and vector control at Ain
    Shams University, Cairo
  • Following countries involved SAA, YEM, SUD and
  • Training is for both short and long-term

Institutional strengthening
  • Two requests to designate/re-designate
    institutions as WHO Collaborating centers
  • The Research and vector control Training Center
    at Ain Shams University was re-designated
  • Designation of the second centre from Iran is
    still in progress
  • In some of these countries there is no national
    focal point for vector control
  • The BNRTI in Wad Medan, Sudan will continue to
    host the Regional training course in vector
    control bi-annually

Technical support
  • Continued to provide technical support in the
    planning and implementation of vector control
    activities to MS
  • Somalia for strengthening VC activities and ITNs
    in particular
  • Saudi Arabia VC activities and monitoring
    insecticide resistance
  • Afghanistan ITN implementation
  • Morocco monitoring insecticide resistance
  • Yemen national vector control training

Technical guidelines and strategies
Regional IVM Strategic Framework
  • Strategy was finally endorsed and published
  • Next step is for countries to conduct VCNA
  • Leading to development of national IVM plans of
  • Being a country-driven process the following is
    the status
  • Djibouti planning national consensus/partners
    meeting in October
  • Pakistan requested RO for support
  • Afghanistan recruiting a Consultant to conduct
    VCNA and plans to hold consensus meeting in
  • Sudan requested RO for support/facilitation of
  • What about other countries?????

National ITN Strategic Plans
  • Countries were supported to develop and finalize
    strategic plans
  • Draft report of the Abha meeting is available
  • Five countries have ITN plans (SUD, AFG, DJI,
    YEM, SAA)
  • Two countries have communication plans (COMBI) to
    implement ITNs
  • South Sudan is finalizing its plan in June
  • Experience from countries indicate that
  • Such plans provide a vision where do we want to
    be in 2010?
  • Stay focussed
  • A means for mobilizing additional resources
  • Provides a platform for national coordination
  • Where are we in PAK, IRA and SOM??

Regional Strategy on Pesticide Management
  • Following joint WHO/UNEP/FAO meetings in Tunis
    and Amman
  • Identifying major problems of managing pesticides
    both structural and legislative in nature
  • These problems will be highlighted in the next
    presentation on VCNA
  • A draft report of the Jordan meeting is available
    including the Regional Strategy
  • Countries are now expected to develop plans as
    part of the IVM national plans
  • ROs (EMR AFR) and HQ are planning a training
    course of TOT in September for OMA, SUD, YEM and

Regional guidelines on monitoring insecticide
  • Guidelines are being finalized and will be
  • Concluding discussions on the two regional
    reference centres
  • Some staff from the two centres may require
    specialised skills in biochemical and molecular
  • Two candidates from Sudan have admission in South
    Africa for MSc degrees in this field however we
    lack funds
  • Refresher training course is planned at the end
    of the year for people involved in monitoring
    insecticide resistance
  • Countries were supported with kits from the RO
    stock (SUD, SOM, IRA, IRQ, SYR, EGY, SAA, YEM,
  • Need reports from these countries MOR has 10
    functional sites
  • Reported insecticide resistance in SAA for
    Culicines against Temephos
  • This area could be an important site for
    resistance management strategies
  • First meeting of the EMNVR is planned for 2005

Global strategies/initiatives
Global strategies/initiatives
  • A global IVM framework has been developed and is
    in press it builds on our regional experiences
    region represented by Oman
  • A working group recently reviewed the various
    vector control strategies/interventions for
    different epidemiological settings Oman and
    Egypt represented EMR
  • Almost all the countries of EMR participated in
    the INC 7 in Geneva as part of the Stockholm
  • Countries party to the Convention are requested
    to report regularly their use on DDT
  • WHO was tasked to develop such tools for
  • Such draft tools/questionnaire were field-tested
    in 5 countries (SUD, OMA, MOR, DJI and PAK)
    have 4 reports except PAK
  • Summaries of findings will be shared with you
    during the VCNA session

Operational Research
  • RBM supported two OR studies in Pakistan and in
  • Through TDR small-scheme grants a number of VC
    studies were supported providing key answers to
    field operational problems e.g.
  • Application of temephos for larval control
    weekly or bi-weekly
  • Use of larvivorous fish in special settings
  • Peoples sleeping behaviour and use of ITNs
  • This year of 27 approved grants 6 are vector

Challenges and the way forward
  • Vector control/health systems weak to deliver
    available tools
  • There is no way countries can achieve targeted
    coverages for epidemiological impact
  • There is urgent need to strengthen national
    capabilities and infrastructures by way of
  • Appointing well qualified/experienced national
    IVM focal points
  • Establishing structures and career paths for VC
  • Through implementation of IVM foster
    intersectoral collaboration for joint planning
    and implementation