Abstract
This article presents the results of a dialogue between decision-makers and experts in Latin America and the Caribbean on priority-setting for interventions and studies on Aedes aegypti control. The article is part of a project that included a systematic review of mosquito control strategies and a qualitative study with key informants from the region. Using a collective deliberative process assisted by the results of the above-mentioned projects, a list of priorities was developed by consensus for the implementation of vector control strategies and the development of key regional research lines. It was agreed that the best strategy is integrated vector management, divided into: (a) chemical control; (b) biological control; (c) environmental management; (d) community participation; and (e) integrated surveillance. The workshop highlighted the crucial role of government leadership and inter-sector coordination between government agencies and civil society stakeholders. The proposed priorities for research lines were: Ae. aegypti vector competence and associated factors; community components of interventions; incorporation of technology into vector control and monitoring; most efficient modalities of integrated surveillance; entomological indicators with the best predictive capacity; and resistance to insecticides. The policy dialogue methodology allowed validating and enriching the results of other levels of research, besides establishing priorities for regional research and control strategies.
Highlights
This report presents the results of a policy dialogue, a dialogue of decision-makers and health experts from countries of Latin America and the Caribbean who advise or influence policies for priority-setting in interventions and studies for Aedes aegypti control in the region
The work was conducted in March 2018, coordinated by the Institute for Clinical and Health Effectiveness (IECS) of Argentina, and is part of a project that began in 2015 and that included a systematic review of the effectiveness of health interventions for Ae. aegypti control in Latin America and the Caribbean 2, as well as a qualitative study that interviewed 18 experts from 9 countries in the region
The workshop opened with an introduction of the objectives of policy dialogue and with a round of introductions by the 11 participants, representing seven countries and the Pan American Health Organization (PAHO)
Summary
This report presents the results of a policy dialogue, a dialogue of decision-makers and health experts from countries of Latin America and the Caribbean who advise or influence policies for priority-setting in interventions and studies for Aedes aegypti control in the region. By facilitating the consideration of diverse perspectives, policy dialogue becomes a powerful tool that enriches decision-making processes and contributes to the implementation of evidence-based policies with expert consensus 1 In this policy dialogue workshop, the decision-makers and experts participated in different group activities with the objective of reaching a consensus on the best vector control strategies and priority research lines at the regional level. The work was conducted in March 2018, coordinated by the Institute for Clinical and Health Effectiveness (IECS) of Argentina, and is part of a project that began in 2015 and that included a systematic review of the effectiveness of health interventions for Ae. aegypti control in Latin America and the Caribbean 2, as well as a qualitative study that interviewed 18 experts from 9 countries in the region The aim of this qualitative study was to identify factors that prevent or facilitate the implementation of vector control interventions, from the perspective of program administrators and regional reference persons 3
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