Workshop for priority-setting in Aedes aegypti control interventions in Latin America and the Caribbean: a policy dialogue

Agustin Ciapponi, Ariel Bardach, Andrea Alcaraz, María Belizán, Daniel Jones, Mariana Comolli, Silvina Denis Ruvinsky
2019 Cadernos de Saúde Pública  
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
more » ... or 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.
doi:10.1590/0102-311x00092918 pmid:30994739 fatcat:6lurfvg7k5dpbntctznqwog6d4