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

CIAPPONI, AGUSTIN; BARDACH, ARIEL; ALCARAZ, ANDREA; BELIZÁN, MARÍA; JONES, DANIEL; COMOLLI, MARIANA; RUVINSKY, SILVINA DENIS

CADERNOS DE SAúDE PúBLICA

CADERNOS SAUDE PUBLICA

Lugar: San Pablo; Año: 2019 vol. 35

0102-311X

This article presents the results of a dialogue between decision-makers and experts in Latin America and the Caribbean on priority-setting for interven- tions and studies on Aedes aegypti control. The article is part of a project that included a systematic review of mosquito control strategies and a quali- tative study with key informants from the region. Using a collective delib- erative 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 high- lighted the crucial role of government leadership and inter-sector coordination between government agencies and civil society stakeholders. The proposed pri- orities 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 validat- ing and enriching the results of other levels of research, besides establishing priorities for regional research and control strategies.