Other integrated vector management

The NMCC Strategic Framework for Integrated Vector Management (IVM) promotes strengthened systems of vector control management that are sustainable and compatible with modern, decentralized health systems. A guiding principle is that effective control is not the sole responsibility of the health sector but requires the collaboration of various public and private agencies. It entails the use of a range of interventions, separately or in combination, including environmental management and chemical control, and requires the engagement of communities to ensure sustainability.

Characteristics of IVM include:

  • Utilization of a range of interventions, in combination and synergistically, from environmental management to chemical control;

  • Collaboration with other public and private sector organizations that affect vector breeding, such as irrigated agriculture and urban development;

  • Development of methods based on local knowledge of factors influencing vector biology, disease transmission and morbidity;

  • Engagement with local communities.

  • Establishment of approaches based on a public health regulatory and legislative framework.

An IVM-based process will be intrinsically cost-effective, have indicators for monitoring efficacy with respect to impact on vector populations and disease transmission, and employ acceptable and sustainable approaches compatible with local health systems. The IVM strategy in Zambia focuses on indoor residual spraying of insecticide and insecticide-treated bednets as the main emphases for vector control. These interventions are being augmented by the implementation of simple and appropriate environmental management practices, including winter larviciding, source reduction, and mosquito proofing of buildings in urban and peri-urban areas. Linked with focused operational research, common malaria vectors in Zambia are being identified and studied for improving malaria control efforts.