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Table 5 Key factors and their potential contribution to establishment of the Chagas disease vector surveillance at the PHC service

From: Integrating an infectious disease programme into the primary health care service: a retrospective analysis of Chagas disease community-based surveillance in Honduras

Administrative level Key factors Possible contribution (Directly influenced factors in Figure 3)
Central American Chagas Disease Control Initiative (IPCA) • IPCA coordinated by PAHO/WHO conditioned implementation of community-based vector surveillance as criteria for certifying the interruption of Chagas disease vector-borne transmission [18,25]. Political advocacy (Chagas Programme)
National Chagas Programme • The National Strategic Plan 2008–2015, which aimed to design and scale up a sustainable surveillance system throughout the endemic areas [26]. Political advocacy (Chagas Programme)
  • A bilateral project 2008-2011with JICA, which aimed to establish a sustainable and scalable surveillance system and provided political, managerial and technical supports [20]. Political advocacy, technical and managerial support (Chagas Programme)
  • Leadership to involve different National Programmes, donors, Departmental Health Offices and to mobilise resources. Administration (Chagas Programme)
  • Projection of visible surveillance design by provisional guidelines with indispensable tasks for the national, departmental and local levels. Technical and managerial alignment (Chagas Programme)
  • Cascade training, followed by trial and error approach to continue improving the surveillance model. Development of skills and models (Enabling factors)
  • Provision of technical support, monitoring and evaluation. Improvement of systems and performance (Reinforcing factors)
Departmental Health Office • Cascade training of health centre staff and monitoring of the surveillance system performance. Improvement of skills, systems and performance (Enabling & reinforcing factors)
• Assignation of the head of health centre as responsible for the surveillance system, to manage and integrate into the routine systems.
Health centre • Training of community health volunteers, stakeholder analysis and task distribution to implement the community-based surveillance [14]. Improvement of skills, systems and performance (Predisposing & enabling factors)
  • Management of the surveillance data, materials, staff and community health volunteers to provide timely response to the bug reports.
Community health volunteer • Orientation of the inhabitants, community leaders and schoolteachers on bug surveillance and disease prevention. Improvement of knowledge and community empowerment (Predisposing & enabling factors, behaviour, lifestyle, environment)
  • Exchange of information on progress with health centre staff during the monthly meetings.
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