Skip to main content

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.