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. |