Community involvement in dengue vector control

doi:10.1136/bmj.b1023

Published 9 June 2009, doi:10.1136/bmj.b1023
Cite this as: BMJ 2009;338:b1023

Editorials

Community involvement in dengue vector control

Is effective but the contribution of human behaviour needs tobe defined

The first 150 words of the full text of this article appear below.

The effectiveness of community health programmes can be evaluatedwithin the "REAIM" framework (the reach, efficacy, adoption,impact, and maintenance of the programme).¹ Programmes for thecontrol of Aedes aegypti mosquitoes and prevention of denguefever are deemed successful if they reach a large proportionof an extensive audience, are effective under ideal conditions,are adopted by most of the community, have a confirmed effecton human behaviour related to control of the vector, and canbe maintained over a sufficiently long time.²

In the linked cluster randomised trial (doi:10.1136/bmj.b1959),Vanlerberghe and colleagues assess the effectiveness of communityinvolvement in the control of the dengue vector in Guantánomo,Cuba.³ The trial randomised 32 districts ("circumscriptions")of about 2000 inhabitants each to control and intervention clusters.The routine Aedes control programme (entomological surveillance,breeding site reduction, selective killing of adult mosquitoes,and health education) was in place in the . . . [Full text of this article]

John P Elder, professor of public health, Kara Ballenger-Browning, research manager

¹ Graduate School of Public Health, San Diego State University, San Diego, CA 92182, USA

jelder@projects.sdsu.edu

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Relevant Article

Community involvement in dengue vector control: cluster randomised trial: V Vanlerberghe, M E Toledo, M Rodríguez, D Gomez, A Baly, J R Benitez, and P Van der Stuyft
BMJ 2009 338: b1959. [Abstract] [Full Text] [PDF]