Global plan for insecticide resistance management in malaria vectors

Part 2Collective strategy against insecticide resistanceFigure 23: A technical working group for vector control and insecticide resistance management with a public-private collaborationin KenyaGroup’s objectivesThe Technical Working Group for Vector Control takes decisions on national vector control policy and operations.Broad intersectoral membership involves both the public and the private sector.PublicNational Malaria Control Programme (Chair),vector control unit within National MalariaControl ProgrammeMinistry of HealthMinistry of Agriculture, insecticide regulationsMinistry of EnvironmentMembershipOtherResearch and academic institutionsWHO technical advisory staffUNICEFUnited States Agency for International Development,President’s Malaria InitiativeUmbrella organization for Kenyan nongovernmentalorganizationsDistributors and manufacturers of insecticides andlong-lasting insecticidal netsMeetings and decisionsLessons learntThe group meets at least quarterly to discuss and decide on vector control interventions. Full participation is the general rule.The group decides on a vector control strategy on the basis of data on resistance and cost-effectiveness. Data oninsecticide resistance are generally discussed at the same time as the report on monitoring for insecticide resistance.Intersectoral nature of technical working group ensures strong involvement and flexible decision-making. All stakeholdersare involved in deciding on insecticide resistance management.The existence of one body responsible for resolving all questions on vector control provides a comprehensiveunderstanding of all issues and their potential links to decision makers. Insecticide resistance management is thus placedin the broader context of vector control.D. Aggregate national data at global level to guideglobal policy and direction.As detailed in section 1.2.5, the data on insecticide resistance arescattered in several databases, and many data are not captured.In order to guide global policy and direction on IRM in malariacontrol and to improve access of countries to subregional data, acomprehensive global resistance database should be developed.The database should be based on data in current regional andglobal databases and thereafter collect data from all countryprogrammes and other partners. A number of prerequisites mustbe filled in order to achieve this.Strong national data management steered by thenational malaria or vector control programme.National databases should be the responsibility of the nationalmalaria or vector control programme or the relevant nationalauthority. The databases should be managed by national personnelwith sufficient capability in information technology and statistics,as informatics and bioinformatics are critical for effective datamanagement.Strong call from the community for a global database.The global database should serve the needs of malaria-endemiccountries and relevant partners (including researchers). WHO,representing the interests of its Member States, would overseethe database.Efficient management of a global database.The WHO Global Malaria Programme would consult with countries,Regional Offices and partners to identify a reputable institution tohost the database, to be overseen by WHO on behalf of MemberStates. The WHO Global Malaria Programme should ensure theflow of data on insecticide resistance from countries to the hostinginstitution. The host organization should set up the database andwork with WHO to design an input template for countries. WHOwould manage data requests from partners in consultation withcountries.62GLOBAL PLAN FOR INSECTICIDE RESISTANCE MANAGEMENT IN MALARIA VECTORS (GPIRM)