Table 6 Key elements of IVM represented in the three cases
| Â | Key element | Cagayan Valley (province level) | Mati (municipal level) | Simbalan (barangay level) |
|---|---|---|---|---|
1 | Evidence-based decision making | Micro-stratification as the basis for tailor-made strategies per barangay But: entomological and human behavioural data not collected | Case detection, mapping and vector surveillance as a basis for response action But: methods of vector surveillance should be improved | Case detection and evaluation of bed net utilization as basis for local action planning But: evidence on environmental management lacking |
2 | Integrated approach | Â | Multi-disease strategy of detection and response; combination of vector control methods | Combination of chemical and non-chemical vector control methods |
3 | Collaboration within the health sector and with other sectors | Local government involvement | Re-orientation of barangay health emergency response teams; integrated disease surveillance unit; some collaboration with education and mining sectors; local government involvement | Public-private partnership; local government involvement |
4 | Advocacy, social mobilization and legislation | Health promotion | Campaigns on behavioural change; clean-up drives; local legislation on vector control | Local initiatives on malaria control; local programme ownership |
5 | Capacity building | Training on detection and diagnosis; infrastructure But: training on vector surveillance and situational analysis lacking | Training on detection and diagnosis; infrastructure; training on behavioural change and vector surveillance | Training on detection and diagnosis; infrastructure But: training on vector surveillance lacking |