Table 5. Summary of interviews with health center staff to explain different patterns of response rates in community-based vector surveillance between 2008 and 2012.
1. Mostly 100% | 2. Almost 100% to drop | 3. Fluctuate 50%-100% | 4. Fluctuate 0–100% |
---|---|---|---|
San Pedro Pinula, Guatemala | Masahuat, El Salvador | Comapa, Guatemala | Morazán, Guatemala |
A team of vector control technicians responded immediately from the departmental capital travelling on motorbike. | The departmental vector control coordinator regularly monitored surveillance by the health center, but he retired in 2011. | A municipal vector control technician visited endemic villages on foot bimonthly to collect bugs and respond, but was frequently overwhelmed by the volume of bug reports | Response of the vector control team travelling from the departmental office was limited at times by availability of vehicle and fuel. |
Ozatlán, El Salvador | Rincón del Buey, Honduras | Atiquizaya, El Salvador | Metalio, El Salvador |
Departmental technicians trained and supervised sprayers recruited temporarily by the local municipality on a yearly basis. | A departmental technician, who monitored surveillance by the health center, left the position following a health system reform in 2010. | Operational technicians of the health center sprayed infested houses or trained community personnel to spray during monthly multipurpose visits, but were frequently overwhelmed by the volume of bug reports. | The departmental vector control team registered and responded to bug reports every few months, but after training a technician of the health center to consolidate bug report data, the response rate improved. |
San José de la Reunión Honduras | Santa Cruz, Honduras | Dolores, Honduras | |
A trained nursing assistant registered bug reports and organized the response with community health volunteers and an operational technician, who visited monthly. | The head of health center, along with a departmental technician and trained community sprayers, organized responses only every one to two years because of lack of local operational staff. | Response rate dropped when an unmotivated technician was assigned for a year. For the remaining time, an operational technician investigated infested houses and organized community-wide spraying approximately every two years. |
* Ojo de Agua in Guatemala was not included in the analysis due to lack of data on response rate from 2008–2010.