The role of ENSO in understanding changes in Colombia's annual malaria burden by region, 1960–2006

Malaria Journal

Table 1 Colombia's Institutional framework of Malaria Control Programmes: 1960–2006^♦

Period	Health Care System	Malaria type of Intervention	Type of institutional Structure	Main Activities
1960 – 1974	Unstructured Health System (ISS, Cajanal) -Public-	Malaria Eradication Service (MES⁺)	Vertical	DDT spraying, active case detection, treatment
1974 – 1993	Structured National Health System -Public-	Direct Campaign	Mix^♣	Active and passive detection, treatment
1994–2006	General Social Security System on Health -Public, Private-	Vector Borne Disease Control (VBDC)	Horizontal^±	For selective and regulated control intervention*

^♦ See also Valero, M., 2006, [16] for more detail about the institutional arrangement.
+ MES was independent from the Ministry of Health
^♣ It used MES' framework, but was operated directly by the Ministry of Health
^± It used a National Framework (VBDC) but it is operated by states and municipalities
* Early diagnosis, bed nets, insecticide spraying and treatment
The first framework prevailed until 1974, the second from 1974 to 1993, and the third from 1994 until present.

ISSN: 1475-2875