Table 5 Anticipated roles of various sectors in integrated vector management implementation

NMCP

Resource mobilization for IVM. Setting strategic directions and conducting overall evaluation; advising on policy and institutional arrangements; conducting epidemiological and vector assessment, stratification; supervising decentralized planning and implementation; supervising decentralized monitoring and evaluation; supervising decentralized organization and management; preparing curricula and training trainers; ensuring preparedness to coordinate emergency response; advising on research priorities

Districts and villages

Establishing inter-sectoral partnerships and networking; planning and implementing local IVM strategy; implementing health interventions; monitoring and evaluating; organizing and managing; undertaking local vector surveillance; providing training, education and awareness raising

VCD

Support the NMCP in planning, implementing, supervision, monitoring and evaluation of IVM implementation of interventions. Monitor impact of malaria control interventions on other VBDs. Support the NMCP in conducting capacity building for malaria vector control; monitor insecticide resistance in vectors to control commodities. Monitor the impact of application of chemicals on domestic animals in the control of tsetse flies on malaria vectors as well as on sleeping sickness

Agriculture

Ensure that famers implement IVM, popularizing the concept of dry-wet irrigation through extension education, management of agricultural pesticides. Coordinate and monitor the impact of the application of chemicals onto domestic animals on the control of tsetse flies and ticks and tsetse- and tick-borne diseases. Ensure the safe use and application of agricultural chemicals to protect human, and animal health and environment

Water resources development

Maintenance of canal system, intermittent irrigation, design modifications and lining of canals, weeding for proper flow, creating small check-dams away from human settlements, health impact assessment

Water supply

Repair of leakages to prevent pooling, restoration of taps, diversion of wastewater to pond/pit, staggering of water supply, mosquito-proofing of water harvesting devices, repair of sluice valves

Local governments

Implement, supervise and monitor IVM implementation. Implement the Kampala Declaration on Sanitation

Road and building sector

Proper planning as per bylaws, merging pits by breaking bunds, excavations in line with natural slope/gradient, making way for water to flow into natural depression/pond/river, follow-up actions after excavations, maintaining storm water roadside drains

Urban development

Implementation of building bylaws, improved designing to avoid undue water lodging, building use permission after clearance of health dept; safe rainwater

National Environment Management Authority

Ensure Environmental Impact Assessments are done before embarking on projects. Provide guidelines in the manufacture and handling of public health insecticides, storage and disposal including safety measures to prevent human and environment contamination

National Drug Authority

Develop legislation for the manufacture, sale, importation, storage, transportation, and use of public health insecticides. Develop and disseminate specific operational guidelines on the management of pesticides for public health. Ensure the quality of public health pesticides imported into the country. Ensure the quality and quantity of insecticide in LLINs. Monitor quality of public health pesticides, equipment, etc. in the open market

Uganda National Bureau of Standards

Ensure the quality of LLINs imported into the country conform to international standards (WHOPES recommendations)

CBO, FBO and CSOs

Participate in implementation of some IVM interventions, e.g., distribution of LLINs and conducting IRS, conduct advocacy, social mobilization and BCC and community sensitization. Support active community participation in malaria control and prevention activities

Private sector

Manufacture and procure quality IVM logistics (equipment and chemicals), participate in implementation of some IVM interventions e.g., distribution of LLINs and conducting IRS

Communities

Participate in implementation of some IVM interventions, e.g., distribution of LLINs, conducting IRS and larval mosquito control, proper use and care of LLINs. Apply chemicals on domestic animals for controlling tsetse flies, ticks and malaria vectors for controlling sleeping sickness, tick-borne diseases and malaria

USAID, DFID, ADB, GFATM, World Bank, UNICEF

Provide the resources for IVM interventions, monitor and evaluate IVM interventions

WHO

Provide the resources for IVM interventions, monitor and evaluate IVM interventions, provide IVM guidelines and training and IEC materials

Research institutions

Conduct research on vectors and VBD and impact of IVM interventions on VBD

Universities

Conduct training of vector control staff, conduct research on disease vectors and VBD and impact of IVM interventions on VBD

Media

Highlight the public health and socio-economic impact of malaria and other VBDs. Raise the profile of and demand for IVM interventions through targeted, well-designed advocacy and communication campaigns and activities. Advocate for increased resources allocated for malaria control. Promote IVM as a method for vector control