03017nas a2200481   4500000000100000008004100001260003700042653002400079653005700103100001900160700001300179700001600192700001300208700001300221700001200234700001400246700001500260700001800275700001400293700001600307700001400323700001400337700001400351700001300365700001200378700002100390700001300411700001400424700001800438700001700456700001300473700001400486700001400500700001700514700001300531700001400544245014400558856009900702300000900801490000700810520170400817022001402521       2024                            d  bPublic Library of Science (PLoS)10aInfectious Diseases10aPublic Health, Environmental and Occupational Health1 avan den Berg H1 aBashar K1 aChowdhury R1 aBhatt RM1 aGupta HP1 aKumar A1 aSabesan S1 aShriram AN1 aKonuganti HKR1 aSinha ATS1 aSedaghat MM1 aEnayati A1 aHassan HM1 aNajmee AS1 aSaleem S1 aUranw S1 aKusumawathie PHD1 aPerera D1 aEsmail MA1 aCarrington LB1 aAl-Eryani SM1 aKumari R1 aNagpal BN1 aSultana S1 aVelayudhan R1 aYadav RS1 aMcCall PJ00aPerceived needs of disease vector control programs: A review and synthesis of (sub)national assessments from South Asia and the Middle East  uhttps://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0011451&type=printable  a1-180 v183 a<p>Systems for disease vector control should be effective, efficient, and flexible to be able to tackle contemporary challenges and threats in the control and elimination of vector-borne diseases. As a priority activity towards the strengthening of vector control systems, it has been advocated that countries conduct a vector-control needs assessment. A review was carried out of the perceived needs for disease vector control programs among eleven countries and subnational states in South Asia and the Middle East. In each country or state, independent teams conducted vector control needs assessment with engagement of stakeholders. Important weaknesses were described for malaria, dengue and leishmaniases regarding vector surveillance, insecticide susceptibility testing, monitoring and evaluation of operations, entomological capacity and laboratory infrastructure. In addition, community mobilization and intersectoral collaboration showed important gaps. Countries and states expressed concern about insecticide resistance that could reduce the continued effectiveness of interventions, which demands improved monitoring. Moreover, attainment of disease elimination necessitates enhanced vector surveillance. Vector control needs assessment provided a useful planning tool for systematic strengthening of vector control systems. A limitation in conducting the vector control needs assessment was that it is time- and resource-intensive. To increase the feasibility and utility of national assessments, an abridged version of the guidance should focus on operationally relevant topics of the assessment. Similar reviews are needed in other regions with different contextual conditions.</p>
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