Nicaragua, a country with varying potential for malaria transmission, has gone through three broad types of malaria control strategies. Unsuccessful malaria eradication based on intradomiciliary sprayings gave way to integrated community oriented control based on continuous epidemiologic assessments. The latter strategy worked well, but broke down with privatization of health services and globalization of the economy in the 1990s. Lessons for RBM and the phaseout of DDT will be detailed.
Learning Objectives: 1) Identify the various malaria control strategies pursued in Nicaragua in the 1980s and 1990s, and analyze why these succeeded or failed. 2) Apply lessons learned to the present in the context of global DDT phaseout and malaria rollback initiatives
Keywords: International Public Health, Community-Based Health Promotion
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.