Report on malaria control for the health systems management project of El Salvador

Section 1 describes the country"s MC history, as well as existing control programs, their constraints (especially funding restrictions and the resistance of Anopheles albimanus to almost all available insecticides), and government responses to these constraints. Section 2 cites MC accomplishments to date as background to a description of the proposed A.I.D. program, which will be a component of the Health Systems Management Project, and provides technical analyses of the program"s spraying, surveillance, operations research, health education, training, biological control, and insecticide handling activities. The program"s environmental aspects, sustainability, and impact on women are briefly discussed, and planned outputs and inputs are described. The report finds that the proposed intervention is well designed and technically sound; in particular, planned operations research in innovative estuary source reduction methods may benefit not only El Salvador, but other Pacific coast countries as well. Without the MC program, it is concluded, an early resurgence of malaria may be unavoidable. Thirteen appendices provide supporting documentation.