Reply to comment on: What do community-based dengue control programmes achieve? A systematic review of published evaluations

Author(s):  
Christoph Heintze ◽  
Marcial Velasco Garrido ◽  
Axel Kroeger
Author(s):  
Abhishek S. Lachyan ◽  
Abdul Mabood Khan ◽  
Rafdzah Ahmad Zaki ◽  
Bratati Banerjee

Owing to increased epidemic activity and difficulties in controlling the insect vector, dengue has become a major public health problem globally. The prevention and control of dengue rely mainly on vector control methods. A systematic review was conducted using four databases (PubMed, Cochrane, Google Scholar and Scopus) and a manual search of the reference lists of the identified studies. Data from included studies were extracted, analyzed. Applying all inclusion and exclusion criteria 23 articles was included. Further relevant articles using this keywords Aedes dengue breeding habits housing and community intervention were selected. Eight studies combined community participation programme with dengue control tools. Findings of the published literature indicate that at baseline, almost half the respondents did not know that dengue is serious but preventable, or that it is transmitted by mosquitoes. The analysis showed that dengue vector control is carried out by vertically structured programmes of national, state, and local administrative bodies through fogging and larval control, without any involvement of community-based organizations, and that vector control efforts were conducted in an isolated and irregular way. The most productive container types for Aedes pupae were cement tanks, drums, and discarded containers. Evidence that community-based dengue control programmes alone and in combination with other control activities can enhance the effectiveness of dengue control programmes is weak. This review demonstrates a paucity of reliable evidence for the effectiveness of any dengue vector control method. Standardized studies of higher quality to evaluate and compare methods must be prioritized to optimize cost-effective dengue prevention. Clear best practice guidelines for the methodology of entomological studies should be developed.  


2007 ◽  
Vol 10 (1) ◽  
pp. 11-26 ◽  
Author(s):  
T. Larsen ◽  
S. Kumar ◽  
K. Grimmer ◽  
A. Potter ◽  
T. Farquharson ◽  
...  

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Mei Chan ◽  
Melinda Gray ◽  
Christine Burns ◽  
Louisa Owens ◽  
Susan Woolfenden ◽  
...  

Abstract Objective We conducted a systematic review and meta-analysis to determine the effectiveness of comprehensive community-based interventions with ≥ 2 components in improving asthma outcomes in children. Methods A systematic search of Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Excerpta Medica Database (EMBASE), Cochrane Library and hand search of reference collections were conducted to identify any research articles published in English between 2000 and 2019. All studies reporting community-based asthma interventions with ≥ 2 components (e.g., asthma self-management education, home environmental assessment or care coordination etc.) for children aged ≤ 18 years were included. Meta-analyses were performed using random-effects model to estimate pooled odds ratio (OR) with 95% confidence intervals (CIs). Results Of the 2352 studies identified, 21 studies were included in the final analysis: 19 pre-post interventions, one randomised controlled trial (RCT) and one retrospective study. Comprehensive asthma programs with multicomponent interventions were associated with significant reduction in asthma-related Emergency Department (ED) visits (OR = 0.26; 95% CI 0.20–0.35), hospitalizations (OR = 0.24; 95% CI 0.15–0.38), number of days (mean difference = − 2.58; 95% CI − 3.00 to − 2.17) and nights with asthma symptoms (mean difference = − 2.14; 95% CI − 2.94 to − 1.34), use of short-acting asthma medications/bronchodilators (BD) (OR = 0.28; 95% CI 0.16–0.51), and increase use of asthma action plan (AAP) (OR = 8.87; 95% CI 3.85–20.45). Conclusion Community-based asthma care using more comprehensive approaches may improve childhood asthma management and reduce asthma related health care utilization.


Author(s):  
Aoife Watson ◽  
Donna McConnell ◽  
Vivien Coates

Abstract Aim To determine which community-based interventions are most effective at reducing unscheduled hospital care for hypoglycaemic events in adults with diabetes. Methods Medline Ovid, CINAHL Plus and ProQuest Health and Medical Collection were searched using both key search terms and medical subject heading terms (MeSH) to identify potentially relevant studies. Eligible studies were those that involved a community-based intervention to reduce unscheduled admissions in adults with diabetes. Papers were initially screened by the primary researcher and then a secondary reviewer. Relevant data were then extracted from papers that met the inclusion criteria. Results The search produced 2226 results, with 1360 duplicates. Of the remaining 866 papers, 198 were deemed appropriate based on titles, 90 were excluded following abstract review. A total of 108 full papers were screened with 19 full papers included in the review. The sample size of the 19 papers ranged from n = 25 to n = 104,000. The average ages within the studies ranged from 41 to 74 years with females comprising 57% of the participants. The following community-based interventions were identified that explored reducing unscheduled hospital care in people with diabetes; telemedicine, education, integrated care pathways, enhanced primary care and care management teams. Conclusions This systematic review shows that a range of community-based interventions, requiring different levels of infrastructure, are effective in reducing unscheduled hospital care for hypoglycaemia in people with diabetes. Investment in effective community-based interventions such as integrated care and patient education must be a priority to shift the balance of care from secondary to primary care, thereby reducing hospital admissions.


BMJ Open ◽  
2015 ◽  
Vol 5 (4) ◽  
pp. e007210-e007210 ◽  
Author(s):  
L. Amiri Farahani ◽  
M. Asadi-Lari ◽  
E. Mohammadi ◽  
S. Parvizy ◽  
A. A. Haghdoost ◽  
...  

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