A set of evidence-based, decision-making procedures for the planning, delivery, and evaluation of sustainable combinations of vector control measures with a measurable impact on transmission risks. This began in the Eastern Mediterranean Region of the WHO and has been adopted everywhere that vector-borne diseases are a problem. The combination of interventions has a sequential hierarchy, starting with locally suitable environmental management and personal protection, to which may be added biological control and, as a final resort, chemical interventions toward the desired level of transmission risk reduction. IVM includes both vector control interventions and the assessment and regulation of other sectors (e.g., irrigation, transport, urban planning, and development); it considers all options for intersectoral action and applies the principle of decision making at a level as close as possible to the community. IVM is compatible with health sector reform, in particular decentralization, and emphasizes economic aspects of the various options, including synergies resulting from their combination. For details and current status, see http://www.emro.who.int/rbm/PDF/GlobalStratFrameIVM.pdf.
Subjects: Public Health and Epidemiology.