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Outline of the Project




Project name

Chagas Disease Control Project Phase 2


El Salvador

Date of R/D Signed

Jan 29,2008

Term of Cooperation

From Mar 1,2008 To Feb 28,2011


Overall Goal : Transmission of Chagas disease through T. dimidiata significantly reduces in El Salvador.

Project Purpose : In the target prefectures, the areas for attack phase are extended and the Participatory Chagas Disease Monitoring (PCDM)*1 system for maintenance phase is established.

*1 A series of activities are composed of the following. (i) Chagas disease information system: collection and analysis of epidemiological data (e.g. case detection) and entomological data (e.g. domestic infestation of T. dimidiata,); and intervention data (e.g. diagnosis, treatment, spraying); (ii) Chagas disease countermeasures: epidemiological (e.g. diagnosis, treatment), entomological (e.g. surveillance studies) and vector control (spraying). Chagas disease information system should be designed in line with Technical Standard for the Prevention and Control of Chagas Disease (‘Norma’). The PCDM system should be operationalized in a participatory manner by involving communities, schools, health promoters, health units, SIBASIs, Regional health offices and other stakeholders.


  1. Round-one spraying of the attack phase is completed in the high risk areas of target prefectures in the Central and Eastern Region.
  2. The PCDM system in the pilot areas*2 is sustainably maintained.
  3. Education and promotion activities for Chagas disease control are strengthened.
  4. The PCDM system is introduced in high risk areas outside of the pilot areas in the Western Region under the initiative by the MSPAS (at central, regional, prefectural and local levels).
  5. Experiences and knowledge of Chagas disease control are shared among the target prefectures.

"Pilot areas" at the beginning of the Project: 6 areas, (i) Cantón Joya de Zapote, Municipality of Atiquizaya, Prefecture of Ahuachapán; (ii) Cantón Los Platanares, Municipality of Guaymango, Prefecture of Ahuachapán; (iii) Cantón Las Hojas, Municipality of San Antonio del Monte, Prefecture of Sonsonate; (iv) Cantón La Primavera, Municipality of Santa Ana, Prefecture of Santa Ana; (v) Municipality of Chalchuapa, Prefecture of Santa Ana; (vi) Municipality of Masahuat, Prefecture of Santa Ana.

Project Activities

1-1.Identify high risk areas by conducting the baseline survey (serological and entomological surveys).
1-2.Plan and implement Round-one spraying based on the results of the baseline survey.
2-1.In selected communities, conduct censuses of: (i) sero-prevalence among children under 16 years of age; (ii) domestic infestation rate; and (iii) natural infection rate, to scientifically examine the threshold for interruption of transmission of Chagas disease through T. dimidiata.
2-2.Define the role and responsibility of stakeholders engaged in the PCDM in pilot areas.
2-3.Elaborate and apply performance evaluation methods of the PCDM system in pilot areas.
2-4.Implement training according to the results of performance evaluation.
3-1.Conduct continuous training on Chagas disease control among stakeholders working in the health sector.
3-2.Continue education activities on Chagas disease control in coordination with the Ministry of Education.
3-3.Promote Behavior Change Communication (BCC) activities by using social communication media.
3-4.Promote Chagas disease control activities in collaboration with other stakeholders (e.g. for house improvement).
4-1.Analyze the process of developing the PCDM system, considering stakeholder types and epidemiological/entomological/socio-economic characteristics of the pilot areas.
4-2.Design the implementation plan of the PCDM system in high risk areas based on the analysis.
4-3.Introduce the PCDM system in high risk areas and evaluate its performance by using the methods developed in 2-3.
4-4.Implement training according to the results of performance evaluation.
5-1.Develop a package of Chagas disease control (e.g. operation guidelines, M&E tools, BCC materials, training materials) based on experiences and knowledge gained in target prefectures.
5-2.Hold seminars to share experiences and knowledge among the target prefectures.


Japanese side :

  • List of Japanese experts
    • Long-term Experts (Project Management, Chagas Disease Control)
    • Short-term Experts (Epidemiology Analysis, BCC Activities, Monitoring and Evaluation, Experts in other fields mutually agreed when necessity arises)
  • List of machinery and equipment
    • Vehicle for implementing and monitoring activities
    • Motorcycles for implementing and monitoring activities
    • Projectors and Digital cameras for recording activities
    • Manual sprayers for implementing sprayings
    • Test kits for ELISA for conducting baseline survey
    • Rapid test kits for promoting educational activities in the elementary schools
    • Other equipments mutually agreed when necessity arises

El Salvador Side :

  • List of salvadoran counterpart and administrative personnel
    • Project Director - Vice-minister, MSPAS
    • Project Manager - Health Surveillance Director, MSPAS
    • Counterpart personnel for the Project -
      Coordinator of National Chagas Program, MSPAS
      Chief of Medical Entomology, MSPAS
    • Administrative personnel -
      Other supporting staff


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