This case describes how the Honduran Ministry of Health developed and implemented a Chagas disease control program with the assistance of the Japan International Cooperation Agency (JICA) and others from 2003 to 2012. After providing background information about Honduras and Chagas disease, the case examines the work of the Guatemalan Ministry of Health and JICA to implement a Chagas disease control program that provided the template for the program in Honduras. The case then describes the adaptation of this model for the Honduran context, including details of the surveillance model and vector control interventions. The case concludes with the program considering how it would maintain its success in spite of decreased funding and changes in leadership.
Teaching Note available through Harvard Business Publishing.
Main vector species of Chagas disease in Central America; Credit: Biblioteca Virtual en Salud de Honduras.
Training community members for indoor residual spraying in the first trial in Intibucá 2004; Credit: Case writers.
Learning Objectives: A productive class discussion will allow students to appreciate strategies in control of neglected tropical diseases; Chagas disease vector control and surveillance; the role of bilateral cooperation to strengthen health systems management; and how regional disease control initiatives are implemented locally.
Keywords: Information management, scale-up, health care policy, public administration, government policy, resource-limited settings, data-collection