WHO Malaria Vector Control Training Course for malaria-endemic countries of South-East Asia and Western Pacific Regions, Manila, Philippines, 8-12 June 2015 : meeting report

8–12 June 2015 Manila, Philippines Meeting Report WHO Malaria Vector Control Training Course for malaria-endemic countries of South-East Asia and Western Pacific Regions Participants and facilitators with Dr Mark Jacobs, Director for Control of Communicable Diseases at the opening of the training course. WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR THE WESTERN PACIFIC WPR/DCD/MVP (01)/2015 English only RS/2015/GE/26 (PHL) MEETING REPORT WHO Malaria Vector Control Training Course for malaria-endemic countries of South-East Asia and Western Pacific Regions Convened by: WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR THE WESTERN PACIFIC Manila, Philippines 8–12 June 2015 Not for sale Printed and distributed by: World Health Organization Regional Office for the Western Pacific Manila, Philippines November 2015 CONTENTS 1. Background ......................................................................................................................................................................... 1 1.1 Course objective ........................................................................................................................................................ 1 1.2 Participants .................................................................................................................................................................. 1 1.3 Facilitators ................................................................................................................................................................... 2 2. Course content and structure...................................................................................................................................... 2 2.1 Arrangements and preparation .......................................................................................................................... 3 2.2 Conduct .......................................................................................................................................................................... 3 3. Evaluations .......................................................................................................................................................................... 4 3.1 Evaluation of the learning of participants: pre- and post-test .............................................................. 4 3.2 Evaluation of the course by the participants: Post-course questionnaire ....................................... 4 4. Conclusions and recommendations ......................................................................................................................... 5 4.1 Course content and structure .............................................................................................................................. 5 4.2 Facilitation ................................................................................................................................................................... 5 4.3 Participants .................................................................................................................................................................. 5 Annex 1. Agenda ................................................................................................................................................................ 6 Annex 2. List of participants ...................................................................................................................................... 10 Annex 3. Consolidation of results of “Evaluation of Training" by Participants .................................. 12 Annex 4. Costing of the course .................................................................................................................................. 15 Annex 5. Course certificate ......................................................................................................................................... 16 - 1 - 1. BACKGROUND In 2009, the Member States of the Western Pacific Region endorsed the Regional Action Plan for Malaria Control and Elimination in the Western Pacific Region (2010–2015). The regional action plan includes an elimination goal: “to consolidate and build on the recent achievements in malaria control in the Region and progressively eliminate malaria, where possible”. All 10 Western Pacific Region malaria-endemic countries have changed their national programme goals from malaria control to elimination (Cambodia, China, the Lao People's Democratic Republic, Malaysia, Papua New Guinea, the Philippines, the Republic of Korea, Solomon Islands, Vanuatu and Viet Nam). In the South-East Asia Region, six countries (Bhutan, Democratic People’s Republic of Korea, Indonesia, Nepal, Sri Lanka and Thailand) of the 10 malaria-endemic countries are aiming for elimination of malaria. Regional commitment to malaria elimination was reiterated by leaders of 18 malaria-endemic countries at the 9 th East Asia Summit held in November 2014. In line with the Global Technical Strategy for Malaria 2016–2030 as recently endorsed by the World Health Assembly, and the Strategy for elimination of malaria from the Greater Mekong Subregion 2015–2030, there is strong commitment to the ambitious goal of malaria elimination in the Asia Pacific Region by 2030. As countries adapt their national strategies in line with the overall goal of regional malaria elimination, it is important that acceleration of elimination efforts are accompanied by a strengthening of the capacity of malaria programmes to implement locally-appropriate vector control as guided by sufficient entomological data. Countries of the Greater Mekong Subregion have the added challenge of multidrug-resistant falciparum malaria which further necessitates strengthening of vector control operations towards elimination. This biregional WHO malaria vector control training course was therefore conducted from 8 to 12 June 2015 to facilitate strengthening country capacity to plan and deliver vector control interventions appropriate to the local situation, as guided by enhanced entomological surveillance including for insecticide resistance. This training on vector control will also contribute to the accelerated elimination of malaria from the Greater Mekong Subregion through strengthening targeting and implementation of vector control operations. 1.1 Course objective By the end of the training, participants will have acquired the competence necessary to conduct an assessment of vector control interventions in their countries, thereby accelerating the achievement of control and elimination targets through better planning, implementation and evaluation, including monitoring insecticide resistance. 1.2 Participants All malaria-endemic countries of WHO South-East Asia and Western Pacific regions were invited to send two participants each who are senior malaria vector control staff from national or provincial levels. The course was attended by 32 participants, all were government health staff including 29 programme managers/deputy directors of national programmes/chief vector control officers/entomologists and provincial officers. In addition, one associate professor, one research officer and one malaria technician participated. Participants were from Bangladesh, Bhutan, Cambodia, China, India, Indonesia, the Lao People’s Democratic - 2 - Republic, Malaysia, Myanmar, Nepal, Papua New Guinea, the Philippines, Solomon Islands, Thailand, Timor-Leste and Viet Nam. Four malaria-endemic countries – the Democratic People's Republic of Korea, the Republic of Korea, Sri Lanka and Vanuatu – were unable to send participants. The list of participants is available at Annex 2. 1.3 Facilitators The course was conducted by resource staff from the WHO Global Malaria Programme, The WHO Regional Office for the Western Pacific, Solomon Islands and the ACTMalaria (Asian Collaborative Training Network for Malaria) Foundation. The facilitators and their respective units were as follows. Name Job title and affiliation Units Dr Eva Christophel Coordinator, Malaria Other Vectorborne and Parasitic Diseases, WHO/WPRO (8th June) Introduction to GTS Dr Rabindra Abeyasinghe Regional Entomologist, Malaria, Other Vectorborne and Parasitic Diseases, WHO/WPRO (8–12 June) 1, 3, 6, 7, 9 Ms Cecilia Hugo Executive Coordinator, ACTMalaria Foundation, Manila, Philippines (8–9 June) 3, 4 Dr Tessa Knox Technical Officer, Global Malaria Programme, Geneva (8–12 June) 2, 5, 6, 7, 8 Mr Matt Shortus Technical Officer, Malaria, Other Vectorborne and Parasitic Diseases, Country Office, Solomon Islands (8–11 June) 3, 5, 8 2. COURSE CONTENT AND STRUCTURE The course commenced with an update on the Global Technical Strategy for Malaria 2016– 2030 including the Strategy for malaria elimination from the Greater Mekong Subregion. Course content was divided into nine units, which were based on the WHO Training module on Malaria entomology and vector control (2013) with necessary modifications to facilitate acceleration of malaria elimination efforts in countries and to prevent re-introduction of malaria in to areas with no active transmission through strengthening surveillance and vector control, as follows. 1) Malaria epidemiology and stratification 2) Role of entomology in malaria control and identification of vectors 3) Vectors of malaria in the Asia Pacific region (including species complexes) and their bionomics 4) Sampling malaria vectors 5) Entomological indicators, their measurements and implications for malaria control/elimination 6) Malaria vector control interventions and integrated vector management 7) Insecticide resistance and management of resistance 8) Achieving and sustaining impact, effective vector control in different eco- epidemiological strata 9) Entomological surveillance and vector control in prevention of re-introduction. The facilitators prepared Powerpoint presentations and group work exercises in consultation with each other after the units had been assigned. A demonstration on insecticide susceptibility testing was also organized. - 3 - A few days before the course, a pre-survey was electronically conducted with the nominated participants to clearly understand their experience, gaps and needs. Appropriate modifications were made to the unit content to capture these inputs. At the start of the course, it was explained to participants that they would be equipped to conduct national and subnational level trainings through this course. In recognition of this participants were provided hard and soft copies of the Training module on malaria control: Entomology and vector control, a Participants Guide, and on the final day, the Tutors Guide. At the end of the course, each participant received a flash drive containing all course materials, reference documents, the facilitators’ presentations and group work exercises. The facilitators also prepared a pre- and post-test consisting of 20 identical multiple-choice questions. 2.1 Arrangements and preparation Staff from the WHO Regional Offices for the Western Pacific and South-East Asia managed the course with assistance from the Global Malaria Programme, arranging the venue and dates, inviting participants and recruiting an external facilitator in addition to WHO staff. The distribution of teaching responsibilities among the facilitators was decided through teleconferences and email correspondence during the planning of the training programme. WHO gratefully acknowledges the co-funding received from the Asia Pacific Malaria Elimination Network (APMEN) and Asian Collaborative Training Network Foundation (ACTmalaria), which facilitated the travel of participants from some countries (Annex 4), and contributed to making this course a reality. The course was held in the WHO Regional Office for the Western Pacific, Manila, Philippines and was managed by Ms Linda Dantes and Mr Raymond Mendoza from the Regional Office, under the supervision and coordination of Dr Rabindra Abeyasinghe, regional entomologist and co-facilitator of the course. 2.2 Conduct The agenda of the course is shown in Annex 1. The teaching methodology was dynamic and participative. Each unit commenced with a presentation, with the facilitator engaging the audience in questions, answers and discussion, followed by group work in, assisted by all facilitators, and then concluded with a report back from each group to the plenary for further discussion. Facilitators ensured that group chairing and reporting was rotated, and the group composition was also varied if the group work did not relate to specific geographical settings based on vector distribution and/or malaria transmission patterns. All participants were present throughout the course, all worked enthusiastically and contributed to discussions, often sharing their country experiences. The majority of participants had good entomological knowledge regarding vectors in their countries and had several years of experience in vector control. A few participants were junior with little experience in entomology, with two of them medical officers with no background in malaria entomology. Most participants had a good knowledge of English. Some participants possessed both a high level of technical knowledge and considerable practical experience in malaria entomology and vector control. During the Unit on Insecticide Resistance, a practical demonstration of Insecticide Susceptibility testing was conducted with the help of staff and equipment from the Research Institute for Tropical Medicine (RITM) in the Philippines. The draft Framework for Development of National Insecticide Resistance - 4 - Monitoring and Management Plans developed by GMP was also shared with participants and discussed. At the end of the course, the participants completed a post-course test and an anonymous course evaluation questionnaire. A round-table session to evaluate the course was facilitated by Dr Rabindra Abeyasinghe and chaired by Dr Eva Christophel. The facilitators also conducted a joint discussion on the course. All participants received a certificate at the end of the course (Annex 5). 3. EVALUATIONS 3.1 Evaluation of the learning of participants: pre- and post-test The pre- and post-test included 20 identical multiple-choice questions related to malaria entomology, stratification and vector control. Participants were encouraged to submit the tests without their name, but were requested to include identification codes/marks so they could review their individual progress following the assessments. After the post-test, the questions were reviewed and justification for correct answers explained. The pre-test and post-test were completed by all 32 participants. There was improvement from the pre-to the post-test, as the average score of correct answers increased from 9.06 (45%) to 11.25 (56%). This increase, although not markedly large, showed a significant increase in knowledge levels. Scrutiny of the results for each question indicated that some were not appropriate, either because the language was ambiguous or the content too complicated. All participants improved their scores from the pre- to the post-test. For future courses, it is advised that the test be revised to ensure greater clarity of language and to avoid questions that require knowledge on detailed WHO norms. Test questions shared with facilitators were not distributed to participants in either electronic or hard copy as the bi- regional nature of some questions was assumed to be of little use for subsequent national or subnational level trainings. 3.2 Evaluation of the course by the participants: Post-course questionnaire All 32 participants completed the course evaluation form. The results of this exercise have been consolidated in Annex 3. The main conclusions as expressed by the participants can be summarized as follows:  “I had a good experience through training and will utilize my efforts to deploy every training method in the field when back in my country”  “This course helps a lot as a new and young entomology officer attending this training, I have learned a lot and acquired better knowledge given by the facilitators”  “This type of training should be conducted every year as it is very helpful to all the participants”  “I think that the training is very good for all countries”  “Five day course was excellent” The facilitators also held an informal discussion to evaluate the course. Their conclusions were similar to those of the participants. However, concern was expressed that some participants had inadequate knowledge and experience to fully benefit from the course. - 5 - 4. CONCLUSIONS AND RECOMMENDATIONS 4.1 Course content and structure  This training used the WHO Training module on malaria control: Entomology and vector control as a structural basis for organizing the course. The module is largely focused on the African situation and as a consequence several of the units were adapted to the Asia Pacific situation. The module in its current form is weak on addressing elimination situations and contains no information regarding prevention of re-introduction.  In view of numerous requests to include field and practical sessions it may be useful to consider extending future training programmes to approximately eight days, inclusive of one day of field work and one day of hands-on laboratory work. Additional time for group work and discussion was also considered useful.  The topics, the sequence and structure and the time distribution were generally adequate.  The course could be delivered effectively by a team of four to five facilitators (depending on their experience) if all are available throughout the course.  The structure can be slightly improved as described above, but would then require considerable additional resources.  There should be more group work with exercises on the use of identification keys, more details on identification of sibling species, hands-on experience in determining insecticide susceptibility and exercises on developing a national insecticide resistance management framework.  Sessions on the use of geographic information technology (GIS), with concrete examples already being used by the programmes should be included. 4.2 Facilitation  Facilitators should always keep the duration of presentations below 45 minutes, preferably 30 minutes. However, to improve attention through variability, it is useful to include videos on key aspects, as was done during this training.  Rooms 210 and 212 used at the Regional Office for the training were not ideal and would have been very crowded if all 40 invited participants had attended. The corridor outside used for coffee breaks did not provide adequate space.  Several participants complained about the lack of a Prayer Room at the Regional Office. 4.3 Participants  Nearly all participants had adequate English communication skills.  A few countries sent participants with no knowledge of entomology and vector control, who did not fulfil the profile of participants requested from ministries of health.  Ideally, participants should be in a position to determine and influence, or at least be able to advocate necessary changes to malaria vector control policy and strategy in their respective countries or provinces/regions. Annex 1. Agenda DAY 1 (Monday 8 June 2015) 8:30-9:00 Registration 9:00-9:20 Opening ceremony Dr Mark Jacobs, Director of Communicable Diseases, WPRO Representatives from co- funders (APMEN and ACTMalaria) 9:20- 9.30 Group photo 9.30 -10:00 Coffee break 10:00-10:45 Introduction to course Pre – test Dr Rabi Abeyasinghe 10:45-11:30 Introduction to Global technical strategy for malaria 2016–2030, including Strategy for malaria elimination in the Greater Mekong Subregion (2015–2030) Questions and answers Dr Eva Christophel 11:30-12:30 Unit 1. Basic malaria epidemiology. Importance of epidemiological stratification. Dr Rabi Abeyasinghe 12:30-13:30 Lunch break 13:30-14:00 14.00-14.30 14.30-15.00 Unit 2. Role of entomology in malaria control, elimination and prevention of re-introduction Group work Identification of malaria vectors Dr Tessa Knox Mr Matt Shortus 15:00-15:30 Coffee break 15:30-16:15 Unit 3. Vectors of malaria in Asia Pacific Region and their bionomics Dr Cecil Hugo Mr Matt Shortus Dr Rabi Abeyasinghe 16:15-17:15 Group work(three groups) 17:15-17:30 Summary and participant feedback Participants 17:45-19:30 Welcome reception DAY 2 (Tuesday 9 June 2015) 8:30-9:00 Recap Day 1 Participants Group 1 9:00-10:00 Unit 4. Sampling malaria vectors Dr Cecil Hugo 10:00-10:30 Coffee break 10:30-12:00 Sharing country experiences Group work, plenary discussion Mr Matt Shortus 12:00-13:00 Lunch break 13:00-14:30 Unit 5. Entomological indicators, their measurements and implications for control/elimination Interactive session Mr Matt Shortus/ Dr Tessa Knox 14.30- 15.00 Vectorial capacity Dr Tessa Knox 15:00-15:30 Coffee break 15:30-17:00 Unit 6. Malaria vector control: role, objectives and options Group work, discussion, presentation Dr Tessa Knox 17:00-17:15 Summary and participant feedback Participants (Group 2) DAY 3 (Wednesday 10 June 2015) 8:30-9:00 Recap Day 2 Participants Group 2 9:00-10:00 Unit 6 (continued). Malaria vector control: Insecticide formulations, key interventions Group work, plenary discussion Dr Rabi Abeyasinghe 10:00-10:30 Coffee break 10:30-12:30 Unit 6 (continued). 12:30-13:30 Lunch break 13:30-15:00 Unit 7. Insecticide resistance – Insecticides and their modes of action, monitoring and management Dr Tessa Knox 15:00-15:30 Coffee break 15:30-17:00 Group work: situation analysis and development of country insecticide resistance management action plans 17:00-17:15 Summary and participant feedback Participants (Group 3) DAY 4 (Thursday 11 June 2015) 8:30-9:00 Recap Day 3 Participants (Group 3) 9:00-10:00 Unit 7 (continued). Insecticide resistance – Demonstration of susceptibility testing Dr Tessa Knox/ Mr Matt Shortus 10:00-10:30 Coffee break 10:30-12:30 Practical session on insecticide resistance testing Dr Tessa Knox/ Mr Matt Shortus/ Dr Rabi Abeyasinghe/ RITM staff 12:30-13:30 Lunch break 13:30-15:00 Unit 8. Achieving and sustaining impact - Selection of interventions for different eco- epidemiological strata Mr Matt Shortus 15:00-15:30 Coffee break 15:30-16:00 Group work 16:00-16:15 Summary and participant feedback Participants DAY 5 (Friday 12 June 2015) 8:30-9:00 Recap Day 4 Participants Group 1 9:00-9:30 Unit 8 (continued). Achieving and sustaining impact – Quality assurance /quality control and monitoring and evaluation Dr Tessa Knox 9:30-10:30 Group work 10:30-11:00 Coffee break 11:00-11:30 Report back from groups 11:30-12:30 Unit 9. Entomological surveillance and prevention of re-introduction Dr Rabi Abeyasinghe 12:30-13:30 Lunch break 13:30-14:00 Post test 14:00- 15:30 15:30-16:00 Participant feedback Coffee break 16:00-17:00 Closing ceremony and award of certificates Dr Mark Jacobs Annex 2. List of participants Dr F.H.M. Narunnabi Chowdhury, Senior Entomologist, CDC, DGHS, Ministry of Health and Family Welfare, Dhaka, Bangladesh Mr Biswajit Chowdhury, District Entomologist, CS Office, Ministry of Health and Family Welfare Rangamati, Bangladesh Dr Thinley Yangzom, Senior Medical Officer, Jigme Dorji Wangchuk National Referral Hospital Thimphu City, Bhutan Mr Krishna Bdr Gurung, Malaria Technician, Ministry of Health, Thimphu, Lhamoizingkha BHU1, Dagana, Bhutan Ms Sokny Mao, Chief of Entomology Unit, National Center for Parasitology, Entomology and Malaria Control, Corner St. 92, Trapang Suay Village, Thmey District, Sensok Commune, Phnom Penh, Cambodia Mr Chea Sokun, Chief of Vector Control, National Center for Parasitology, Entomology and Malaria Control, Corner St. 92, Trapang Suay Village, Thmey District, Sensok Commune, Phnom Penh, Cambodia Dr Zhou Sheng, Associate Professor, Division of Infectious Diseases, China Centers for Disease Control and Prevention, 155 Changbai Road, Changping District, Beijing 102206, China Ms Guo Xiuxia, Research Assistant, Shandong Institute of Parasitic Diseases, No. 11 Taibai Road, Rencheng District, Jining City, Shandong province 272033, China Dr Shaukat Kamal, Deputy Director, Regional Office for Health and Family Welfare, Hall No. 3, 9th Floor, Kendriya Bhawan, Aliganj, Lucknow, Uttar Pradesh, India Dr Sukhvir Singh, Joint Director, National Vector Borne Disease Control Programme, 22 Shamnath Marg, Delhi 110054, India Mr Budi Pramono, Directorate of Vector Control, Ministry of Health, Jln. Percetakan Negara no. 29 Jakarta 10560, Indonesia Mr Halik Hadi, Disease Control and Environmental Health, North Sumatera Provincial Health Office, Komplek Bumi Barelan Permai Blok.L No.26, Jln. Titi Pahlawan Kel. Labuhan Deli Kota Medan, Prov. Sumatera Utara, Indonesia Mr Thongsavanh Piammalay, Head, Malaria Section, Public Health Department, Salavane province, Lao People's Democratic Republic Dr Sonesay Ounekham, Entomologist, Center of Malariology, Parasitology and Entomology Ministry of Health, Vientiane, Lao People's Democratic Republic Dr Lokman bin Rejali, Public Health Physician & Principal Assistant Director, Negeri Sembilan Health Department, Jalan Rasah, 70300 , Seremban, Malaysia Mr Mohd Maher bin Ibrahim, Entomologist, Kuala Perlis District Health Office, Pejabat Kesihatan Daerah Lipis, 27200 Kuala Lipis, Pahang, Malaysia Mr U Saw Kyaw Min Tun, Assistant Entomologist, Dr Aung Kyaw Htwe, State Health Director, Kayin State, Hp-pan Township, State VBDC Office, Myanmar Ms Daw Mar Mar Win, Assistant Director – Entomology, Diseases Control Office, 1000 Beded Hospital Compound, Naypyitaw, Building 601/ Room 22, Bawgathaiddi Ward, Naypyitaw, Myanmar Mr Shishir Kumar Pant, Senior Entomologist, Vector Borne Disease Research and Training Centre Hetauda, Nepal Mr Shyam Lal Acharya, Vector Control Inspector, Mid-Western Regional Hospital, Ministry of Health & Population, Surkhet, Nepal Dr Leonard Nawara, Medical Officer, Malaria and Vectorborne Diseases, Department of Health P.O. Box 807, Waigani, NCD, Papua New Guinea Mr Leo Makita, Program Officer, Department of Health, P.O. Box 807, Waigani, NCD, Papua New Guinea Ms Ursula P. Segundo, Entomologist, Department of Health, BGHMC Compound, Baguio City, Philippines Engr Antonietta Ebol, Engineer III, Inter-Regional Collaboration Center for Malaria and other Vector- Borne Diseases, Department of Health – Regional Office XI, J P Laurel, Bajada, Davao City, Philippines Mr Nathan Junior Kama, Principal Vector Management Officer, National Vectorborne Disease Control Programme, Ministry of Health and Medical Services, P.O. Box 349, Honiara, Solomon Islands Mr Charles Butafa, Program Manager, Vector Control Unit, National Vectorborne Disease Control Programme, Ministry of Health and Medical Services, P.O. Box 349, Honiara, Solomon Islands Miss Kanutcharee Tanispong, Technical Officer, Bureau of Vector Borne Diseases Department of Disease Control, 1/114 Moo 9, Bangphood, Pak Kert, Nonthaburi, Thailand Ms Kanitta Pankeaw, Public Health Technical Officer, Bureau of Vector Borne Diseases Department of Disease Control of Public Health, Tivanond Road, Nonthaburi, Thailand Ms Maria Do Rosario Fatima Mota, National Malaria Programme, CDC Department Ministry of Health, Dili, Timor Leste Mr Crispim Maia, District Malaria Office, Emera, Ministry of Health, Caicoli-Dili, Timor Leste Mr Nguyen Do Van, Coordinator, National Malaria Control Programme, Parasitic and Vectorborne Diseases in Central Viet Nam, 611B Nguyen Thai Hoc Street, Quy Nhon City, Binh Dinh Province, Viet Nam Mr Le Trung Kien, Communicable Disease Expert, National Institute of Malariology, Parasitology and Entomology, Ministry of Health, 245, Luong The Vinh Street, Tu Liem District, Ha Noi, Viet Nam Annex 3. Consolidation of results of “Evaluation of Training" by Participants Code: Strongly disagree = 1, Disagree = 2, Agree = 4, Agree strongly = 5 The important comments have been summarized and reproduced here in abbreviated form. Section A. Overall assessment of the training course 1. Overall, the organization of the training course was satisfactory. Average score: 4.65 Comments:  All topics have been discussed, training was very satisfactory.  Content is very good, please include a field component 2. The training module covered all the subject matter in adequate details according to the stated course objectives. (If you disagree with this, state which subjects should have been given greater coverage.) Average score: 4.53 Comments:  Need more time for some group work 3. The facilitators for this training course had sufficient knowledge and teaching abilities. Average score: 4.72 Comments:  Facilitators are excellent, knowledgeable 4. The time allotted to each part of the training was adequate relative to total time available. Average score: 3.87 Comments:  Provide hands on exercises regarding vectorial capacity  More time on entomological indicators Section B. Relevance and usefulness of the teaching-learning methods adopted 5. Overall the teaching-learning methods used in this training course were effective Average score: 4.63 Comments:  Would be useful to receive print outs of presentations before the presentation Section C. Assessment of teaching-learning materials 6. The audiovisual materials used in the training were helpful. Average score: 4.56 Comments:  Use bigger font for some presentations 7. The course materials (hand-outs, teaching materials and group exercises) provided were satisfactory Average score: 4.45 Comments: No significant comments Section D. Implementation of training; attitude of trainers and facilitators; food and accommodation 8. The general atmosphere of the training course made this a good learning experience. Average score: 4.63 Comments:  Very good and friendly atmosphere 9. Every effort was made by the organizers and trainers to help the trainees achieve the learning objectives. Average score: 4.66 Comments:  Secretariat very friendly and accommodating 10. The accommodation provided for the trainees was satisfactory Average score: 4.56 Comments:  Excellent accommodation. Section E. Overall evaluation of the training 11. What overall rating would you give this training course? Average score: 4.63 Comments:  Very clear; exercises good and relevant 12. With regards to this training experience; a. Liked most: - Sharing of experience - Presentations were short and to the point - Time keeping and management was excellent - Discussions were a great way to learn - In depth knowledge of facilitators - Facilitators knowledge and attitudes b. Disliked most: - Not enough time for group work - Long wait for travel to and from WHO from the hotel - Some presentations were rushed through 13. Any additional comments/suggestions: Comments:  Please continue similar training every year  Need follow up training after 1 or 2 years  Thank you very much for inviting to this training, it was a great privilege with a great challenge  This course helps a lot as a new and young entomology officer attending this training, I have learned a lot and acquired better knowledge given by the facilitators  This type of training should be conducted every year as it is very helpful to all the participants  Five day course was excellent, although for malaria elimination want entomology practical course for one month Summary of plenary discussion/brainstorming for evaluation of the course by the participants on 12 June 2015, just before closure Moderator: Dr Rabi Abeyasinghe In attendance: Dr Eva Christophel and Dr Tessa Knox Many points were identical to those emphasized in the written evaluation and are not repeated here. New points:  Thank you very much for inviting to this training, it was a great privilege with a great challenge  This course helps a lot as a new and young entomology officer attending this training, I have learned a lot and acquired better knowledge given by the facilitators  I think that the training is very good for all countries  Theoretical training was excellent.  Additional information on certain topics such as insecticide resistance would have been useful if the course was longer.  Please include a field trip  Some topics should have practical sessions (sampling, identification)  This training is a very practical course  Five day course was excellent, although for malaria elimination want entomology practical course for one month  No Prayer Room for Muslim participants Annex 4. Costing of the course The course was organized and conducted by WHO Regional Office for the Western Pacific with support from WHO Regional Office South-East Asia and the WHO Global Malaria Programme in Geneva. The total expenditure incurred on the course amounted to US$ 82 043 excluding staff travel and time costs from WHO. The course was made possible through a grant of AU$ 50 000 received from the Asia Pacific Malaria Elimination Network (APMEN). Co-funding was also received from the Asian Collaborating Training Network for Malaria (ACTMalaria) Foundation for selected country participants’ travel and accommodation. This support is gratefully acknowledged. Annex 5. Course certificate This is to certify that _______________________ has attended the WHO Malaria Vector Control Training Course for the South-East Asia and Western Pacific regions co-funded by Asia Pacific Malaria Elimination Network held in Manila, Philippines from 8 to 12 June 2015 Shin Young-soo MD, Ph.D. Regional Director www.wpro.who.int