Community participation in environmental management for dengue vector control: Expriences from the English-speaking Caribbean

This paper describes an initiative on community mobilization and organizational change implemented through the Caribbean Cooperation in Health (CCH)/Government of Italy Integrated Vector Control Project. The project involved 15 island countries and territories of the English-speaking Caribbean between 1992 and 1997. One of the most significant-changes arising from this initiative was the shift in many national programmes from a top-down approach to environmental health management towards community dialogue, negotiation and partnership to resolve vector control and sanitation problems.