ABT ASSOCIATES
The Indoor Residual Spraying (IRS) 2 Task Order Four project in Zimbabwe was implemented by the PMI|Africa IRS (AIRS) Project in collaboration with the United States Agency for International Development (USAID).
2013 · 92 pages

Abstract
The project aimed to control malaria transmission through IRS, a method of applying insecticides to indoor surfaces to kill mosquitoes that transmit the disease. The 2012 IRS campaign in Zimbabwe was conducted in 15 districts, with a total of 1,111,111 structures sprayed. The campaign was supported by AIRS Zimbabwe, which provided technical assistance, training, and equipment to the National Malaria Control Programme (NMCP) and the Ministry of Health and Child Care (MOHCC). The project also procured pyrethroids for use during the campaign and provided personal protection equipment (PPE) to spray operators. Environmental compliance activities were a critical component of the project. Supplemental environmental assessments were conducted to identify potential environmental risks associated with the use of insecticides. Pre-spray environmental inspections were also conducted to ensure that all necessary precautions were taken to minimize environmental impacts. Soak pits were built to dispose of waste insecticides, and incinerators were used to dispose of solid waste. The 2012 IRS campaign was monitored by AIRS Zimbabwe, which observed the organization of the campaign, the use of PPE, and the preparation of structures before spraying. Key observations included the use of PPE by spray operators, the preparation of structures before spraying, and the spraying of structures. Post-spraying activities, such as the disposal of waste insecticides and the storage of IRS equipment, were also observed. Data results from the 2012 IRS campaign showed a significant reduction in malaria transmission. The conversion of "rooms" to "structures" was a critical component of the data analysis, with a room-to-structure conversion factor used to calculate the number of structures sprayed. The results of the campaign showed a significant reduction in malaria cases, with possible reasons for structures not being sprayed identified. Entomological surveillance was also conducted during the 2012 IRS campaign. Sentinel sites were used to collect mosquito samples, which were then analyzed for residual efficacy, insecticide susceptibility, and mosquito collection. The results of the entomological surveillance showed a significant reduction in malaria transmission, with constraints for entomological surveillance work identified. Post-spray review meetings were held to review the results of the 2012 IRS campaign and identify lessons learned, challenges, and recommendations for future campaigns. The meetings were attended by representatives from the NMCP, MOHCC, and AIRS Zimbabwe. The lessons learned from the campaign included the importance of proper training and equipment for spray operators, the need for effective communication between stakeholders, and the importance of environmental compliance activities. The project also identified challenges and recommendations for future campaigns. The challenges included the need for more effective communication between stakeholders, the importance of proper training and equipment for spray operators, and the need for more effective environmental compliance activities. The recommendations included the need for more effective monitoring and evaluation of the campaign, the importance of proper training and equipment for spray operators, and the need for more effective communication between stakeholders.
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Classification
USAID DEC