Rwanda 2018 END OF SPRAY REPORT

The campaign was implemented by the PMI VectorLink Project, Rwanda, in collaboration with the Ministry of Health and other stakeholders. The primary objective of the campaign was to control the spread of malaria through indoor residual spraying (IRS). The campaign involved the selection of IRS districts and sectors, which were identified based on the prevalence of malaria and other factors. District planning meetings were held to discuss the campaign plan, insecticide selection, logistics needs, and human resource requirements. The insecticide used for the campaign was selected based on its efficacy and safety profile. Training was provided to seasonal staff, including spray operators, team leaders, and data collectors. The training covered topics such as spray operations, data collection, logistics, and fire, transportation, and security. Community mobilization was also an essential component of the campaign, with door-to-door mobilization and mass media communication used to raise awareness about the importance of IRS. The implementation of IRS activities involved a walk-to-work strategy, where spray teams walked to households to spray insecticides. IRS supervision was also critical, with team leaders responsible for supervising spray operations and ensuring that the campaign was implemented according to plan. M-Health was used to monitor and track the campaign's progress, and logistics played a crucial role in ensuring that insecticides and other materials were available at the right time and place. Post-season activities included post-season review meetings, inventory, and monitoring and evaluation. The campaign's results were monitored and evaluated to assess its effectiveness in controlling malaria. Insecticide usage was tracked, and data quality assurance and control were implemented to ensure the accuracy and reliability of the data. Environmental compliance was also a critical aspect of the campaign, with documentation of environmental compliance, pre-season environmental assessment, and safety and environmental compliance during the spray campaign. The management of insecticide adverse effects and other incidents was also an essential component of the campaign. The campaign's results showed a significant reduction in malaria cases, with insecticide usage tracked and monitored throughout the campaign. The campaign's effectiveness was also evaluated through wall bioassay tests for quality assurance and revision of the Rwanda insecticide resistance management strategy. Gender mainstreaming was also an essential component of the campaign, with efforts made to ensure that women and other marginalized groups were involved in the campaign. Challenges faced during the campaign included logistical issues, such as delays in the delivery of insecticides and equipment. Lessons learned from the campaign included the importance of effective community mobilization and the need for better coordination between stakeholders. Recommendations for future campaigns included the need for more effective planning and coordination, as well as the need for more robust monitoring and evaluation systems.