Monitoring and Evaluation Toolkit for Indoor Residual Spraying in Visceral Leishmaniasis Control
Author Information
Author(s): Huda M. Mamun, Mondal Dinesh, Kumar Vijay, Das Pradeep, Sharma S. N., Das Murari Lal, Roy Lolita, Gurung Chitra Kumar, Banjara Megha Raj, Akhter Shireen, Maheswary Narayan Prosad, Kroeger Axel, Chowdhury Rajib
Primary Institution: International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B)
Hypothesis
The study investigates the effectiveness of a newly developed monitoring and evaluation toolkit for indoor residual spraying (IRS) in controlling visceral leishmaniasis in the Indian subcontinent.
Conclusion
The M&E toolkit is effective in identifying constraints in IRS operations and can trigger timely responses to improve vector control efforts.
Supporting Evidence
- The toolkit identified significant shortcomings in IRS operations across multiple countries.
- Training for spray teams was found to be inadequate in many areas.
- Vector densities were not significantly reduced in some regions despite IRS implementation.
- Community acceptance of IRS was generally high, but instructions for preparation were often lacking.
- Chemical concentrations of insecticides on sprayed surfaces were below acceptable standards.
Takeaway
The study created a toolkit to help check if spraying for disease control is done well, and it found many areas that need improvement.
Methodology
The study used document analysis, interviews, direct observations, and entomological assessments to evaluate IRS operations.
Potential Biases
Potential biases include the selection of study sites and the accuracy of self-reported data from spray teams.
Limitations
The study was limited by the operational challenges of IRS and the variability in performance across different regions.
Participant Demographics
Participants included spray supervisors, district malaria officers, and households in high visceral leishmaniasis endemic areas in Bangladesh, India, and Nepal.
Statistical Information
P-Value
0.05
Confidence Interval
95% CI
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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