Indoor Residual House Spraying Work Stream 3 rd Meeting 29 th -30 th Jan Roll Back Malaria Vector Control Working Group 8 th Meeting
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1 Indoor Residual House Spraying Work Stream 3 rd Meeting 29 th -30 th Jan 2013 Roll Back Malaria Vector Control Working Group 8 th Meeting
2 Objectives of the VCWG To facilitate alignment of partners on strategy and 'best practice' to rapidly scale-up malaria vector control interventions particularly insecticide treated nets (ITNs) and indoor residual spraying (IRS) in order to meet targets for malaria control. VCWG aims to develop a consensus on strategic issues for going to scale with ITNs (LLINs), IRS and other malaria vector control methods and share best practices. It also identifies emerging research questions and needs related to going to scale and communicate these to appropriate partners. Finally it promotes public-private partnerships for innovation in malaria vector control, including development of new products and production capacity.
3 IRS sub work groups IRS Advocacy and financing- Tren/Moonasar IRS Evidence and Reporting -Rajendra Maharaj/ Immo Kleinshmidt IRS supervision, reviews, evaluation -John Govere/Rwakimari IRS Procurement and supply management -Rabindra Abeyasinghe/Gerhard Hesse IRS training and country capacity building -Manuel Lluberas
4 IRS Work Plan IRS Experience, Evidence and reporting Provide guidance on scaling up and scaling down IRS Support countries to prepare IRS case studies and publish on impact of IRS Conduct a systematic review of published IRS studies on epidemiological/entomological (Cochrane like) Support country and regional IRS annual reporting on progress and performance Advocacy and Financing Advocate for IRS at the highest levels of Africa and global policy making Advocacy case studies on country IRS programs Increase and sustain more domestic financing for IRS in national programs Increase and sustain private cooperate support for scaling up IRS Capacity and Training Provide guidance on building structures and system and capacity building for IRS Review and developed IRS regional training curriculum and training materials Evaluate need and location for regional training centers Implement regional training programs Review and developed national IRS training curriculum and training materials IRS Commodities and Procurement and Supply Management Development of a PSM plan template for IRS chemicals, spray pumps and protective gear Support global quality control monitoring of IRS commodities Prepare country and global estimates and models of IRS commodity needs Simplify specifications and standardize tender formats for IRS chemicals and hand compression pumps
5 IRS Reporting IRS Policy & Practice Outputs: Amount of Insecticide used Insecticide Resistance testing results Quality and bioassaysresults Outcome: No of structures-household sprayed & No of people protected Impact: Prevalence, API, district free of malaria
6 IRS Indicators & Reporting Indicator Numerator Denominator 1. Percentage of population at risk protected by IRS No. of persons protected by IRS No. of persons at risk for malaria Data source Routine data from national malaria control programme Target >80% 2.Households/structur es sprayed with insecticide among those targeted No. of households/structur es sprayed every six months or once a 1 year according to national guidelines No. of households/structures targeted for IRS once in 6 months or every 12 months according to national guidelines Routine data from national malaria control programme >80% 3. Proportion of households sprayed with IRS in the last 6 months or 12 months. Number of households that have been sprayed by IRS in the last 6/12 months. Total number of households surveyed Household survey Annual IRS reporting form
7 IRS Program supervision National, Provincial IRS coordinators, disease control officers and entomologists should conduct quarterly scheduled field visitsto districts to review status of implementation of the district IRS annual work plan and to review IRS spray operations that may be under way. This is to identify delays in implementation of the annual IRS plan of actionand to correct any operational problems in spray operations. CHECK LIST
8 Supervision of field spray operation The purpose of supervisor is to solve problems and offer supportnot to criticize or find fault. ( District IRS Coordinators) The main objectives are: to ensure that the spray team movement schedule is strictly adhered to and the agreed target numbers of houses to be sprayed per day are being maintained; to take corrective measures, on the spot, on spray application techniques and take note of any equipment deficiencies for remedial action; to stimulate, encourage and advise on good communication with householders and village or community leaders; to ensure good team work for total and complete coverage of areas to be sprayed; to ensure that strict discipline and standard operating procedures are maintained; to assess, evaluate and appreciate the work output of the teams; to make constructive and feasible recommendations to improve quality, coverage and timely implementation of operations. CHECK LIST
9 IRS Program Performance review The specific objectives of a comprehensive IRS programme review are: to review the IRS policy regards why, where and when IRS is done to review the impact of IRS on entomology and epidemiology of malaria to review the IRS program structure, organization, and management within the national malaria and vector borne disease control programs and the national health system. to assess progress towards achievement of national, regional andglobal IRS and vector control targets; Review the current performance of IRS within the vector control intervention thematic areas and by service delivery levels. to define the next steps for improving IRS programme performance and/or redefining the strategic direction and focus, including revising the policies and plans and IRS program change/reform. Draft IRS Assessment tool.
10 IRS Policy& Practice Policy Practice 2010 Practice 2011 Practice 2012 Number of malaria endemic countries IRS is recommended by malaria control program IRS is the primary vector control intervention IRS is used for prevention and control of epidemics IRS and ITNs used together for malaria control in at least some areas DDT is used for IRS Insecticide resistance monitoring is undertaken Source: malaria endemic countries Source: World Malaria Reports
11 IRS Policies by WHO regions
12 Proportion of population at risk protected by IRS
13 Strategic Issues IRS scaling upin high transmission countries for impact IRS combinedwith LLIN for impact IRS being targeted and scaled downin low transmission to malaria foci for malaria elimination IRS being combinedwith LSM
14 IRS Scaling Up Countries-Impact IRS protected globally 153 (185) million people representing5% of the population at risk in malaria endemic countries WHO African Region. IRS and vector control is a regional priority. Total of 77 (78) million people protected 11% of population Ethiopia, Tanzania, Uganda, Mozambique, Zambia, Zimbabwe, Rwanda, Malawi Equatorial Guinea, Sao Tome, DRC Gambia, Benin, Senegal, Ghana, Liberia, Mali, Nigeria South East Asia regionirs and vector control is a priority intervention. 4% of Population at risk India, East Timor, Myanmar, Eastern Mediterranean region IRS and vector control is a priority intervention. 2 % of Population at risk Sudan, Yemen, Pakistan South Sudan
15 IRS high Impact Intervention
16 Countries Scaling Down Targeting IRS at Malaria Foci WHO African Region.- Reducing and Targeting IRS Botswana, South Africa, Namibia, Zanzibar, Eritrea, Cape Verde South East Asia region- Reducing and Targeting IRS Nepal, Sri- Lanka, Bhutan, DPRK, Thailand European region, IRS is the primary vector control strategy to support accelerated elimination and prevention of re-introduction Tajikistan & Azerbaijan Turkey, Kyrgyzstan, Uzbekistan. Eastern Mediterranean regionirs and vector control is a priority intervention. 2 % of Population at risk Saudi Arabia & Iran South Sudan Western Pacific region IRS and vector control is a priority intervention China, Vietnam, Philippines Malaysia, Solomon Islands Laosis trying to re-introduce IRS Americas, malaria transmission is currently low and IRS and vector control regionally is not a priority. IRS is limited to few focal areas Brazil, Venezuela, Columbia,Nicaragua, Guatemala, Honduras Suriname, Costa Rica, Panama, Argentina, Paraguay
17 IRS and Elimination
18 Operational Issues Country IRS data base and annual reporting Country IRS program capacity strengthening Low WHO capacity in entomology and vector control Private cooperate sector for IRS and malaria control is consistent with expanding CSR and CSI ( Anglo Gold, Ilovo, Rio-Tinto Verdanta etc-exxon? PSM and USAID contractors change and team work with national programs and support country capacity building and team work with other partners.( RTI and Abbt? Chemonics )- Old dependency Paradigm Private malaria commodity providers uncertain of the IRS chemical and pumps market. ( Arysta-Syngenta-Hudson-HIL, Gozper etc
19 Conclusion Work stream recruit new members and expand network Advocacy for RBM-ALMA support for IRS domestic and international financing Country IRS annual reporting and program reviews Country IRS capacity assessment and support and training IRS in malaria emergency P. vivaxand IRS and outdoor vector control
20 Plenary & Group Work Session IRS Work Plan for
21 Plenary Session
22 Plenary Session
23 Group Work-Session
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