Evaluation of Indoor Residual Household Spraying (IRHS): Challenges Faced by Ndola Urban District
study aimed at determining challenges associated with implementation of IRHS in
Ndola urban district, Zambia.
A cross section study conducted at Ndola city council over a period of six weeks,
all 122 expert service providers were purposively selected, between October and
November 2008. Semi-structured questionnaires and checklist used. Data analyzed
by content analysis, Univariate and bivariate analysis, SPSS version 11.5. Chi-square
determined association of variables; adherence, availability of logistic, acceptability
of IRS and the outcome IRS challenges.
Results: Policy challenges: There was compliance n=7 with storage and disposal guidelines,
while n=4 did not comply with use and environmental safeguards, as Spray operators spilled DDT on the
81.3% of the respondents said experienced
no problems while, 71.4% experienced itching, sneezing, and difficulty breathing,
p value 0.005. 66% of Spray operators reported fewer problems implementing IRS while,
12% said had poor training and acquired less skill, p value 0.017. 75.2% revealed that Acceptability of IRS was low and
24.7% said IRS was not effective p value 0.036 validated by n=7 program officers. 28.1% reported repainting of walls, 44.7% reported variations in spraying due to late arrival of logistics 68.4%.
Institutional challenges; 43.9% reported inadequate shower and
wash bay facilities and affected their operations much n=4. A checklist revealed
serious inadequacies evident
in poor transport, disposal bay, preparation bay, wash bay, and change rooms.
Conclusion: Poor institutional structure, insufficient
logistics greatly impinged on daily operations of IRS and highly contributed to
non-adherence to some policy guidelines.
Keywords: Indoor Residual
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