Household modifications after the indoor residual spraying (IRS) campaign in Mozambique reduce the actual spray coverage and efficacy

Indoor residual spraying of insecticides (IRS) is a key malaria vector control strategy. Whilst human attitude towards IRS is monitored before or shortly after implementation, human activities leading to the modification of insecticide-treated walls post-IRS are not. This could inadvertently reduce...

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Main Authors: Mercy Opiyo, Ellie Sherrard-Smith, Arlindo Malheia, Arsenio Nhacolo, Charfudin Sacoor, Ariel Nhacolo, Mara Máquina, Luis Jamu, Nelson Cuamba, Quique Bassat, Francisco Saúte, Krijn Paaijmans
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLOS Global Public Health
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021718/?tool=EBI
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author Mercy Opiyo
Ellie Sherrard-Smith
Arlindo Malheia
Arsenio Nhacolo
Charfudin Sacoor
Ariel Nhacolo
Mara Máquina
Luis Jamu
Nelson Cuamba
Quique Bassat
Francisco Saúte
Krijn Paaijmans
author_facet Mercy Opiyo
Ellie Sherrard-Smith
Arlindo Malheia
Arsenio Nhacolo
Charfudin Sacoor
Ariel Nhacolo
Mara Máquina
Luis Jamu
Nelson Cuamba
Quique Bassat
Francisco Saúte
Krijn Paaijmans
author_sort Mercy Opiyo
collection DOAJ
description Indoor residual spraying of insecticides (IRS) is a key malaria vector control strategy. Whilst human attitude towards IRS is monitored before or shortly after implementation, human activities leading to the modification of insecticide-treated walls post-IRS are not. This could inadvertently reduce the protective effects of IRS. We monitored the extent of modifications to the sprayed indoor wall surfaces by household owners for six months post-IRS campaigns in two districts targeted for malaria elimination in southern Mozambique. In parallel, we assessed building of any additional rooms onto compounds, and mosquito net use. We quantified the contribution of wall modifications, added rooms, prolonged spray campaigns, and product residual efficacies on actual IRS coverage and relative mosquito bite reduction, using a mechanistic approach. Household owners continually modified insecticide-treated walls and added rooms onto compounds. Household surveys in southern Mozambique showed frequent modification of indoor walls (0–17.2% of households modified rooms monthly) and/or added rooms (0–16.2% of households added rooms monthly). Actual IRS coverage reduced from an assumed 97% to just 39% in Matutuine, but only from 96% to 91% in Boane, translating to 43% and 5.8% estimated increases in relative daily mosquito bites per person. Integrating post-IRS knowledge, attitude, and practice (KAP) surveys into programmatic evaluations to capture these modification and construction trends can help improve IRS program efficiency and product assessment.
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spelling doaj.art-42675f30b63d40799acc5d04a3df07122023-09-03T10:36:20ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752022-01-0124Household modifications after the indoor residual spraying (IRS) campaign in Mozambique reduce the actual spray coverage and efficacyMercy OpiyoEllie Sherrard-SmithArlindo MalheiaArsenio NhacoloCharfudin SacoorAriel NhacoloMara MáquinaLuis JamuNelson CuambaQuique BassatFrancisco SaúteKrijn PaaijmansIndoor residual spraying of insecticides (IRS) is a key malaria vector control strategy. Whilst human attitude towards IRS is monitored before or shortly after implementation, human activities leading to the modification of insecticide-treated walls post-IRS are not. This could inadvertently reduce the protective effects of IRS. We monitored the extent of modifications to the sprayed indoor wall surfaces by household owners for six months post-IRS campaigns in two districts targeted for malaria elimination in southern Mozambique. In parallel, we assessed building of any additional rooms onto compounds, and mosquito net use. We quantified the contribution of wall modifications, added rooms, prolonged spray campaigns, and product residual efficacies on actual IRS coverage and relative mosquito bite reduction, using a mechanistic approach. Household owners continually modified insecticide-treated walls and added rooms onto compounds. Household surveys in southern Mozambique showed frequent modification of indoor walls (0–17.2% of households modified rooms monthly) and/or added rooms (0–16.2% of households added rooms monthly). Actual IRS coverage reduced from an assumed 97% to just 39% in Matutuine, but only from 96% to 91% in Boane, translating to 43% and 5.8% estimated increases in relative daily mosquito bites per person. Integrating post-IRS knowledge, attitude, and practice (KAP) surveys into programmatic evaluations to capture these modification and construction trends can help improve IRS program efficiency and product assessment.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021718/?tool=EBI
spellingShingle Mercy Opiyo
Ellie Sherrard-Smith
Arlindo Malheia
Arsenio Nhacolo
Charfudin Sacoor
Ariel Nhacolo
Mara Máquina
Luis Jamu
Nelson Cuamba
Quique Bassat
Francisco Saúte
Krijn Paaijmans
Household modifications after the indoor residual spraying (IRS) campaign in Mozambique reduce the actual spray coverage and efficacy
PLOS Global Public Health
title Household modifications after the indoor residual spraying (IRS) campaign in Mozambique reduce the actual spray coverage and efficacy
title_full Household modifications after the indoor residual spraying (IRS) campaign in Mozambique reduce the actual spray coverage and efficacy
title_fullStr Household modifications after the indoor residual spraying (IRS) campaign in Mozambique reduce the actual spray coverage and efficacy
title_full_unstemmed Household modifications after the indoor residual spraying (IRS) campaign in Mozambique reduce the actual spray coverage and efficacy
title_short Household modifications after the indoor residual spraying (IRS) campaign in Mozambique reduce the actual spray coverage and efficacy
title_sort household modifications after the indoor residual spraying irs campaign in mozambique reduce the actual spray coverage and efficacy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021718/?tool=EBI
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