The PMI Vectorlink Zambia 2020 End of Spray Report
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THE PMI VECTORLINK PROJECT ZAMBIA 2020 END OF SPRAY REPORT SPRAY CAMPAIGN: SEPTEMBER 29-NOVEMBER 18, 2020 Recommended Citation: The President’s Malaria Initiative (PMI)/VectorLink Project. Zambia 2020 End of Spray Report. Rockville, MD. The PMI VectorLink Project, Abt Associates. Contract: AID-OAA-I-17-00008 Task Order: AID-OAA-TO-17-00027 Submitted to: United States Agency for International Development/PMI Submitted on: December 22, 2020 Approved on: March 1, 2021 Abt Associates | 6130 Executive Blvd | Rockville, Maryland 20852 T. 301.347.5000 abtassociates.com The views expressed in this document do not necessarily reflect the views of the United States Agency for International Development or the United States Government. THE PMI VECTORLINK PROJECT ZAMBIA END OF SPRAY REPORT SEPTEMBER 29–NOVEMBER 18, 2020 CONTENTS Acronyms .............................................................................................................................................. iii Executive Summary .............................................................................................................................. iv 1. Country Background ...................................................................................................................... 1 2. Implementation of IRS Activities ................................................................................................... 4 2.1 IRS Planning and Partner Collaboration .......................................................................................................... 4 2.1.1 Pre-Spray Planning Activities ................................................................................................................. 5 2.2 Training ................................................................................................................................................................. 7 2.3 Spray Operations and Supervision .................................................................................................................... 7 2.3.1 Operations ................................................................................................................................................. 7 2.3.2 Supervision ................................................................................................................................................ 9 2.3.3 Operations Sites ..................................................................................................................................... 10 2.3.4 Community-based IRS .......................................................................................................................... 10 2.3.5 Payment of Spray Personnel ................................................................................................................ 12 2.3.6 Procurement ........................................................................................................................................... 12 2.4 Insecticide Stock Management ........................................................................................................................ 13 2.5 Information, Education, and Communication and Social Behavior Change Communication Activities and Results .......................................................................................................................................................... 13 2.5.1 Advocacy Meetings with Chiefs and Influential Community Leaders .......................................... 14 2.5.2 Community Mobilization ...................................................................................................................... 14 2.5.3 Print and Mass Media Communication .............................................................................................. 15 2.5.4 Success Stories ........................................................................................................................................ 15 2.6 Post-Spray Activities .......................................................................................................................................... 15 2.6.1 Inventory Assessment and Demobilization ....................................................................................... 15 2.6.2 Post-Spray Review Meetings ................................................................................................................ 15 2.7 Capacity-Building Efforts ................................................................................................................................. 16 2.8 Gender Mainstreaming...................................................................................................................................... 17 3. Entomology ...................................................................................................................................18 3.1 Insecticide Susceptibility Tests ........................................................................................................................ 18 3.2 IRS Spray Quality Assessment ......................................................................................................................... 19 3.3 Residual Efficacy ................................................................................................................................................ 20 4. Environmental and Safety Compliance ........................................................................................ 22 4.1 IRS Campaign Assessments and Preparations .............................................................................................. 22 4.2 Incident Reports ................................................................................................................................................. 23 4.3 Demobilization and Waste Management ....................................................................................................... 24 4.4 COVID-19 Mitigation Efforts ......................................................................................................................... 24 5. Monitoring and Evaluation .......................................................................................................... 25 5.1 Data Collection, Entry, and Quality Assurance ............................................................................................ 25 5.1.1 Data Collection using Reveal ............................................................................................................... 25 5.1.2 Data Collection Verification ................................................................................................................ 26 5.2 mHealth Implementation ................................................................................................................................. 26 5.3 IRS Campaign Results ....................................................................................................................................... 26 i 6. Challenges, Lessons Learned, and Key Recommendations ........................................................ 29 6.1 Challenges ........................................................................................................................................................... 29 6.2 Lessons Learned ................................................................................................................................................. 30 6.3 Recommendations ............................................................................................................................................. 32 Annex A: M&E Plan ............................................................................................................................ 34 Annex B: 2020 Environmental Mitigation and Monitoring Report ..................................................... 52 Annex C: Success Stories ..................................................................................................................... 58 LIST OF TABLES Table 1: USAID and PMI Support for IRS in Zambia, 2006 to 2020 ....................................................................... 1 Table 2: PMI VectorLink Zambia Partners .................................................................................................................... 5 Table 3: Targeted Catchment Areas by District ............................................................................................................. 6 Table 4: Number and Type of Full-Time GRZ and Seasonal Workers Trained, by Gender ................................. 7 Table 5: Number of Seasonal Workers Hired to Support IRS Disaggregated by Gender.................................... 10 Table 6: Cost Analysis of Community-Based and Quasi-Community Based IRS ................................................. 11 Table 7: Insecticide Consumption in 2020, by Province ............................................................................................ 13 Table 8: 2020 PMI VectorLink Zambia Incident Report Summary ......................................................................... 23 Table 9: Summary of 2020 PMI VectorLink IRS Campaign ..................................................................................... 27 Table 10: Provincial Spray Progress and Coverage ..................................................................................................... 27 Table 11: District-level Spray Progress and Coverage ...............................................................................................