PMI | Africa IRS (AIRS) Project Indoor Residual Spraying (IRS 2) Task Order Four 2013 MALI END OF SPRAY REPORT Recommended Citation: PMI|Africa IRS (AIRS) Project Indoor Residual Spraying (IRS 2) Task Order Four. November, 2013. 2013 Mali End of Spray Report. Bethesda, MD. PMI|Africa IRS (AIRS) Project Indoor Residual Spraying (IRS 2) Task Order Four, Abt Associates Inc. Contract: GHN-I-00-09-00013-00 Task Order: AID-OAA-TO-11-00039 Submitted to: United States Agency for International Development/PMI Abt Associates Inc. 1 4550 Montgomery Avenue 1 Suite 800 North 1 Bethesda, Maryland 20814 1 T. 301.347.5000 1 F. 301.913.9061 1 www.abtassociates.com 2013 MALI END OF SPRAY REPORT CONTENTS Contents iii Acronyms vii Executive Summary ..................................................................................................................... ix 1. introduction ............................................................................................................................ 1 2. Country Background ............................................................................................................. 2 2.1 Political Situation in Mali .................................................................................................... 3 2.2 Objectives for 2013 IRS Campaign ................................................................................... 3 2.2.1 Adjustments to Achieve 2013 Work Plan Objectives ........................................................................ 3 3. Preparation for IRS Campaign ............................................................................................. 4 3.1 IRS Campaign Planning ................................................................................................... 4 3.2 Pre-Spray Environmental Assessment ............................................................................ 4 3.2.1 Geographic Reconnaissance.................................................................................................................. 4 3.2.2 Pre-Spray Environmental Inspection ................................................................................................... 5 3.2.3 Testing of Mobile Incinerator ............................................................................................................... 6 3.3 Insecticide Selection and Procurement ........................................................................ 7 3.4 Logistics Planning and Procurement ............................................................................. 8 3.4.1 Personal Protection Equipment Inventory and Procurement ....................................................... 8 3.4.2 Establishing Logistical Needs for 2013 IRS Campaign..................................................................... 8 3.5 Human Resources ............................................................................................................. 8 3.6 Trainings 9 4. Enumeration ......................................................................................................................... 13 5. Communications .................................................................................................................. 14 6. Implementation of IRS Activities ....................................................................................... 17 6.1 Spraying Operations ...................................................................................................... 17 6.2 Stock Management during the IRS Campaign .......................................................... 19 6.3 Mid-Spray Environmental Inspection ........................................................................... 20 6.4 Results of Logistics and Supply Chain Analysis by RTT Group, Limited .................... 21 7. Monitoring and evaluation of 2013 irs campaign .............................................................. 22 7.1 Key Objectives ................................................................................................................ 22 7.2 Data Management ........................................................................................................ 22 7.3 Data Quality Assurance and Quality Control ............................................................ 23 7.4 Spray Coverage Results ................................................................................................. 25 7.5 Population Protected..................................................................................................... 26 7.6 Insecticide Use and Spray Operator Performance ................................................... 26 iii 7.7 Post-Spray Data Quality Audit ...................................................................................... 26 8. Entomology .......................................................................................................................... 28 8.1 Entomological Surveillance Baseline ........................................................................... 28 8.2 Quality Control Testing and Residual efficacy monitoring ....................................... 29 9. Post-Spray Activities............................................................................................................ 31 9.1 Post-Spray Meetings ....................................................................................................... 31 9.2 Post-Spray Environmental Inspection ........................................................................... 31 9.3 Solid Waste Incineration ................................................................................................ 32 9.4 Post-Spray Inventory ....................................................................................................... 32 9.5 Post-Spray Campaign Radio Programs ....................................................................... 32 10. Lessons Learned and Recommendations .......................................................................... 33 11. ANNEXES ............................................................................................................................ 34 11.1 Annex 1: Health Areas Which Are Difficult to Access/Prone to Flood during Rainy Season 34 11.2 Annex 2: Refurbishments of Operation Sites for the 2013 IRS Campaign ............. 34 11.3 Annex 3: Participants in 2013 IRS Campaign Trainings ............................................ 38 11.4 Annex 4: Vehicles during the IRS Campaign ........................................................... 40 11.5 Annex 5: Inventory of IRS Commodities at the Koulikoro District Warehouse ..... 40 11.6 Annex 6: Inventory of IRS Commodities at the Bla District Warehouse ................ 42 11.7 Annex 7: Inventory of IRS Commodities at the Baroueli District Warehouse ....... 44 11.8 Annex 8: Insecticide susceptibility test results of An. gamabiae s.l to various insecticides from the 3 sentinel sites in Mali using WHO tube test ........................... 47 11.9 Annex 9: WHO Cone Bioassay Test Result 24 hours and one month after spray with Bendiocarb ............................................................................................................. 48 11.10 Annex 10: AIRS Mali M&E Plan Indicator Matrix ...................................................... 49 LIST OF TABLES Table 1: Distribution of Selected IRS Commodities to Operation Sites ................................. 8 Table 2: 2013 IRS Campaign Seasonal Staff ............................................................................ 9 Table 3: Total People Trained (by position) ............................................................................ 10 Table 4. 2013 Enumeration Data vs. 2012 Spray Data ........................................................... 13 Table 5: Results of Door-to-Door Mobilization ........................................................................ 15 Table 6: Distribution of Spray Teams by District ....................................................................... 17 Table 7: Supervision during the 2013 IRS Campaign.............................................................. 17 Table 8: Use of Insecticide during the 2013 IRS Campaign .................................................. 20 Table 9: Data Quality Assurance Tools .................................................................................... 23 Table 10. Number of supervisory tools used ............................................................................ 24 Table 11: Spray Coverage and Population Protected ......................................................... 26 Table 12: Population Protected, Disaggregated by Sex, and District ................................ 26 Table 13: Solid Waste from 2013 IRS Campaign Incinerated ............................................... 32 iv LIST OF FIGURES Figure 1: Location of Baroueli, Bla, and Koulikoro Districts for the IRS Campaign .............. 2 Figure 2: Reburbishment of Operation Site in Koulikoro District ............................................. 6 Figure 3: Testing of the Mobile Incinerator ................................................................................ 7 Figure 4: Training of Trainers in Segou ..................................................................................... 11 Figure 5: Data Clerks Entering Spray Campaign Data at the Segou Data Center .......... 23 v ACRONYMS AIRS Africa Indoor Residual Spraying Project ASACO Community Health Associations (Association de Santé Communautaire) BMP Best