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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Chimberengwa, Pugie Tawanda Masuka, Nyasha Gombe, Notion Tafara Tshimanga, Mufuta Takundwa, Lucia Bangure, Donewell |
| Spatial Coverage | Zimbabwe |
| Description | Country affiliation: Zimbabwe Author Affiliation: Chimberengwa PT ( Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.); Masuka N ( Provincial Medical Director, Ministry of Health and Child Welfare, Matabeleland North Province, Mhlahlandlela Building, PO Box 441, Bulawayo, Zimbabwe.); Gombe NT ( Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.); Tshimanga M ( Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.); Takundwa L ( Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.); Bangure D ( Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.) |
| Abstract | INTRODUCTION: Matabeleland South launched the malaria pre-elimination campaign in 2012 but provincial spraying coverage has failed to attain 95% target, with some districts still encountering malaria outbreaks. A study was conducted to evaluate program performance against achieving malaria pre-elimination. METHODS: A descriptive cross sectional study was done in 5 districts carrying out IRS using the logical framework involving inputs, process, outputs and outcome evaluation. Health workers recruited into the study included direct program implementers, district and provincial program managers. An interviewer administered questionnaire, checklists, key informant interviewer guide and desk review of records were used to collect data. RESULTS: We enrolled 37 primary respondents and 5 key informants. Pre-elimination, Epidemic Preparedness and Response plans were absent in all districts. Shortages of inputs were reported by 97% of respondents, with districts receiving 80% of requested budget. Insecticides were procured centrally at national level. Spraying started late and districts failed to spray all targeted households by end of December. The province is using makeshift camps with inappropriate evaporation ponds where liquid DDT waste is not safely accounted for. The provincial IHRS coverage for 2011 was 84%. Challenges cited included; food shortages for spraymen, late delivery of inputs and poor state of IHRS equipment. CONCLUSION: The province has failed to achieve Malaria pre-elimination IRS coverage targets for 2011/12 season. Financial and logistical challenges led to delays in supply of program inputs, recruitment and training of sprayers. The Province should establish camping infrastructure with standard evaporation ponds to minimise contamination of the environment. |
| File Format | HTM / HTML |
| e-ISSN | 19378688 |
| DOI | 10.11604/pamj.2015.20.27.4721 |
| Journal | Pan African Medical Journal |
| Volume Number | 20 |
| Language | English |
| Publisher | African Field Epidemiology Network |
| Publisher Date | 2015-01-01 |
| Publisher Place | Uganda |
| Access Restriction | Open |
| Subject Keyword | Discipline Medicine Family Characteristics Insecticides Therapeutic Use Malaria Prevention & Control Mosquito Control Animals Cross-sectional Studies Efficiency, Organizational Health Knowledge, Attitudes, Practice Health Personnel Insect Vectors Drug Effects Epidemiology Questionnaires Zimbabwe |
| Content Type | Text |
| Resource Type | Article |
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