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SBCC FOR INDOOR RESIDUAL SPRAYING

Training of Trainers (ToT): Indoor Residual Spraying (IRS)

Presentation Outline
• Why Indoor Residual Spraying (IRS)
• Importance of Community Engagement
• Primary IRS messages (and IRS myths and misperceptions)
• Who to deliver the messages – preferred messengers
• How to deliver the messages – preferred channels of communication
• Convening a local stakeholder meeting
• IRS sensitization and mobilization planning
• Cascade training information
 Why Indoor Residual Spraying (IRS)?

• Malaria is spread by
mosquitoes.

• After entering a house


and biting someone,
she needs to rest.
  Why IRS, cont.
• Indoor spraying applies a small
amount of insecticide to the walls of
your house; the resting mosquito picks
up the insecticide.

• Within a day the mosquito will be


dead.

• Indoor spraying is one of the best ways


to protect your family by killing the
mosquitoes that spread malaria.
• IRS is key to Zambia’s vision of a malaria-free future. As
stated in the national strategic plan

• The goal for this elimination strategy is to attain operational


coverage of over 90 percent of eligible structures
benefitting up to 80 percent of the population of Zambia, in
a timely manner according to transmission season.”

• Thus Public acceptance is key to have a successful IRS


campaign
Benefits of IRS
• Reduces the mosquitoes population

• Reduces the incidence of malaria

• Other pests/insects die also

• Having a peaceful sleep for your family and community at large

• Good health is prolonged for your family and community at large

• Promotion of productivity and community empowerment; Man hours are not lost
due illness through malaria.

• Saving domestics resources, as the money meant for medical care can be used for
other family needs
• “Community engagement is collaborating
with communities on plans and activities
prioritized by a national malaria programme

• This ensure that community members are


directly involved throughout the process and
assures acceptance of IRS.

• Zambia’s community engagement strategy


aims to move communities from passive
acceptance to active participation to
ownership of malaria elimination.

• If there is no buy-in at the community and


household levels, malaria elimination will not
be achieved.”
The Importance of Community Engagement
• Proven interventions such as
IRS mean nothing if the
community is not aware and
accepting it.

• That’s why community


engagement is critical to
success.
Stakeholder meetings
• Previously, IRS mobilizers were often the spray operators themselves.
But This is not feasible especially in rural areas because of the
distances.

• Now the approach is to convene a local stakeholder meeting so that


the area is aware of the activity.

• Then that group identifies who will serve as community mobilizers for
IRS. This can be community health workers, members of the
neighborhood health committee, etc.

• Mobilizers go house-to-house to alert them a day before IRS.


• IRS is most effective when the entire
community participates and allow their
houses to be sprayed.

• As such community mobilisation should


start early using the Community mobilisers

• IRS is safe. Only a small amount of


insecticide is sprayed: enough to kill
mosquitoes but safe for people of all ages.
It is not harmful to children or even
animals.
IRS messages: addressing myths/misperceptions
• Do not be discouraged if you see mosquitoes after your house has been sprayed.
Mosquitoes must come into contact with the sprayed surfaces for them to die. This
means you may see the mosquitoes flying around before they rest on a sprayed surface
and die.

• Indoor spraying does not cause cockroaches, bed bugs, and other insects to appear
suddenly. Rather, the insecticide disturbs them, forcing all bugs to come out of their
hiding places.

• Following spraying, allow at least two hours before going inside. When you do, open all
windows and doors to allow air to circulate for 30 minutes.

• Dispose of any dead bugs by burying (50cm) or putting in a pit latrine for other
insecticides while for DDT, tie in a plastic and give any spray team members .
Channels of Communication

• Use of influential leaders (religious, traditional leaders and civic leaders)


• Door to door using the Community mobilisers
• Community radio spots and/or discussion programs
• PA systems mounted on vehicles or bicycles or walking
• Drama group performances
• School meetings

• The above channels are coupled with distribution of flyers and posters
• The spray operator must introduce
themselves and the purpose for visiting that
house

• Request the head of household for permission


to spray their house.

• Inspection how the house has been prepared


before spraying

• Advise members of the household not to


enter the house while you are spraying.
 What to do before the house is sprayed
• Community mobiliser should inform the head of household or any responsible
adult in advance of what they need to do in preparation for the spraying

• Remove stored water, food and cooking utensils and keep them away from your
house.

• Personal items such as toothbrushes, combs, children’s toys, school bags and all
clothes should be kept in a secure place or removed from the house.

• Move furniture, linen and appliances to the centre of the rooms and cover
valuable household goods with plastic sheets (this allows for easy access to the
walls when spraying)
• Keep domestic animals and pets if any away during spraying and ensure
they do not come in contact with the sprayed surfaces.

• Members of the household should not to enter the house while you are
spraying.

• Advise members of the household to dispose of dead cockroaches,


bedbugs or other insects by burying (50 cm) or throwing in a pit latrine to
avoid these being eaten by poultry e.g. chickens and ducks.

• Poultry suspected to have eaten dead cockroaches after spraying should


not be eaten but disposed of by burying or burning.
 After Spraying

• Allow at least two hours before going inside


the house; only enter when the walls are
completely dry. After 2 hours open all
windows and doors to allow air to circulate
for 30 minutes.

• Wipe any droplets on the floor with a dry


cloth

• Dispose of any dead bugs by burying or


putting in a pit latrine.
• Food suspected to have been accidentally contaminated should be buried
or thrown in a pit latrine.

• After the house has been sprayed, they should not plaster, paint or wash
the walls for at least six (6) months; this renders the insecticide ineffective.

• After the house has been sprayed, they should encourage their neighbours
in the community to have their houses sprayed too.
• Do not be discouraged if you see mosquitoes after your house has
been sprayed. Mosquitoes must come into contact with the
sprayed surfaces in order for them to die. This means you may see
the mosquitoes flying around before they rest on a sprayed ­
surface.

• Indoor Spraying does not cause cockroaches, bed bugs and other
insects to appear suddenly. Rather, the insecticide disturbs them,
forcing all bugs to come out of their hiding places.
Thank you for your attention

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