Chemonics was awarded a five-year contract by USAID/Malawi for implementation of the Malawi Indoor Residual Spraying Activity, effective July 12, 2010. The project seeks to reduce malaria morbidity and mortality by decreasing its level of transmission. This is accomplished through spraying the inside surfaces of structures with a residual insecticide to kill malaria’s vector: mosquitoes.
In its first year, the project completed the 2010 spray season and registered a number of achievements during the planning, implementation, and review stages of the campaign. Chemonics implemented a number of efforts that strengthened the capacity of the National Malaria Control Program and Ministry of Health staff to implement indoor residual spraying in their target districts and for future campaigns.
The project implemented a significant number of activities to improve monitoring and quality assurance processes, by ensuring that spraying activities were implemented efficiently, adhered to high quality, and were cost effective. These activities included close supervision of field implementation, a review of data collection tools and development of a new monitoring and evaluation database, and periodic performance reviews of the program. The capacity building efforts and initiatives helped to enhance the project’s quality and effectiveness.
Project staff also assisted district-level Ministry of Health staff in conducting training workshops in the target districts of Nkhotakota and Salima, including workshops on environmental compliance, geographical reconnaissance, post-spraying beneficiary satisfaction review, behavior change and communications, and program supervision and monitoring for quality assurance. Chemonics also supported the Ministry of Health in implementing indoor residual spraying best practices, by spearheading a review of spraying guidelines and development of a training manual for district malaria control program staff, communities, and other stakeholders working on indoor residual spraying programs. These interventions will strengthen the ability of Malawian district and national health staff to implement future campaigns.
These improvements will contribute to the mutual goals of the President’s Malaria Initiative and Ministry of Health Malaria Strategic Plan for Malawi (2011-2015): achievement of universal coverage in prevention and treatment of malaria and a 50 percent reduction of malaria morbidity and mortality.