Improving the performance of spray operators through monitoring and evaluation of insecticide concentrationsof pirimiphos-methyl during indoor residual spraying for malaria control on Bioko Island

Godwin Fuseini, Hanafy Mahmoud, Michael E. Von Fricken, Thomas A. Weppelmann, Jordan Smith, Rhiannon Agnes Ellis Logan, Sade Oladepo, Kyle Walker, Wonder P. Phiri, Mark Paine, Guillermo A. Garciá

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

Background: Quality control of indoor residual spraying (IRS) is necessary to ensure that spray operators (SOs)

deposit the correct concentration of insecticide on sprayed structures, while also confrming that spray records are not being falsifed.

Methods: Using high-performance liquid chromatography (HPLC), this study conducted quality control of the organophosphate insecticide pirimiphos-methyl (Actellic 300CS), during the 2018 IRS round on Bioko Island, Equatorial Guinea. Approximately 60 SOs sprayed a total of 67,721 structures in 16,653 houses during the round. Houses that were reportedly sprayed were randomly selected for quality control testing. The SOs were monitored twice in 2018,

an initial screening in March followed by sharing of results with the IRS management team and identifcation of SOs to be re-trained, and a second screening in June to monitor the efectiveness of training. Insecticide samples were adhesive-lifted from wooden and cement structures and analysed using HPLC.

Results: The study suggests that with adequate quality control measures and refresher training, suboptimal spraying was curtailed, with a signifcant increased concentration delivered to the bedroom (diference=0.36, P<0.001) and wooden surfaces (diference 0.41, P=0.001). Additionally, an increase in efective coverage by SOs was observed, improving from 80.7% in March to 94.7% in June after re-training (McNemar’s test; P=0.03).

Conclusions: The ability to randomly select, locate, and test houses reportedly sprayed within a week via HPLC

has led to improvements in the performance of SOs on Bioko Island, enabling the project to better evaluate its own performance.

Keywords: Malaria, Indoor residual spraying, Vector control, Quality control, Bioko Island

Original languageEnglish
Article number35
Pages (from-to)e35
JournalMalaria Journal
Volume19
Issue number1
DOIs
Publication statusPublished - 21 Jan 2020

Keywords

  • Bioko Island
  • Indoor residual spraying
  • Malaria
  • Quality control
  • Vector control

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