Malawi Medical Journal
College of Medicine, University of Malawi and Medical Association of Malawi
Vol. 26, No. 3, 2014, pp. 71-77
Bioline Code: mm14017
Full paper language: English
Document type: Research Article
Document available free of charge
Malawi Medical Journal, Vol. 26, No. 3, 2014, pp. 71-77
© Copyright 2014 - Malawi Medical Journal
Community satisfaction with indoor residue spraying for Malaria control in Karonga, Northern Malawi|
Chunga, C. & Kumwenda, S.
The Malawi National Malaria Control Program conducted Indoor Residual
Spraying (IRS) in 2010 and 2013 in selected hot districts along the valleys
including Karonga, but no study has been done to measure community
satisfaction levels in these areas.
To assess satisfaction levels of community with IRS in both rural and
urban settings, in Karonga district.
A cross-sectional study was conducted in urban village of Mwahimba and
rural village of Fundi. Qualitative and quantitative data was collected from
households’ representatives through Focus Group Discussions (FGDs)
using De Wets’s Schutte tool. Qualitative data was analysed using thematic
analysis while numbers and percentages were generated using Microsoft
Overall level of satisfaction in Fundi was estimated at 69% while that of
Mwahimba was at 60.9%. In Fundi village, 66.1 % (37) of the household
representatives were satisfied while in Mwahimba village, 60.7 % (34) were
satisfied with the IRS programme. Factors that led to satisfaction were
minimal adverse effects of the chemical on people after spraying, killing
of other insects, sprayer’ courtesy and good communication. Factors
behind dissatisfaction include: short residual effect of the chemical used,
over-dilution of the chemical and minimal community involvement.
Despite finding high satisfaction levels in rural village than in an urban
village, overall all the villages reported low levels of satisfaction with IRS
due to various factors some of which common to both villages. Karonga
District Health Office needs to involve the community in the process of
spraying by recruiting sprayers from the target area and also explaining the
purpose of dilution and the dilution factor to community members.
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