Chunga C, Kumwenda S
The Polytechnic, University of Malawi, Department of Environmental Health.
College of Medicine, University of Malawi, Department of Community Health.
Malawi Med J. 2014 Sep;26(3):71-82.
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 excel.
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 to community members.
马拉维国家疟疾控制项目于2010年和2013年在包括卡龙加在内的山谷沿线选定的热点地区开展了室内滞留喷洒（IRS）工作，但尚未开展研究来衡量这些地区的社区满意度。
评估卡龙加区农村和城市地区社区对室内滞留喷洒的满意度。
在姆瓦希姆巴的城市村庄和芬迪的农村村庄进行了一项横断面研究。通过使用德韦茨的舒特工具，通过焦点小组讨论（FGD）从家庭代表那里收集定性和定量数据。定性数据采用主题分析进行分析，数字和百分比则使用微软Excel生成。
芬迪的总体满意度估计为69%，而姆瓦希姆巴为60.9%。在芬迪村，66.1%（37）的家庭代表表示满意，而在姆瓦希姆巴村，60.7%（34）的家庭代表对室内滞留喷洒项目表示满意。导致满意的因素包括喷洒后化学药品对人的不良影响最小、杀死其他昆虫、喷雾器操作人员礼貌且沟通良好。不满意的背后因素包括：所用化学药品的残留效果短、化学药品过度稀释以及社区参与度低。
尽管发现农村村庄的满意度高于城市村庄，但由于各种因素，所有村庄对室内滞留喷洒的满意度总体较低，其中一些因素是两个村庄共有的。卡龙加区卫生办公室需要通过从目标地区招募喷雾器操作人员并向社区成员解释稀释目的，让社区参与喷洒过程。
