Assessing IRS performance in a gender-integrated vector control programme on Bioko Island, Equatorial Guinea, 2010-2021.

Autor: DeBoer KR; MCD Global Health, Silver Spring, MD, USA. kdeboer@mcd.org., Vaz LM; MCD Global Health, Malabo, Equatorial Guinea., Ondo Mfumu TA; MCD Global Health, Malabo, Equatorial Guinea.; Ministry of Health and Social Welfare, National Malaria Control Programme, Malabo, Equatorial Guinea., Nlang JAM; MCD Global Health, Malabo, Equatorial Guinea., Ondo L; MCD Global Health, Malabo, Equatorial Guinea., Riloha Rivas M; Ministry of Health and Social Welfare, National Malaria Control Programme, Malabo, Equatorial Guinea., Incardona S; MCD Global Health, Silver Spring, MD, USA., Pollock J; MCD Global Health, Hallowell, ME, USA., von Fricken ME; Department of Environmental and Global Health, University of Florida, Gainesville, FL, USA., Mba Eyono JN; MCD Global Health, Malabo, Equatorial Guinea., Donfack OT; MCD Global Health, Malabo, Equatorial Guinea., Guerra CA; MCD Global Health, Silver Spring, MD, USA., García GA; MCD Global Health, Silver Spring, MD, USA.
Jazyk: angličtina
Zdroj: Malaria journal [Malar J] 2023 Oct 25; Vol. 22 (1), pp. 323. Date of Electronic Publication: 2023 Oct 25.
DOI: 10.1186/s12936-023-04755-4
Abstrakt: Background: Indoor residual spraying (IRS) is a common vector control strategy in countries with high malaria burden. Historically, social norms have prevented women from working in IRS programmes. The Bioko Island Malaria Elimination Project has actively sought to reduce gender inequality in malaria control operations for many years by promoting women's participation in IRS.
Methods: This study investigated the progress of female engagement and compared spray productivity by gender from 2010 to 2021, using inferential tests and multivariable regression. Spray productivity was measured by rooms sprayed by spray operator per day (RSOD), houses sprayed by spray operator per day (HSOD), and the daily productivity ratio (DPR), defined as the ratio of RSOD to HSOD, which standardized productivity by house size.
Results: The percentage of women participating in IRS has increased over time. The difference in DPR comparing male and female spray operators was only statistically significant (p < 0.05) for two rounds, where the value was higher for women compared to men. Regression analyses showed marginal, significant differences in DPR between men and women, but beta coefficients were extremely small and thus not indicative of a measurable effect of gender on operational performance.
Conclusions: The quantitative analyses of spray productivity are counter to stigmatizing beliefs that women are less capable than male counterparts during IRS spray rounds. The findings from this research support the participation of women in IRS campaigns, and a renewed effort to implement equitable policies and practices that intentionally engage women in vector control activities.
(© 2023. BioMed Central Ltd., part of Springer Nature.)
Databáze: MEDLINE
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