Toolkit for Monitoring and Evaluation of Indoor Residual Spraying for Visceral Leishmaniasis Control in the Indian Subcontinent: Application and Results

Table 2

Findings of process indicators: observation of spraying squad at community level.

Statements	Samastipur, Muzaffarpur, Vaishali; (India)	Sunsari, Morang, Saptari; (Nepal)	Sarlahi, Dhanusa, Mahottari; (Nepal)	Fulbaria; (Bangladesh)	Trishal; (Bangladesh)
	𝑛 (%)	𝑛 (%)	𝑛 (%)	𝑛 (%)	𝑛 (%)
Number of spraying squads observed	51	31	112	120	120
General condition of the pump
(i) no leakage present	39 (76.5%)	31 (100%)	112 (100%)	120 (100%)	120 (100%)
(ii) pressure gauze present	Not applicable	0 (0.00%)	50 (44.6%)	120 (100%)	0 (0.00%)
Adequate filling of the pump	0 (0.00%)	31 (100%)	112 (100%)	120 (100%)	120 (100%)
Proper mixing insecticide was done	15 (29.4%)	31 (100%)	111 (99.1%)	120 (100%)	120 (100%)
Proper distance of nozzle from surface maintained (ideally 45 cm from the surface)	25 (49.0%)	0 (0.00%)	112 (100%)	97 (80.8%)	77 (64.2%)
Proper spray swath (ideal width 65–70 cm)	30 (58.8%)	0 (0.00%)	112 (100%)	120 (100%)	78 (31.7%)
Marking of sprayed houses (stencils)
(i) spray cycle (mentioned)	51 (100%)	0 (0.00%)	112 (100%)	0 (0.00%)	0 (0.00%)
(ii) group number (mentioned)	0 (0.00%)	0 (0.00%)	94 (83.9%)	0 (0.00%)	0 (0.00%)
(iii) team number (mentioned)	51 (100%)	0 (0.00%)	94 (83.9%)	120 (100%)	120 (100%)
(iv) spray man number (mentioned)	0 (0.00%)	0 (0.00%)	94 (83.9%)	120 (100%)	120 (100%)
(v) number or rooms sprayed	0 (0.00%)	0 (0.00%)	94 (83.9%)	0 (0.00%)	0 (0.00%)
(vi) name of the insecticide sprayed	51 (100%)	0 (0.00%)	94 (83.9%)	0 (0.00%)	0 (0.00%)
(vii) number of charges applied	0 (0.00%)	0 (0.00%)	94 (83.9%)	0 (0.00%)	0 (0.00%)
(viii) date of spray  (dd/mm/yy-mentioned)	51 (100%)	0 (0.00%)	112 (100%)	120 (100%)	120 (100%)
Use of safety measures:
(i) masks	0 (0.00%)	1 (33.3%)	112 (100%)	105 (87.5%)	111 (92.5%)
(ii) gloves	0 (0.00%)	0 (0.00%)	58 (51.8%)	0 (0.00%)	0 (0.00%)
(iii) coat/apron	0 (0.00%)	0 (0.00%)	37 (33%)	0 (0.00%)	0 (0.00%)
(iv) caps	0 (0.00%)	0 (0.00%)	51 (45.9%)	0 (0.00%)	0 (0.00%)
(v) boots	0 (0.00%)	0 (0.00%)	49 (44.1%)	0 (0.00%)	0 (0.00%)
(vi) goggles	0 (0.00%)	0 (0.00%)	10 (9%)	56 (46.7%)	111 (92.5%)
Supervisor was present during spraying	51 (100%)	0 (0.00%)	0 (0.00%)	53 (44.2%)	120 (100%)
Instruction given to the households
(i) to stay outside during spraying	100 (100%)	31 (100%)	112 (100%)	120 (100%)	120 (100%)
(ii) to prepare the room before  spraying	100 (100%)	31 (100%)	112 (100.0)	120 (100%)	120 (100%)
How were the leftover insecticide handled
(i) buried	0 (0.00%)	0 (0.00%)	112 (100%)	43 (35.8%)	9 (7.5%)
(ii) poured into nearby water	0 (0.00%)	0 (0.00%)	0 (0.00%)	0 (0.00%)	108 (90%)
(iii) keep it for future use	0 (0.00%)	0 (0.00%)	0 (0.00%)	0 (0.00%)	0 (0.00%)
(iv) no left over	51 (100%)	31 (100%)*	0 (0.00%)	77 (64.2%)	3 (2.5%)
How insecticide pouch and sacks disposed
(i) buried	0 (0.00%)	0 (0.00%)	112 (100%)	0 (0.00%)	0 (0.00%)
(ii) thrown nearby water	0 (0.00%)	0 (0.00%)	0 (0.00%)	0 (0.00%)	0 (0.00%)
(iii) kept for future use	0 (0.00%)	0 (0.00%)	0 (0.00%)	0 (0.00%)	0 (0.00%)
(iv) no left over	6 (1.4%)	0 (0.00%)	0 (0.00%)	0 (0.00%)	0 (0.00%)
(v) squad leader took to  UHC/PHC/supervisor	45 (88.2%)	31 (100%)	0 (0.00%)	120 (100%)	120 (100%)

*Used for partial spray of unsprayed house.