Benin

The entire population of Benin is at risk for malaria and it is the leading cause of death among children under five. With support from PMI and other partners, rapid diagnostic tests, artemisinin-based combination therapies, and intermittent preventive treatment during pregnancy (IPTp) are now available and being used in public health facilities nationwide and millions of long-lasting insecticide-treated nets have been distributed. Several key malaria indicators have improved and the country’s long-term vision is to reduce the burden of malaria so that it is no longer a roadblock to development.

The PMI VectorLink Project in Benin will work with the Ministry of Health, the National Malaria Control Program, and other stakeholders to achieve at least 85 percent coverage. In 2018, PMI will support the spraying of approximately 432,379 structures in the following communes:

Communes Estimated eligible structures Targeted population
Djougou 126,551 323,742
Ouaké 27,416 61,043
Copargo 24,423 60,886
Kandi 74,636 246,864
Gogounou 52,887 175,281
Segbana 37,316 117,235
Péhunco 38,930 118,346
Kérou 50,220 167,102
Total 432,379 1,270,500

In addition, the project will:

  • Support training, capacity building, and advocacy at national, departmental, and commune levels as a means of achieving IRS sustainability. This will include building the capacity of government, counterparts, and partners to undertake high-quality IRS. Interventions will include the following: conducting morning mobilizations, supervising teams in the field; verifying the completion of IRS form; organizing daily debriefings and logistics; supervising data entry; preparing the IRS report; and reinforcing their familiarity with the use of smartphone technology during the spraying and environmental compliance supervision.
  • Coordinate all IRS activities and provide regular M&E for the IRS program.
  • Carry out geographical reconnaissance/logistics assessment in all communes and arrange all procurement, shipping, delivery, and storage of sprayers, spare parts, insecticides, and PPE.
  • Ensure proper insecticide application techniques to minimize human and environmental exposure to IRS insecticides in compliance with the Pesticide Evaluation Report and Safer Use Action Plan and Supplemental Environmental Assessment.
  • Coordinate information, education and communication, behavior change communication, sensitization, and mobilization activities with other stakeholders to raise populations’ awareness of IRS, and to encourage ownership.
  • Prepare clear terms of reference, scale payment and working conditions, codes of conduct and reporting structures for all seasonal staff involved in the spraying operations.
  • Promote cost-efficiency options in the implementation of activities.

To manage pyrethroid and carbamate resistance, the project will continue to use organophosphates as susceptibility to the insecticide remains above 98 percent, despite lower residual efficacy. Since 2016, the Center for Entomological Research has conducted enhanced entomological monitoring to assess the efficacy of pirimiphos-methyl after three consecutive years of use of this product. NMCP in collaboration with other concerned USAID-funded projects and partners is carrying out an epidemiological follow-up on the length of the high malaria transmission period in the new IRS area (Djougou, Copargo, Ouaké in the department of Donga and Kandi, Gogounou and Segbana in the department of Alibori). The NMCP, with the support of PMI, will continue to use entomological and epidemiological data to guide IRS decisions.