The PMI VectorLink Tanzania Project supports the implementation of IRS in Mainland Tanzania and Zanzibar. It aims to move the country toward PMI’s goal of halving the burden of malaria in 70% of at-risk populations in sub-Saharan Africa. This fits into the mission of the Mainland Tanzania NMCP for 2014–2020, which is to ensure that Tanzanians have access to quality, effective, safe, and affordable malaria interventions through timely and sustainable collaborative efforts with partners and stakeholders at all levels. The project will also continue to support the work of the Zanzibar Malaria Elimination Programme (ZAMEP) to achieve Malaria Elimination in Zanzibar by 2023.
IRS in Tanzania Mainland
In 2018/2019, under the PMI VectorLink Tanzania project, IRS was conducted in seven Mainland Tanzania districts, targeting 516,396 structures using 154,744 sachets of the clothianidin insecticide (SumiShield 50WG) from October 24 – November 23, 2018. A total of 501,584 structures were sprayed out of 525,222 structures found by spray operators (SOPs) in the targeted districts, accounting for a coverage rate of 95.5%.
IRS in Zanzibar
In 2018/2019, under the PMI VectorLink Tanzania project, IRS was conducted in ten districts of Zanzibar (Pemba and Unguja), targeting 88,355 structures using 27,193 bottles of pirimiphos-methyl, (Actellic 300CS) from February 23 – March 17, 2019. A total of 94,339 structures were sprayed out of 99,126 structures found by SOPs in the targeted districts, accounting for a coverage rate of 95.2%.
In its second year of implementation, the PMI VectorLink Project will conduct IRS in six districts in four Mainland regions: Bukombe District in Geita Region; Biharamulo District in Kagera Region; Kakonko, Kasulu Rural, and Kibondon districts in Kigoma Region; and Ukerewe District in Mwanza Region. The project will also spray in Unguja and Pemba in Zanzibar and will continue to provide capacity-building support to the national and district governments to plan and implement quality IRS in the future.
Additionally, the Project will:
- Support training, capacity building, and advocacy at the national, regional, and district level as a means to achieving IRS sustainability
- Provide regular M&E for the project, including a daily mobile-based performance tracker.
- Carry out a logistics assessment in all districts and arrange all procurement, shipping, delivery, and storage of spray tanks, spare parts, insecticides, and personal protective equipment (PPE).
- Ensure safe and correct insecticide application, thus minimizing human and environmental exposure to IRS insecticides, in compliance with the Pesticide Evaluation Report and Safer Use Action Plan and Supplemental Environmental Assessment (SEA)
- Coordinate information, education, and communication (IEC) and social and behavior change sensitization and mobilization activities with other stakeholders to raise community awareness of IRS and to encourage beneficiary and stakeholder ownership.
- Help the National Institute for Medical Research (NIMR) and the Zanzibar Malaria Elimination Program (ZAMEP) conduct routine entomological monitoring in all spray sites and control unsprayed sites, including assessing malaria vector density, vector survival (age), and species composition in intervention and control areas; establish vector feeding time and location; monitor the quality of insecticide application and insecticide decay rates; and assess vector susceptibility to insecticides and prevailing mechanisms of resistance
- Promote cost efficiency through due diligence and efficiency of operations.
Insecticide-Treated Net (ITN) Activities
To help the NMCP to achieve the Supplementary Malaria Midterm Strategic Plan 2018-2020 strategic objective “to reduce transmission of malaria by maintaining effective vector control intervention packages recommended per strata,” PMI VectorLink Tanzania will support the integrated malaria vector control-specific objective to “ensure adequate access to ITNs of the population at risk according to transmission setting.”
For seven months from July to January 2020, PMI VectorLink Tanzania will support the planning, implementation, monitoring, and supervision of a partial round of SNP. PMI VectorLink will support the distribution of 1.2 million PBO ITNs through primary schools in four regions of the lake zone.
To support the achievement of the Zanzibar Malaria Elimination Program’s 2018-2023 Strategic Plan IV strategy to “increase appropriate vector control measures to the population at the risk of malaria to 100 percent by 2023”, PMI VectorLink Tanzania will support Smart Push of 288,000 PBO ITNs to health facilities on Unguja and Pemba to support continuous distribution (via Chandarua Kliniki) and community distribution.