1. A Workshop for Data Entry Clerks
Data Entry for IRS
A Workshop for Data Entry Clerks

2. Course Goal
The goal of this training is to help data entry clerks properly enter IRS data into the AIRS database.

3. Course Objectives By the end of this course, trainees will be able to:
Explain the importance of monitoring and evaluation for IRS
Describe the AIRS M&E System
Describe the 4 data collection forms that are entered into the AIRS database
Demonstrate the ability to enter critical data into the database correctly

4. Name and Location where you work Experience with IRS
Introductions
Name and Location where you work Experience with IRS

5. Session 1: Overview of IRS M&E System

6. Session Objectives
By the end of this session, participants will be able to:
Explain how IRS works
Articulate the impact of IRS on malaria rates
Describe the importance of M&E for IRS
Outline the AIRS M&E system

7. Citation: WHO Epidemiological Approach for Malaria Control 2013
Malaria Worldwide
Malaria is a major cause of morbidity and mortality in many countries
219 million illnesses + 660,000 deaths in 2010
80% of cases + 90% of deaths are in Africa, the rest in Southeast Asia and eastern Mediterranean
World Health Organization targets were to achieve a 75% reduction in malaria incidence and deaths between 2000 and 2015
Citation: WHO Epidemiological Approach for Malaria Control 2013

8. Citation: World Malaria Report 2014
In the Last 5 Years
Malaria prevention and control measures have been significantly scaled-up
Insecticide treated bed nets
Drying of mosquito breeding sites
Indoor residual spraying
Important achievements have been made
Malaria cases reduced by 30% worldwide
34% in Africa between
Globally, deaths from malaria have decreased by 47%
Decline in Africa was 54%
Citation: World Malaria Report 2014

9. Elimination Is Possible
We aren’t there yet, but malaria elimination is possible.

10. Elimination Is Possible
Requires implementation of programs known to work, including:
Malaria testing to confirm suspected cases
Prompt treatment with artemisinin-based combination therapy (ACT)
Preventive treatment for pregnant women and infants
Use of insecticide-treated bed nets
Implementation of indoor residual spraying (IRS)

11. IRS Video: “How IRS Works”

12. How Do We Know IRS Works?
IRS is highly effective in protecting a community when:
At least 85% of houses in a targeted area are sprayed
There is widespread support from communities, district actors, and national government
IRS programs have reduced malaria infection rates by 30-90%
How do we know this?

13. Proving that IRS works
With our aim to spray nearly every structure, significant resources are required
An important part of IRS is being able to demonstrate our impact to stakeholders
What parts of the program do you think we track and measure?

14. M&E system is STANDARDIZED
Allows us to collect data in a uniform way, across countries and programs

15. Everything About IRS Can be Measured
WHAT to Apply
Consider:
Safety, efficacy, cost-effectiveness, acceptability and availability of products
HOW to Apply
WHERE to Apply
Consider:
Staff skills and training, equipment and safety
Consider:
Coverage requirements and best targeting
This is an extension of the definition of IRS that demonstrates that the Operations and M&E functions have an integrated role in all the key facets of IRS.
WHEN to Apply
Consider:
Time required for covering target area, duration of effect and epidemiological requirements

16. Data is Collected and Analyzed as the Spray Round is Conducted
Spray Operators Collect Household Data
Reviewed by Spray Team Leaders
Forms Collected and Sent to Data Center Daily
Data Entered into M&E Database (within 24 hours)
Data verified by data supervisors (10% are checked within 1-4 days)

17. Key Information During the Spray Round
Effectiveness (are we doing the right thing?)
Are we spraying at least 85% of houses?
Are we spraying at the right time of the year to kill the most mosquitoes?
Are we following the schedule?
Are spray operator procedures being followed fully?
Efficiency (are we doing it in the best way?)
Are we completing the spray round as quickly as possible?
How many houses are sprayed per spray operator per day?
How many houses are sprayed per packet of insecticide?

18. Spray Teams and Data Teams
Spray Teams and Supervisors need daily/weekly data to monitor and evaluate performance
The M&E and data teams need accurate and timely information from Spray Teams to provide the data required
The two teams work closely together

19. Data-based Decisions Planning: Supervision (monitoring):
How many houses were found in this area last year?
How much insecticide should we order?
Which villages should be sprayed first, based on what worked last year?
Supervision (monitoring):
Which areas need to be covered next?
Which areas are having problems?
Which spray teams are moving too slowly/quickly?
Which spray teams are using more/less insecticide?

20. Data-based Decisions Evaluation: Decision making:
What worked well, and what didn’t?
What can we do differently next year?
What were our major problems or slow-downs?
Decision making:
Which spray operators should be invited to continue working for us?
Which supervisors were most effective?
How should we structure our teams?
The data helps evaluate the spray operations, and helps identify weak team members. (IRS is so labor-intensive that individual performance is key).

21. Data Clerk Role
As data collection clerks, you have an important role to play in the success of IRS
Data must be entered quickly and accurately to ensure that spray teams and supervisors have the data they need
If data is incorrect, in accurate or missing, teams in the field can not make good decisions