South Africa

Indoor residual spraying (IRS), the coating of interior walls of houses with insecticides, is common in malaria-endemic areas. While important in malaria control, IRS potentially exposes residents to harmful insecticides. The World Health Organization recommends steps to minimize exposure; however, no programme has focused on educating populations.

The 24-h mobile reporting system is user friendly and trained healthcare workers are willing to use the system, despite network limitations.

Most participants were not positive that South Africa could achieve the malaria elimination goal by 2018, citing the high cross-border movements and lack of resources as key barriers.

South Africa and Swaziland benefitted from the LSDI and were able to sustain malaria control and progress to the stage of elimination.

The newly developed ITWLs are highly accepted amongst participants in an unsprayed section of a village in a malaria-endemic area.