Mosquitoes around the home can be reduced significantly by minimizing the amount of standing water available for mosquito breeding. Residents are urged to reduce standing water around the home in a variety of ways.
The best way is to avoid being bitten by mosquitoes.This can be accomplished using personal protecting while outdoors when mosquitoes are present. Treated bed nets should be used sleeping. Mosquito repellent should be used when outdoor.
In 2012, the AGAMal Programme of AngloGold Ashanti successfully scaled up the IRS operations to 25 districts to cover the entire Upper East and Upper West Regions in addition to selected districts in the Northern, Western, Central and Ashanti Regions.
The presence of the programme in the six regions, supported by the Global Fund and other partners, brought the total beneficiary population of the project to 2.6 million and total jobs created to 2,200.
Some beneficiary districts included Nadowli, Jirapa, Lawra, Sissala West in the Upper West; Builsa, Bolgatanga and Kassena-Nankana districts in the Upper East regions and Ellembelle and Ahanta West in the Western region.Upper enkyira in the Central region was also a beneficiary district.
The programme did rely heavily on the local population for recruitment and training of the workforce needed for the exercise, where the spraying was to be carried out.
Community engagement always features prominently in the implementation of AGAMal's strategy and this is based on the belief that it is a key component to the success of the IRS programme.
This also highlights their approach to public-private partnership in tackling health issues. This resulted in a management team paying several courtesy calls on stakeholders in the regions and the communities they were operating in.
One approach which AGAMal identified and worked well in their favour was the support of its stakeholders, who are fully engaged in critical decision-making processes at the community level to ensure total community ownership of the programme at all times.
Therefore, as part of the programme's community entry processes, relevant stakeholders are engaged at programme inception in order to arrive at mutually acceptable roles and responsibilities for all players in the implementation of the IRS programme.
Some courtesy calls and visits are paid to regional and district political heads, directors of health services, security heads in prospective operational regions to inform them about plans to commence operations in the regions.
The traditional authorities also play key roles in the operations of AGAMal as the IRS programme is people-centered and involves entering both the communities and bedrooms and private quarters of beneficiaries.
Sometimes as custom demands, some kola nuts and gatekeeper's fees are presented to all paramount and sub-divisional chiefs. Considering the role of chiefs and opinion leaders in the communities, there is the need to adequately empower them to serve as effective advocates for the malaria control programme.
As an all-inclusive programme, community forums also serve as essential platforms for stakeholder-engagements at the grassroots.
Through community advocates, assemblymen and chiefs, community forums are organized to educate community members on malaria and its prevention. These have contributed immensely towards community involvement and participation.
To ensure accountability and stake-holder involvement, district stake-holders' meetings are organized with participants drawn from the Ghana Health Service, Environmental Protection Agency, district assemblies, chiefs, assembly members, security service personnel, non-governmental organisations and community opinion leaders. Other forms of stakeholder engagements are education campaigns in schools, health facilities, churches and mosques, radio stations and house-to house campaigns.
An important outcome of AGAMal's effective stakeholder engagement is the high community acceptance of the IRS programme, leading to consistently high operational coverage in most districts, since the inception of the programme.
Also, as part of the strategy to collaborate with stakeholders for mutual development, AGAMal worked closely with three sentinel health facilities in each district to monitor how their operations were impacting on malaria cases diagnosed in the districts.
In recognition of its role in the significant reduction of malaria cases in the execution of its programme across the countr y, AGAMal recei ved four consecutive A-ratings from the Geneva-based Global Fund from 2012 to 2014 for effective grant management.
The programme invested significantly in employee training and capacity building for months with the goal of doing things differently and far more efficiently.
Management personnel were made to participate in trainings at GIMPA, the Harvard Business School, the WHO International Course on Malaria Programme Management in Ethiopia and were also made to take part in some MIT Sloan Executive trainings.