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Table 4 Reported reasons for adhering and not adhering to IRS, according to IDIs and FGDs

From: What drives community adherence to indoor residual spraying (IRS) against malaria in Manhiça district, rural Mozambique: a qualitative study

Reasons for adherence to IRS

Reasons for non-adherence to IRS

• Immediate killing action on insects (mosquitoes, fleas, ticks, and cockroaches)

• Disease avoidance in general

• Fulfilment of Governmental Orientations - the law of the hospital

• Fear of punishment from health authorities

• Fulfilment of citizenship duties

• Trust/acquaintance between householders and the sprayers

• Community leaders' involvement and persuasion

• Good references from previous experience with IRS

• Short-notice or no notification of IRS brigade's presence in the neighbourhood

• Absence or time limitations of household decision makers to consent and facilitate the procedures

• Perceived limited effectiveness on mosquito control

• Perceived long-term increment of fleas, ticks, and cockroaches

• Lack of understanding of/disagreement with spraying procedures

• Non-involvement of credible community structures, other than political entities, in the sensitization activities (ex: churches, associations)

• Community leaders' non-adherence to IRS