Minimal data is available on susceptibility testing in all malarious regions, small number of sentinel sites and limited mapping data of malaria vector species
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Establishing an efficient system of sentinel sites to support monitoring of vector density, infectivity, bionomics and insecticide resistance to guide informed decision-making
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The possibility of change in behaviour of An. arabiensis from indoor resting to outdoor resting in response to indoor spraying, and a change in daily pattern of biting and host choice in response to ITNs or infectivity rates
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Integrated strategies with actions aiming to reduce the selection pressure thus preventing or delaying resistance development, and aiming to reduce dependency on chemical insecticides for vector control
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Inconsistent community sensitization and low compliance with existing interventions and insufficient community ownership and involvement in malaria vector control activities
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Improve information, education and behavioural change communication on vector control interventions and reinforce community engagement and empowerment for participation to successfully implement malaria vector control
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Limited support institutions with requisite infrastructure to support entomological research; minimal research and academic institutions to build capacity of sufficient and technically sound personnel and the likely hold of resistance development in major malaria vectors to insecticides
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Establish a multi-disciplinary national IRM decision-making body coordinated by the NVDCP, and the inherent partner commitment and collaboration required to strengthen entomological laboratory and operations research and implement rational IRM strategies
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Absence of comprehensive malaria transmission data and minimal utilization of existing entomological data for decision making for vector control
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Improve vector surveillance, collect entomological data and strengthen operational research and monitoring and evaluation to guide the scale up of interventions
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Lack of stakeholders alliance for effective reporting of insecticides used for diseases vector control particularly DDT
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Establish stakeholders’ alliance and develop agreed upon roles and responsibilities and standardized format for compilation and reporting on DDT to the focal person of the Secretariat of the Stockholm Convention
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Non existence of data management for quantities and total cost of insecticide used and cost of spraying cycle for each year to facilitate decision making for vector control
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Establish and operationalize a comprehensive entomological database at national level and incorporate record keeping and reporting in training curriculum and courses on IRS and other vector control operations
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Weak infrastructure (sentinel sites and laboratory and insectary facilities), technical and human resource capacity for entomology laboratory at the established sentinel sites
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Seek technical assistance to support entomological surveillance, particularly for capacity building in vector-bionomics and insecticide resistance to operationalize the implementation of the GPIRM
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Human, financial and logistic resources/capacity to implement, monitor and evaluate IVM is still minimal
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In-service training for the entomological laboratory staff in malaria entomology and vector control should be considered will be critical for sustained evidence decision making in the regions
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