Despite the implementation of the World Health Organisation’s recommended indoor residual spraying (IRS) intervention in the upper west region of Ghana to reduce malaria morbidity and mortality, the uptake of this intervention remains low. This study explores the facilitators and barriers to the acceptability and community uptake of indoor residual spraying in a highly endemic region of Ghana. The health belief model (HBM) and realist evaluation framework were used to inform the study. A qualitative enquiry was conducted between April to October 2016. Data were collected through focus group discussions and semi-structured interviews with program stakeholders including community members, AngloGold Ashanti malaria control (AGA Mal) spray operators, and AGA Mal officials. A total of 101 people participated in the study. Considerable barriers to community acceptance of indoor residual spraying (IRS) were found, including, dislike of spray insecticides, inadequate information, religious and cultural beliefs, perceived low efficacy of IRS, difficulties with packing, unprofessional conduct of IRS spray operators, and other operational barriers to spraying. Facilitators of IRS uptake included a perceived effectiveness of IRS in preventing malaria and reducing mosquito bites, incidental benefits, respect for authority, training and capacity building, and sensitization activities. The numerous barriers to indoor residual spraying acceptance and implications show that acceptance levels could be improved. However, measures are required to address householders’ concerns and streamline operational barriers to increase community uptake of indoor residual spraying.

中文翻译：

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在加纳上西部进行室内残留喷洒控制疟疾可接受性的探索性研究。

尽管世界卫生组织建议在加纳的西部地区实施室内残留喷洒（IRS）干预措施，以减少疟疾的发病率和死亡率，但这种干预措施的吸收率仍然很低。这项研究探讨了加纳高流行地区室内残留喷洒的可接受性和社区吸收的促进因素和障碍。健康信念模型（HBM）和现实主义评估框架用于为研究提供信息。在2016年4月至10月之间进行了定性调查。数据是通过焦点小组讨论和与项目利益相关者（包括社区成员，AngloGold Ashanti疟疾控制（AGA Mal）喷雾操作员和AGA Mal官员）的半结构化访谈收集的。共有101人参加了该研究。发现社区对室内残留喷雾剂（IRS）的接受存在很大障碍，包括不喜欢喷雾杀虫剂，信息不足，宗教和文化信仰，IRS效能低下，包装困难，IRS喷雾操作员行为不专业以及其他操作性障碍。喷涂的障碍。IRS吸收的促进者包括IRS在预防疟疾和减少蚊虫叮咬方面的有效效果，附带好处，对权威的尊重，培训和能力建设以及宣传活动。室内残留喷涂可接受性的许多障碍和影响表明可接受水平可以提高。但是，需要采取措施来解决住户的担忧并简化操作障碍，以增加社区对室内残留喷洒的吸收。