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ORIGINAL ARTICLE
Open Access

Equal Opportunity, Equal Work: Increasing Women's Participation in the U.S. President's Malaria Initiative Africa Indoor Residual Spraying Project

Abigail Donner, Allison Belemvire, Ben Johns, Keith Mangam, Elana Fiekowsky, Jayleen Gunn, Mary Hayden and Kacey Ernst
Global Health: Science and Practice December 2017, 5(4):603-616; https://doi.org/10.9745/GHSP-D-17-00189
Abigail Donner
aU.S. President's Malaria Initiative (PMI) Africa Indoor Residual Spraying (AIRS) Project, Abt Associates, Bethesda, MD, USA.
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  • For correspondence: abigail_donner@abtassociates.com
Allison Belemvire
bU.S. President's Malaria Initiative (PMI), Washington, DC, USA.
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Ben Johns
aU.S. President's Malaria Initiative (PMI) Africa Indoor Residual Spraying (AIRS) Project, Abt Associates, Bethesda, MD, USA.
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Keith Mangam
cResults for Development, Washington, DC, USA.
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Elana Fiekowsky
dJhpiego, Baltimore, MD, USA.
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Jayleen Gunn
eDepartment of Epidemiology and Biostatistics, College of Public Health, University of Arizona, Tucson, AZ, USA.
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Mary Hayden
fResearch Applications Laboratory, National Center for Atmospheric Research, Boulder, CO, USA.
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Kacey Ernst
eDepartment of Epidemiology and Biostatistics, College of Public Health, University of Arizona, Tucson, AZ, USA.
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Figures & Tables

Figures

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  • FIGURE 1.
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    FIGURE 1.

    Overview of Gender-Focused Policies Implemented by the PMI AIRS Project

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    FIGURE 2.

    Percentage of Women Trained by the PMI AIRS Project, 2012 to 2015

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    FIGURE 3.

    Percentage of Women in PMI AIRS Project Supervisory Positions by Country, 2012 to 2015

Tables

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    TABLE 1.

    PMI AIRS Project Training Data by Country and Year, 2012–2015

    2012201320142015
    Benin
    No. of people trained1748154324873333
    No. of women trained262276443591
    % trained who were women15%18%18%18%
    Ethiopia
    No. of people trained4213398743904452
    No. of women trained992107214721631
    % trained who were women24%27%34%37%
    Ghana
    No. of people trained1265168116571544
    No. of women trained200233300292
    % trained who were women16%14%18%19%
    Madagascar
    No. of people trained14,818224134503302
    No. of women trained358348215931337
    % trained who were women24%22%46%40%
    Mali
    No. of people trained2371242620661370
    No. of women trained303409271226
    % trained who were women13%17%13%16%
    Mozambique
    No. of people trained1953136816772119
    No. of women trained596303625624
    % trained who were women31%22%37%29%
    Rwanda
    No. of people trained6062955878018998
    No. of women trained1556273821852581
    % trained who were women26%29%28%29%
    Senegal
    No. of people trained1657397312631287
    No. of women trained2181221218397
    % trained who were women13%31%17%31%
    Zambia
    No. of people trained––15922105
    No. of women trained––616625
    % trained who were women––39%30%
    Total
    No. of people trained34,08726,77726,38328,510
    No. of women trained7710643177238304
    % trained who were women23%25%28%29%
    • a No employee training data available for Zambia in 2012 and 2013, because until 2014, the PMI AIRS Project in Zambia provided only technical assistance.

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    TABLE 2.

    Average Number of Structures Sprayed per Day by Country and Sex of Spray Operators, 2016

    CountryMean No. of Structures Sprayed per Day (N)Difference Between Men and WomenP Value
    MenWomen
    Benin14.6 (883)14.6 (129)0.96
    Ghana17.1 (293)15.9 (151)1.2<.001
    Ethiopia17.1 (1446)16.3 (47)0.8<.001
    Madagascar14.3 (780)14.1 (174)0.2.23
    Mali14.0 (695)13.3 (299)0.7.15
    Mozambique8.0 (1089)7.3 (403)0.7<.001
    Rwanda8.8 (534)8.7 (729)0.1.42
    Senegal14.9 (340)14.1 (157)0.8.49
    Zambia15.1 (741)14.2 (374)0.9<.001
    • View popup
    TABLE 3.

    Average Spray Refusal Rates by Country and Sex of Spray Operators, 2016

    CountryRefusal Ratea (N)Difference Between Men and WomenP Value
    Men Spray OperatorsWomen Spray Operators
    Benin2.4% (883)2.4% (129)0.0%.96
    Ghana1.0% (293)1.4% (151)−0.4%<.001
    Ethiopia0.1% (1446)0.1% (47)0.0%.60
    Madagascar0.3% (780)0.2% (174)0.1%.06
    Mali0.7% (695)0.7% (299)0.0%.47
    Mozambique11.3% (1089)13.3% (403)−2.0%.005
    Rwanda0.1% (534)0.1% (729)0.0%.71
    Senegalb0.5% (340)0.4% (157)0.1%<.001
    Zambia1.2% (741)1.3% (374)−0.1%<.001
    • ↵a No. of households refusing to be sprayed per total structures found.

    • ↵b Senegal's data were based on the number of rooms (not number of structures) that were not treated, due to refusals, over the number of rooms found.

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    TABLE 4.

    Changes in Gender Index Scores by Country, 2015

    CountryNo. Surveyed at BaselineNo. Surveyed at EndlineNo. With Matched Baseline and Endline Surveys% With Matched Baseline and Endline SurveysRespondents Matched at Baseline and EndlineAll Respondents
    Gender Index Scorea at BaselineGender Index Scorea at EndlineDifference in Gender Index Score From Baselinea (SE)P ValueAdjusted Difference in Mean Gender Index Scoresb (SE)P Value
    Madagascar1,22793746538%7.598.000.41 (0.11)<.0010.06 (0.08).48
    Rwandac79579662879%7.177.470.30 (0.08)<.0010.21 (0.10).03
    Zimbabwe23922519079%8.378.04−0.33 (0.16).048−0.37 (0.18)d.04
    Ethiopia67649911517%7.727.47−0.25 (0.18).16−0.61 (0.12)< .001
    • Abbreviation: SE, standard error.

    • Notes: The PMI AIRS Project collected survey data among a sample of spray operators in 4 countries. Surveys were completed both before the 2015 spray season began (baseline or preseason) and after the season ended (endline or postseason).

    • ↵a The gender index score is the average number of questions, out of a total of 11, answered in favor of gender egalitarianism.

    • ↵b Adjusted results control for sex, previous experience working with the PMI AIRS Project (self-reported), ability to read, education, whether respondents live where they work, whether the respondents are heads of household, and (in Madagascar) district of the survey.

    • ↵c Rwanda's 2015 spray season included 2 rounds of spraying.

    • ↵d Covariates were not collected; results are not adjusted.

    • View popup
    TABLE 5.

    Changes in Gender Index Scores by Country and Sex of Spray Operators, 2015

    CountrySexNo. Surveyed at BaselineNo. Surveyed at EndlineNo. (%) With Matched Baseline and Endline SurveysRespondents Matched at Baseline and EndlineAll Respondents
    Gender Index Scorea at BaselineGender Index Scorea at EndlineDifference-in-Difference in Gender Index Scores (SE)P ValueAdjusted Difference-in-Difference in Gender Index Scoresb (SE)P Value
    MadagascarMen686617147 (21)7.327.780.16 (0.24).510.03 (0.17).88
    Women537320319 (59)8.198.49
    RwandacMen523564439 (84)6.997.200.30 (0.17).090.14 (0.21).51
    Women261228187 (72)7.568.07
    EthiopiaMen532390106 (20)7.807.530.29 (0.65).66−0.15 (0.31).64
    Women132829 (7)6.766.78
    • Abbreviation: SE, standard error.

    • Notes: The PMI AIRS Project collected survey data among a sample of spray operators in 4 countries. Surveys were completed both before the spray season began (baseline or preseason) and after the season ended (endline or postseason). Zimbabwe is not included in this table because Zimbabwe's survey did not ask for the respondent's gender, due to government restrictions. Sex-disaggregated totals do not match overall total because demographic data were not collected from all respondents.

    • ↵a The gender index score is the average number of questions answered, out of a total of 11, in favor of gender egalitarianism.

    • ↵b Adjusted results control for sex, previous experience working with the PMI AIRS Project (self-reported), ability to read, education, whether respondents live where they work, whether respondents are heads of household, and (in Madagascar) the district of the survey.

    • ↵c Rwanda's 2015 spray season included 2 rounds of spraying.

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Global Health: Science and Practice: 5 (4)
Global Health: Science and Practice
Vol. 5, No. 4
December 28, 2017
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Equal Opportunity, Equal Work: Increasing Women's Participation in the U.S. President's Malaria Initiative Africa Indoor Residual Spraying Project
Abigail Donner, Allison Belemvire, Ben Johns, Keith Mangam, Elana Fiekowsky, Jayleen Gunn, Mary Hayden, Kacey Ernst
Global Health: Science and Practice Dec 2017, 5 (4) 603-616; DOI: 10.9745/GHSP-D-17-00189

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Equal Opportunity, Equal Work: Increasing Women's Participation in the U.S. President's Malaria Initiative Africa Indoor Residual Spraying Project
Abigail Donner, Allison Belemvire, Ben Johns, Keith Mangam, Elana Fiekowsky, Jayleen Gunn, Mary Hayden, Kacey Ernst
Global Health: Science and Practice Dec 2017, 5 (4) 603-616; DOI: 10.9745/GHSP-D-17-00189
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