Malaria transmission in Ifakara has decreased by > 99% since early-2000s, reaching levels nearly undetectable with current entomological methods.
Understanding inter- and intra-household net-use factors will help malaria control programmes more effectively direct their efforts to increase public health impact.
Drug sellers can use RDTs in field conditions and achieve acceptable accuracy for malaria diagnosis, and they comply with the RDT results.
Overall, coverage of both IPTp2+ and IPTp3+ has improved in recent years.
The study findings suggest that severe malaria, especially when followed by repeated malaria episodes, affects not only children who have the illness but also their caregivers.
As the prevalence of G6PD deficiency seems low in this area, the use of 8-aminoquinolines should be encouraged.
A large proportion of pregnant women in this study were not sleeping under ITNs.
The two household-level indicators—one representing minimal coverage, the other only ‘universal’ coverage—provide an incomplete and potentially misleading picture of personal protection and the success of an ITN distribution programme.
Plasmodium falciparum infections are expected to occur in at least one in every eight women attending first ANC at private clinics in Monrovia and outside the peak of the rainy season.
This study highlights the link between worse economic conditions and accessibility to medical care as one of the main factors of malaria home treatment and drug purchase in IMPD, even if those two phenomena need to be understood apart.