To accelerate malaria elimination in areas where core interventions such as insecticide-treated nets (ITNs) are already widely used, it is crucial to consider additional factors associated with persistent transmission.
insecticide-treated nets (ITNs)
Net use conditional on access is affected by household characteristics and is also spatially-dependent in Ghana.
This study found no association between frequency of resistance and incidence of clinical malaria in an area where ITNs are the principal form of vector control.
Malaria transmission in Ifakara has decreased by > 99% since early-2000s, reaching levels nearly undetectable with current entomological methods.
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.
The prevalence of IRS and ITN interventions in 2013 did not reflect the Namibian government intervention targets.
Relevant knowledge of ITNs translated into the expected preventive behaviour of sleeping under a bed net, underscoring the need for continued health messaging on malaria prevention.
ITN access and use improved significantly in the study area during the pilot, coming close to universal coverage targets.
Household ITN ownership and population ITN access exceeded RBM targets after the 9-month community distribution pilot.
The data provide compelling evidence of impact following LLIN mass campaigns targeting all ages since 2011, while maintaining other anti-malarial interventions.