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Over the past decade there has been a massive scale-up of antimalarial interventions including insecticide-treated nets (ITNs), artemisinin-combination treatments (ACTs), and rapid-diagnostic tests (RDTs), and in selected areas, indoor residual spraying.
There has been a substantial improvement in possession and usage of insecticidal bed nets especially for the two most vulnerable groups (under-five children and pregnant women), including a reduction of gaps between the high and low endemic districts, and the deficit and non-deficit households during the study period.
Following severe malaria epidemics in the western Kenya highlands after the late 1980s it became imperative to undertake eco-epidemiological assessments of the disease and determine its drivers, spatial–temporal distribution and control strategies.
Our findings across a number of sub-Saharan African countries were highly consistent with results from previous clinical trials.
There is robust evidence of the efficacy of insecticide-treated mosquito nets (ITNs) in reducing malaria parasite prevalence, incidence, and all-cause child mortality from carefully conducted trials in sub-Saharan Africa across a range of transmission settings.
Our findings across a number of sub-Saharan African countries were highly consistent with results from previous clinical trials.
The presented results suggest that the inclusion of community-based programmes can substantially increase effective access to malaria prevention, and also increase access to formal health care access in general, and antenatal care attendance in particular in combination with supply side interventions.
Insecticide-treated nets (ITNs) and indoor residual spraying (IRS) are currently the preferred methods of malaria vector control.
Insecticide-treated bed nets are the preeminent malaria control means; though there is no consensus as to a best practice for large-scale insecticide-treated bed net distribution.