ArticleBulletin of the World Health Organization2016
Scale-up of integrated malaria vector control: lessons from Malawi.
Article in Bulletin of the World Health Organization, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- High efficacy of microbial larvicides for malaria vectors control in the city of Yaounde Cameroon following a cluster randomized trial.Scientific reports · 2021Trial
- RTS,S/AS01 Malaria Vaccine Efficacy is Not Modified by Seasonal Precipitation: Results from a Phase 3 Randomized Controlled Trial in Malawi.Scientific reports · 2017Trial
- Socioeconomic disparities in Plasmodium falciparum infection risk in Southern Malawi: mediation analyses.Scientific reports · 2024Article
- Impact of four years of annually repeated indoor residual spraying (IRS) with Actellic 300CS on routinely reported malaria cases in an agricultural setting in Malawi.PLOS global public health · 2024Article
- Environmental Management and Sanitation as a Malaria Vector Control Strategy: A Qualitative Cross-Sectional Study Among Stakeholders, Sunyani Municipality, Ghana.Environmental health insights · 2023Article
- Priorities of China's participation in global malaria elimination: the perspective of malaria endemic countries.Infectious diseases of poverty · 2022Article
- Evaluation of different deployment strategies for larviciding to control malaria: a simulation study.Malaria journal · 2021Article
- Strengthening community and stakeholder participation in the implementation of integrated vector management for malaria control in western Kenya: a case study.Malaria journal · 2021Article
- Article
- Geostatistical analysis of Malawi's changing malaria transmission from 2010 to 2017.Wellcome open research · 2019Article
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Authors and funding
9 authors.
Funding
Abstract
problemIndoor residual spraying and long-lasting insecticidal nets (LLINs) are key tools for malaria vector control. Malawi has struggled to scale up indoor residual spraying and to improve LLIN coverage and usage. APPROACH: In 2002, the Malawian National Malaria Control Programme developed guidelines for insecticide treated net distribution to reach the strategic target of at least 60% coverage of households with an LLIN. By 2005, the target coverage was 80% of households and the Global Fund financed the scale-up. The US President's Malaria Initiative funded the indoor residual spraying intervention. LOCAL
settingMalawi's entire population is considered to be at risk of malaria. Poor vector control, insecticide resistance in malaria vectors and insufficient technical and financial support have exacerbated the malaria burden. RELEVANT CHANGES: Between 2002 and 2012, 18 248 206 LLINs had been distributed. The coverage of at least one LLIN per household increased from 27% (3689/13 664) to 58% (1974/3404). Indoor residual spraying coverage increased from 28 227 to 653 592 structures between 2007 and 2011. However, vector resistance prompted a switch from pyrethroids to organophosphates for indoor residual spraying, which increased the cost and operations needed to be cut back from seven to one district. Malaria cases increased from 2 853 315 in 2002 to 6 748 535 in 2010, and thereafter dropped to 4 922 596 in 2012. LESSONS LEARNT: A single intervention-based approach for vector control may have suboptimal impact. Well-coordinated integrated vector management may offer greater benefits. A resistance management plan is essential for effective and sustainable vector control.
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