ArticleeLife2026
Heterogeneity of use, access, and retention of insecticide-treated nets: Implications for subnational tailoring to maximise malaria control.
Article in eLife, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Article
- The spread of pyrethroid-resistant mosquitoes and their predicted malaria burden across the Democratic Republic of the Congo.Current research in parasitology & vector-borne diseases · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Background: While insecticide-treated nets (ITNs) are highly impactful and cost-effective for malaria control, they are primarily distributed through three-yearly mass campaigns yet are typically retained for shorter periods. It is unclear whether disease control could be best improved with more efficacious ITNs and/or increased distribution frequency. There are increased calls to optimise resources through subnational tailoring of interventions, though benefits will depend on how long people use ITNs and how this varies between regions; yet this has not been previously quantified subnationally. Methods: We estimated subnational differences in ITN use, access, and retention for six countries (Burkina Faso, Ghana, Malawi, Mali, Mozambique, and Senegal) and used these to calibrate a Results: On average, people used their ITNs for 21 months though this varied subnationally from 12 to 38 months. Shifting from triennial to biennial campaigns is projected to increase mean use across all regions from 45.4% to 53.9% and avert substantial additional cases in moderate and high transmission settings. Projected case increases following campaign deprioritisation or switching to less efficacious ITN classes are strongly associated with transmission intensity. Conclusions: Although transmission intensity remains important for subnational tailoring, other factors, such as ITN use given access, meaningfully influence optimal deployment strategies. The framework highlights how routinely collected data can aid policymakers in tailoring disease control programmes at subnational levels. Funding: The work was funded by the Global Fund under the Net Transition Initiative. ACG and TSC acknowledge funding from the MRC Centre for Global Infectious Disease Analysis (MR/R015600/1), jointly funded by the MRC and the UK Foreign, Commonwealth and Development Office (FCDO) under the MRC/FCDO Concordat agreement, and part of the EDCTP2 programme supported by the European Union.
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Registered trials
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