This paper describes the approaches used to scale up vector control in Malawi, the challenges encountered, the lessons learnt from this experience, and how these lessons have informed vector control efforts. 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.
Botswana’s experience shows some of the practical challenges of elimination efforts. Among them are the substantial movements of human infections within and among countries, and the persistence of asymptomatic reservoir infections.
A paper finding that despite high coverage with vector control interventions, the burden of malaria in Nchelenge District, Zambia remained high from 2006 to 2012. There are several possible explanations, highlighting that quality information at fine spatial scales will be critical for targeting effective interventions and measurement of progress.
A comparison of the impact of IRS (15 urban districts) and LLINs (15 rural districts) implementation on severe malaria cases, deaths and case fatality rates in children below the age of five years in Zambia.