This study highlights important components and strategies that should be taken into account when planning and running a similar larviciding program against malaria in a resource limited setting. A strong local partnership, meticulous planning with the possibility of ad-hoc adaption of project components and a reliable source of funding turned out to be crucial factors to successfully accomplish such a project.
Larval source management has virtually not been used in Africa since the ban of DDT. Within the light of recent WHO recommendations for Bacillus thuringiensis israelensis use against malaria and other vector species, larval source management could see a revival in the upcoming years. This study analyzes the ecologic and health impacts as well as the cost effectiveness of larval source management under different larviciding scenarios in a health district in Burkina Faso