Heterogeneity of use, access, and retention of insecticide-treated nets: Implications for subnational tailoring to maximise malaria control
eLife·
- DOI
- 10.7554/elife.108745.4
- PMID
- —
- PMCID
- —
- OpenAlex
- —
- Study type
- Journal article
- Publisher
- eLife Sciences Publications, Ltd
- Article type
- journal-article
- Integrity
- current
Publication version
This article has a linked preprint
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Open linked preprint →Why this research matters now
The findings indicate that subnational variation in net use after access may be relevant when considering malaria-control deployment strategies. The abstract describes a framework for using routinely collected data to support subnational programme tailoring.
Structured evidence summary
Research question
The study examines how subnational differences in insecticide-treated net use, access, and retention relate to malaria-control strategies, including campaign frequency and net efficacy.
Study design
The authors estimated subnational insecticide-treated net use, access, and retention in six countries and used these estimates to calibrate a Plasmodium falciparum transmission-dynamics model. The model generated projected case estimates under alternative net-distribution strategies.
Population and setting
The analysis covered subnational areas in Burkina Faso, Ghana, Malawi, Mali, Mozambique, and Senegal, in settings with varying malaria transmission intensity.
Main findings
Average insecticide-treated net use was estimated at 21 months, with subnational estimates ranging from 12 to 38 months. The model projected that changing from three-yearly to two-yearly campaigns would raise mean use from 45.4% to 53.9% and avert additional cases in moderate- and high-transmission settings; projected increases after reducing campaign priority or using less efficacious net classes were strongly associated with transmission intensity.
Public-health relevance
The findings indicate that subnational variation in net use after access may be relevant when considering malaria-control deployment strategies. The abstract describes a framework for using routinely collected data to support subnational programme tailoring.
Important limitations
The reported case outcomes are model projections based on estimated net-use, access, and retention patterns rather than directly observed intervention effects. The supplied material covers six countries and provides only the abstract and metadata; the original paper is required for decision-grade assessment of data sources, model assumptions, uncertainty, and study limitations.
GIDS interpretation
This article is discoverable in the supplied metadata under malaria and transmission dynamics, with relevance to subnational insecticide-treated net deployment. It provides contextual evidence for literature review and should not be interpreted as confirmation of a current surveillance signal.
Related GIDS surveillance
Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.
Evidence relationships
This article has 4 auditable classifier relationships to diseases, places, topics, and study design.