Bibliographic Info
Recommendation
Recommended against
Conditional
Certainty of evidence
Moderate
Prioritize optimal coverage with either insecticide-treated nets (ITNs) or Indoor Residual Spraying (IRS) over combination (2019): WHO suggests not co-deploying ITNs and IRS and that priority be given to delivering either ITNs or IRS at optimal coverage and to a high standard, rather than introducing the second intervention as a means to compensate for deficiencies in the implementation of the first intervention.
Notes and Remarks
- 1.In settings where there is optimal ITN coverage as specified in the strategic plan has been achieved and where these remain effective, additionally implementing IRS may have limited utility in reducing malaria morbidity and mortality. Given the resource constraints across malaria endemic countries, it is recommended that effort be focused on good-quality implementation of either ITNs or IRS, rather than deploying both in the same area. However, the combination of these interventions may be considered for resistance prevention, mitigation or management should sufficient resources be available.
Also Featured In
This recommendation also appears in the following guidelines:
Guidelines for Malaria Vector Control
WHO guidelines for malaria, 16 February 2021.
WHO guidelines for malaria, 13 July 2021.
WHO guidelines for malaria, 18 February 2022.
WHO guidelines for malaria, 31 March 2022.
WHO guidelines for malaria, 3 June 2022.
WHO guidelines for malaria, 25 November 2022.
WHO guidelines for malaria, 16 October 2023.
WHO Guidelines for malaria, 14 March 2023