Demonstrating Cost-effectiveness and Sustainability of Environmentally-sound and Locally Appropriate Alternatives to DDT for Malaria Control in Africa

This project will demonstrate cost-effective, environmentally sound, and locally appropriate alternatives to DDT for malaria vector control, ensuring their sustainable use through strengthened national and local capacity for malaria control. Planning and implementation of vector control interventions require selection of appropriate vector control methods that can be applied in an area having specific and well-defined environmental and epidemiological conditions, which should be generated through regular ecological, entomological and epidemiological assessments that permit changes in the objectives of vector control programmes over time. Most of African countries, however, do not have adequate capacity to effectively plan, implement, monitor and evaluate vector control interventions. The project strategy is to enhance the capacity of the participating countries to effectively plan, implement, monitor and evaluate vector control interventions, which are not relying on DDT. The project activities will be implemented in a number of demonstration districts in the three project countries. In this project the following alternatives to DDT will be demonstrated based on the Integrated Vector Management (IVM) approach: - Residual house spraying with insecticides alternative to DDT; - Insecticide Treated Nets (ITNs); - Environmental management (including management of groundwater, irrigation schemes, dams, roads and building construction); and - Mosquito larviciding.