Reconsidering indoor residual spraying coverage targets: A retrospective analysis of high-resolution programmatic malaria control data.

ABSTRACT: Indoor residual spraying (IRS) is one of the core vector control interventions available to malaria control programs. Normative and scientific guidance has long held that very high IRS coverage (at least 80 to 85% houses sprayed) is necessary to provide community protection, but there is little evidence backing these recommendations, in large part due to the operational and ethical concerns that conducting appropriate trials of differing IRS coverage levels would raise. The present study leverages data from four years of targeted IRS implementation on Bioko Island, Equatorial Guinea, to estimate a dose-response curve of IRS coverage. Due to the observational nature of the data, a double robust causal inference technique was utilized. The results suggest that at all spatial scales examined

SUBMITTER: Galick DS 

PROVIDER: S-EPMC12037036 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature