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Delivering insecticide-treated nets for malaria prevention: innovative strategies

Authors Krezanoski P

Received 7 May 2016

Accepted for publication 21 June 2016

Published 22 September 2016 Volume 2016:7 Pages 39—47

DOI https://doi.org/10.2147/RRTM.S83173

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Thomas Unnasch


Paul J Krezanoski1–3

1Department of Medicine, 2Department of Pediatrics, Massachusetts General Hospital, 3Medicine and Pedatrics, Harvard Medical School, Boston, MA, USA


Abstract: The wide-scale adoption of insecticide-treated nets (ITNs) has led to significant reductions in malaria morbidity and mortality worldwide. Delivery of ITNs to the 3.2 billion people at risk of malaria requires multiple steps in diverse settings. The effectiveness of the delivery of ITNs in order to prevent malaria relies on activities that include ITN manufacturing and design, integration into national and international malaria prevention policies, supplying and distributing ITNs to households and individuals, and, finally, programs focused on spurring demand for and use of ITNs by individuals at risk. This paper reviews some recent innovative strategies for ITN delivery across these four domains, places these innovations within the context of the history of ITN deployment, and identifies opportunities to further improve the effectiveness of this ubiquitous public health tool.

Keywords: malaria, insecticide-treated bed nets, prevention, access, ownership, use, policies

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