Long Story Short

For decades, Africa's malaria strategy has focused almost exclusively on disease control through indoor mosquito management and personal protection — bed nets, indoor spraying, and individual-level interventions. But this approach alone isn’t working. Progress against malaria in the African region has slowed significantly, with cases declining by just 5% since 2015 and mortality by 16%, according to the World Health Organization. Experts now argue it’s time to shift from disease-centric, indoor mosquito management to more robust integrated mosquito management strategies. That means taking a tiered approach, starting with reducing mosquito breeding sites, treating water sources with larvicides, and then targeting adult mosquitoes. “The tendency will probably be to think about controlling mosquitoes when they are flying only. But they are actually more vulnerable when they are not flying, usually when they are in the water,” explained Silas Majambere, a medical entomologist and business manager of Africa, Euro