Evaluation of Insecticide Treated Nets and Wall Liners for the Prevention of Malaria

Study Overview
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Brief Summary
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The purpose of this study is to determine whether insecticide treated wall liners, in combination with insecticide treated nets, reduce the incidence of malaria infections compared to insecticide treated nets alone.

Detailed Description
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Insecticide treated nets (ITNs) have been shown to reduce malaria related morbidity and mortality and are increasingly being scaled up throughout sub-Saharan Africa. However, ITNs alone are unlikely to reduce transmission to zero in most settings and additional vector control tools are necessary. One new promising strategy is the use of insecticide treated wall liners (ITWLs). These are textiles treated with an insecticide that are used to line the inner walls of houses. The wall liners are considered a long-lasting alternative to indoor residual spraying which is also used for malaria vector control but is expensive to implement. Within 6 pairs of villages, we plan to randomly allocate one village in each pair to receive either ITNs or ITNs plus ITWLs. Households will be randomly selected from each village and all children between the ages of 6 months and 11 years will be enrolled in a cohort study. The children will be cleared of existing infections and then followed monthly until they are found to be infected with malaria. The study will last for 6 months and will demonstrate whether the ITWLs provide additional protection against malaria over that provided by the use of ITNs.

Official Title
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Malaria Transmission Consortium: The Added Effects of Insecticide Treated Materials, Artemisinin-containing Combination Treatments, and Larviciding on Malaria Transmission and Illness

Conditions
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Malaria

Intervention / Treatment
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* Other: Insecticide treated nets and wall liners
* Other: Insecticide treated nets alone


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 6 months up to 11 years Living in the study area and remaining in the study area for the duration of the study Informed consent provided by parents Exclusion Criteria: No informed consent Living outside the study area, or likely to move outside study area Severely ill and unlikely to be able to complete study

Ages Eligible for Study
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Minimum Age: 6 Months
Maximum Age: 11 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Insecticide treated nets and wall liners<br> | Other: Insecticide treated nets and wall liners<br>* Participants will be provided a long-lasting insecticide treated net recommended by the WHO Pesticide Evaluation Scheme. Households where participants reside will be fitted with insecticide treated wall liners.<br>|
| Active Comparator: Insecticide treated nets alone<br> | Other: Insecticide treated nets alone<br>* Participants will be provided with a long-lasting insecticide treated net recommended by the WHO Pesticide Evaluation Scheme<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of new malaria infections |  | Monthly | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Insecticide treated wall liners, Insecticide treated nets, Incidence cohort