Equatorial Guinea’s innovative malaria control programs have had a remarkable impact on malaria infection, disease, and mortality in the population.[50] Their program consists of twice-yearly indoor residual spraying (IRS), the introduction of artemisinin combination treatment (ACTs), the use of intermittent preventive treatment in pregnant women (IPTp) and the introduction of very high coverage with long-lasting insecticide treated mosquito nets (LLINs). The result of their efforts resulted in a reduction in all-cause under-five mortality from 152 to 55 deaths per 1,000 live births (down 64%); and the drop occurred rapidly and timed directly with the beginning of the program
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