Impact of malaria interventions on child mortality in endemic African settings: comparison and alignment between LiST and Spectrum-Malaria model

Table 3 Intervention coverage at 2015 in DRC and Zambia, and two coverage-standardized country variants modelled

听	Module	ITN coverage	IRS coverage	Malaria case management
DRC	Spectrum-Malaria	Usage: 55%	0.27%	6.6%
DRC	LiST	ITN owning and/or IRS-sprayed: 70%		1.7%
Zambia	Spectrum-Malaria	Usage: 68.8%	35.6%	44.1%
Zambia	LiST	ITN owning and/or IRS-sprayed: 74.7%		18.4%
Coverage-standardized, DRC & Zambia^b	Spectrum-Malaria	鈥� 51% ITN usage at 2014 & 2015; 鈥� 70% ITN usage as target for 2016鈥�2020; 鈥� IRS: 0.28% throughout 2014鈥�2030.		鈥� 10% at 2014 & 2015; 鈥� 40% as target for 2016鈥�2020
Coverage-standardized, DRC & Zambia^b	LiST	鈥� 77% ITN owning and/or IRS sprayed at 2014 & 2015; 鈥� 98% as target for 2016鈥�2020		鈥� 10% at 2014 & 2015; 鈥� 40% as target for 2016鈥�2020.
Data source & definition	Spectrum-Malaria	WHO/MAP听2015 [24], % of national population sleeping under an ITN (including areas with PfPR听=听0).	WHO 2015 [1], % of national population protected (all ages, including areas with PfPR听=听0)	ACT treatment of RDT-positive (and RDT-negative) fevers in children 0鈥�4听years [28], applied to uncomplicated malaria cases in all age groups
Data source & definition	LiST	Households owning 鈮�1 ITNs or protected by IRS as measured in the most recent national-representative household survey (usually MIS, MICS or DHS)^a		Children 0鈥�4听years with a fever treated within 48听h of fever onset with an artemisinin-containing compound i.e. ACT as measured in the most recent national-representative household survey (usually MIS, MICS or DHS)^a

Abbreviations: ACT Artemisinin-based Combination Therapy, DHS Demographic and Health Survey, DRC Democratic Republic of the Congo, ITN Insecticide-treated mosquito net, IRS Indoor Residual Spraying, LiST Lives Saved Tool, MAP Malaria Atlas Project, MICS Multiple Indicator Cluster Survey, MIS Malaria Indicator Survey, SSA sub-Saharan Africa, Swiss TPH Swiss Institute of Tropical and Public Health, PfPR Plasmodium falciparum parasite prevalence rate
^aLiST uses the measured values for years in which surveys occurred, and applies linear interpolation between measured points. For years after the last survey in a country, LiST assumes that coverage is constant
^bPrecise annual coverages for each intervention, scenario, and model are shown in Additional听file听1

ISSN: 1471-2458