Conclusions
malaria infection
The present analysis suggests that using of PBO LLINs reduced the risk of malaria infection in this area of high pyrethroid resistance compared to Standard LLIN. However, the overall prevalence still remains high and increased during the 3 years of the trial. This suggest increasing coverage of the PBO LLINs as well as educational and communication campaigns to promote appropriate and consistent use of LLINs.Furthermore, to lower prevalence and meet the national target, additional measures such as house improvements (closing eaves, screening doors and windows) and programs are needed to protect children in the household with poor SES, house with open eaves, low head education level and older children.