Moving towards universal coverage with malaria control interventions: Achievements and challenges in rural Burkina Faso

Manuela De Allegri, Valérie R. Louis, Justin Tiendrébeogo, Aurelia Souares, Maurice Yé, Yesim Tozan, Albrecht Jahn, Olaf Mueller

Research output: Contribution to journalArticlepeer-review


This paper reports on a study, which assessed coverage with malaria control interventions in rural Burkina Faso, namely insecticide-treated mosquito nets (ITN) ownership, intermittent preventive treatment (IPTp) for pregnant women and artemisinin-based combination therapy (ACT) for under-five children. The study also addressed the distributional impact of such interventions, with specific reference to equity. The study used data from a representative household survey conducted on 1106 households in the Nouna Health District in 2010. Findings indicated that 59% of all households owned at least one ITN, 66% of all pregnant women received IPT at least once and 34% of under-five children reporting a malaria case were treated with ACT. Multivariate logistic regression revealed that higher socio-economic status, ownership of at least one radio and living in a village within a Health and Demographic Surveillance System were significantly positively associated with ITN, IPTp and ACT coverage. ITN coverage was higher among households in villages, which had previously hosted an ITN trial and/or the most favourable arm of a trial. Comparing current findings with previous estimates suggests that the country has made substantial progress towards scaling up malaria control interventions but that current coverage rates are still far from achieving the universal coverage targets set by the Roll Back Malaria Partnership. In addition, current coverage patterns reveal the existence of multiple inequities across groups, suggesting that current policies are inadequate to achieve equitable scaling up. Future planning of malaria control interventions ought to take into consideration current inadequacies and lead to programmes better designed to overcome them.

Original languageEnglish (US)
Pages (from-to)102-121
Number of pages20
JournalInternational Journal of Health Planning and Management
Issue number1
StatePublished - Jan 2013


  • Artemisinin-based combination therapy (ACT)
  • Burkina Faso
  • Insecticide-treated nets (ITNs)
  • Intermittent preventive treatment for pregnant women (IPTp)
  • Malaria control

ASJC Scopus subject areas

  • Health Policy


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