The goal of this clinical trial is to test whether In2Care EaveTubes (ETs) as a stand-alone tool can reduce malaria in an area where transmission is driven by insecticide-resistant Anopheles gambiae. Children who live in homes with ETs will be monitored for malaria infection and compared to children living in homes without ETs in Côte d'Ivoire where there is universal coverage of long lasting insecticide nets and pyrethroid resistance is high.
Who can participate
Age range6 Months – 10 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Village Level Inclusion Criteria:
* ≥ 80% of Households (HHs) must be suitable for EaveTube(ET) installation.
* ≥70% of HHs willing to have ETs installed.
* No participation in the previous Screening + ETs cluster randomized control trial (cRCT).
* Received standard pyrethroid-only long lasting insecticide nets(LLINs) (Permanet 2.0).
* 100-300 HHs per village.
* ≥2 km apart from another village.
Village Level Exclusion Criteria:
* \< 80% of HHs suitable for ET installation.
* \<70% of HHs willing to have ETs installed.
* Villages being treated by indoor residual spray (IRS) and/or new generation bed net campaigns.
* Participation in previous Screening + ET cRCT.
* \<100 and \>300 households per village.
* \<2 km from another village.
Household Level Inclusion Criteria
* HHs must be suitable for ET installation.
* Provision of consent from heads of HH.
Household Level Exclusion Criteria
* HH not suitable for ET installation (e.g. houses with poor quality thatch roofing or very large eaves or wall gaps, houses in substantial disrepair, unfinished houses under construction, poorly constructed houses, ).
* No provision of consent from heads of HH.
Individual Level Inclusion Criteria
* Children aged ≥ 6 months to \< 8 years old at time of enrollment (so all participants are under 10 years old for the duration of clinical follow-up).
* Provision of written, informed consent by parents/care givers.
* Children must reside in villages enrolled in the study and in ETs-treated …