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Last Updated: 13/12/2024

New Nets Project

Objectives

The New Nets Project (NNP) works with the next generation of nets, which are dual insecticide nets. These new nets don’t yet have a World Health Organisation (WHO) policy recommendation confirming that countries with pyrethroid resistance should consider them over standard nets. NNP will build the epidemiological evidence needed to allow WHO to consider making this new policy recommendation. Under this project, the nets will be assessed in a robust study in Benin to give definitive evidence of how well they perform compared to standard nets. This project will also assess the cost-effectiveness of the nets under operational pilot conditions, across countries representing different epidemiological, insecticide resistance and entomological profiles. These pilots will allow us to understand the extra benefit these nets can bring in different settings. This information will help countries make informed decisions about how best to spend their malaria control budgets. Additionally, the production volumes procured for the pilots will help the project to negotiate significant price reductions. These reductions are needed to make the new nets a sustainable choice for countries looking for the best value for money in controlling malaria.

Rationale and Abstract

IVCC leads a consortium of partners on the New Nets Project (NNP), which will pilot insecticidal nets treated with new insecticide combinations in moderate to high transmission areas throughout sub-Saharan Africa. The project will build the evidence needed to allow the World Health Organisation (WHO) to consider making new policy around the use of these nets and will also assess their cost-effectiveness under pilot conditions. Ultimately the project and its partners seek to not only establish the necessary evidence base needed to support an appropriate policy recommendation, but to also make the new nets a sustainable choice for countries looking for the best value for money in controlling malaria.

In 2023, WHO made a strong recommendation in favor of the pyrethroid-chlorfenapyr nets over pyrethroid-only nets, based the new nets’ life-saving potential as well as cost-effectiveness. This was the first time WHO had issued such a recommendation for a new insecticide formulation.

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