Table 4.

Outside interests in policy development for malaria vector management

Interest group	Nature of interest in policy decisions
International research networks	Calling for action based on the findings of RCTs on ITNs.
Regional policy networks	Promoting IRS—an intervention familiar to local policy makers—rather than ITNs.
Multilateral agencies, bilateral donors, international NGOs	Promoting a new strategy—the use of ITNs—that had been shown to work in RCTs and which also provided a role for NGOs.
Manufacturers of insecticides other than DDT for IRS	Promoting IRS as an intervention that used their products rather than ITNs which did not.
Net manufacturers	Promoting their product (ITNs).
Environmentalists	Expressing concerns regarding insecticide use in IRS, particularly the use of DDT.
Neoconservative anti-environmentalists	Criticizing environmentalists and government regulation for their perceived position regarding IRS with DDT.