Table 4.
Recommended interventions per stratum for Nepal malaria program
| Interventions | High risk | Moderate risk | Low risk | No risk |
|---|---|---|---|---|
| LLINs | First priority; limited to wards with indigenous cases and adjacent wards within 2–3 km | Second priority; limited to wards with indigenous cases adjacent wards within 2–3 kms | Third priority; limited to households with confirm cases only to prevent transmission | NA |
| IRS | Focal; 1–2 cycles depending on the duration of transmission and residual efficacy of insecticide | Yes; to contain outbreak | Yes, to contain outbreak | NA |
| Larval control | As appropriate | As appropriate | As appropriate | NA |
| EDPT | Yes | Yes | Yes | Yes |
| Case investigation | Yes | Yes | Yes | Yes |
| Foci investigation | Yes, second priority | Yes, first priority | No, except when indigenous case is reported | NA |
| BCC | Yes | Yes | Yes | Yes |
LLINs long-lasting insecticide-treated nets, IRS indoor residual spraying, EDPT early diagnosis and prompt treatment, BCC behavioral change communication, km kilometers, NA not applicable