MIN/Sp/AU/CAMH3/6 Malaria Page 18 Figure 4: Access to any anti-malarial medicine by febrile children in 2005-2007. Gambia Uganda Ghana Zambia Tanzania Cameroon Central African Republic Benin Sierra Leone Congo Togo Burkina Faso Guinea-Bissau Guinea Côte d'Ivoire Niger Burundi Angola Senegal Sao Tome and Principe Malawi Rwanda Zimbabwe 0 10 20 30 40 50 60 70 % Year 2005 data for: Guinea, Senegal, Sierra Leone, Burundi, Congo, Ethiopia and Tanzania Year 2006 data for: Benin, Burkina Faso, Côte d'Ivoire, Gambia, Ghana, Guinea-Bissau, Niger, Togo, Cameroon, Central African Republic, Sao Tome and Principe, Malawi, Uganda, Zambia and Zimbabwe Year 2007 data for: Angola and Rwanda Adapted from UNICEF & RBM (2007) Malaria & children progress in Intervention coverage. 2.4.4 Indoor Residual Spraying (IRS)9 Since 2005 there is a renewed interest in large-scale IRS programs as a major component of malaria control effort. Several countries have included IRS in their malaria control strategy, while others have expanded existing programs. By end of 2007, 25 out of the 42 malaria endemic countries in the WHO African region had included IRS in their national strategy for malaria control, as shown in Fig 4. Of these, 17 routinely implement IRS as a major malaria control intervention; six are piloting IRS in a few districts, while 2 are planning pilot implementation with a view to scaling up. In Botswana, Cape Verde, Eritrea, Ethiopia, Kenya, Madagascar, Mauritius, 9 WHO/AFRO (2007) Overview of the Implementation of Indoor Residual Spraying of Insecticides for Malaria Control in the WHO African Region 2006 - 2007 Status Report on Malaria in Africa 2008