Ivermectin is typically used to treat neglected tropical diseases such as onchocerciasis (river blindness) and lymphatic filariasis (elephantiasis). However, studies have shown that it can also reduce malaria by killing mosquitoes that bite people who have taken the drug. As resistance to insecticides increases, ivermectin may offer a new and effective way to reduce transmission, especially in areas where standard methods are no longer reliable.
The BOHEMIA project (Broad One Health Endectocide-based Malaria Intervention in Africa), funded by Unitaid, tested this idea through two large-scale Mass Drug Administration (MDA) trials in regions with high malaria burden: Kwale County in Kenya and Mopeia district in Mozambique. Researchers evaluated whether giving a single monthly dose of ivermectin (400 mcg/kg) over three months at the start of the rainy season could lower malaria transmission. In Kenya, the program focused on children aged 5 to 15, while in Mozambique it targeted children under the age of five.