Global Malaria Programme
The WHO Global Malaria Programme (GMP) is responsible for coordinating WHO's global efforts to control and eliminate malaria. Its work is guided by the "Global technical strategy for malaria 2016–2030" adopted by the World Health Assembly in May 2015 and updated in 2025.

WHO global database on insecticide resistance in malaria vectors

The global database on insecticide resistance in malaria vectors was established in 2014. The database is a key instrument to track the evolution and spread of insecticide resistance in malaria vectors, which is considered one of the major challenges for malaria control and elimination. 

Following a large data consolidation exercise conducted in 2019, which included the integration of separate WHO regional databases and data from other public sources, it has become the largest database on insecticide resistance globally.

The database aims to inform the development and implementation of insecticide resistance management strategies, including deployment of new vector control tools.

 

Information products based on the global database

The data contained in the database can be explored and downloaded through the interactive data visualization platform Malaria Threats Map. The platform provides thematic maps showing the status and intensity of insecticide resistance, the status of detection of various resistance mechanisms and the level of involvement of metabolic mechanisms.

The database is the source of the insecticide resistance status updates published annually in the World malaria report and of the Global report on insecticide resistance in malaria vectors: 2010-2016. It has also been used for the annual bulletin of the WHO Mekong Malaria Elimination programme, the ALMA score cards and APLMA leaders dashboard and in worldwide research exercises aiming to improve understanding the spread and evolution of insecticide resistance.

 

Database description

Contents

The database contains results from:

  • insecticide susceptibility bioassays (i.e. WHO tube test, WHO bottle bioassay and United States Centers for Disease Control and Prevention [CDC] bottle assays); 
  • intensity bioassays;
  • synergist-insecticide bioassays;
  • biochemical and molecular assays to detect the presence of various resistance mechanisms (i.e. mono-oxygenases, esterases, GSTs, kdr L1014S, kdr L1014F, Ace1R).

Data inclusion criteria

The database includes results from bioassays conducted following the standard WHO and CDC procedures for insecticide resistance monitoring in malaria vector mosquitoes with validated, or tentatively validated, discriminating concentrations, as well as results from biochemical and molecular assays. Results of bioassays conducted with non-standard discriminating concentrations are excluded.

Data sources

The data are provided by WHO Member States, as well as partner institutions (including research institutes and nongovernmental organizations), some of which run partner platforms such as Vector Base or IR Mapper, and are regularly extracted from publications in international peer-reviewed scientific journals.

Data quality control

Data reported by WHO Member States are checked for validity and consistency at WHO country, regional and headquarters levels before being included in the database. Data from partner institutions are checked at WHO headquarters level.

Other important remarks

  • The data include assays conducted with fewer than the minimum recommended number of mosquitoes (i.e. 100 female anopheline mosquitoes tested in WHO susceptibility tests) as in the absence of other data these results are considered to be informative despite the small sample size.
  • Data from WHO susceptibility tests and CDC bottle bioassays are included. However, these measure different outcomes and results are therefore not directly comparable to those from WHO tests.
  • Mosquito collection durations may span two calendar years; hence, the year indicated for a test result in the database is the year when collection of mosquitoes began for that test.
  • Insecticide resistance status varies spatially and temporally. Annual national data, provided for summary purposes, are not necessarily reflective of local situations. For decision-making purposes, the most recent data and those at the lowest possible geographical level should be used. 
  • Data quality is dependent on the correct implementation of the standard insecticide resistance test procedures. Ambient conditions such as temperature and humidity, as well as the procedures followed to rear and handle the mosquitoes during the test, may cause significant variations in test results that hamper the comparability of results in time and space. Countries and institutions are encouraged to strictly follow the WHO standard operation procedures for resistance monitoring.

Resources

Manual for monitoring insecticide resistance in mosquito vectors and selecting appropriate interventions

Vector-borne diseases are major causes of sickness, disability and death worldwide. These diseases are caused by parasites, bacteria or viruses transmitted...

Standard operating procedure for testing insecticide susceptibility of adult mosquitoes in WHO bottle bioassays

This standard operating procedure (SOP) describes the process for evaluating the susceptibility of adult mosquito vectors to insecticides using the WHO...

Standard operating procedure for evaluating the sterilizing properties of pyriproxyfen in adult female mosquitoes in WHO bottle bioassays

This (standard operating procedure) SOP describes the process of exposing mosquitoes to pyriproxyfen in glass bottles, chambering mosquitoes for oviposition...

Standard operating procedure for impregnation of filter papers for testing insecticide susceptibility of adult mosquitoes in WHO tube tests

This standard operating procedure (SOP) describes the process for impregnating filter papers with insecticides and synergists to be used in WHO tube tests...

Standard operating procedure for testing insecticide susceptibility of adult mosquitoes in WHO tube tests

This standard operating procedure (SOP) describes the process to follow for evaluating the susceptibility of adult mosquito vectors to insecticides using...

Standard operating procedure for determining the ability of PBO to restore susceptibility of adult mosquitoes to pyrethroid insecticides in WHO tube tests

The purpose of this standard operating procedure (SOP) is to describe the process for evaluating the ability of PBO to restore the susceptibility of mosquitoes...