HIGHLIGHTS
- What: The authors demonstrate that the hazard of clinical malaria in older participants aged 10+ years ineligible for SMC decreases by 20% for each additional SMC round per child 0-9 years in the same household. The authors demonstrate benefits to the entire household indicating such programmes may be more cost-effective than previously estimated. The authors have applied a household-level modelling approach to assess the effects of extended-age SMC on older household inhabitants in a pre-elimination setting in the Gambia. Whilst a cost analysis was outside the scope of this study, estimates from . . .

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