Fig. 5: Identified health zones for supplementary vector control (VC) implementation in the former Bandundu province.

Total deaths under the 40%AS strategy present the disease burden under uniformly good AS coverage across all health zones. Colours indicate the probability of EOT by 2030 under the 40%AS strategy; blue denotes health zones that are likely to meet EOT by 2030, yellow denotes health zones with high uncertainty of achieving EOT and red denotes health zones with low chance of meeting the 2030 goal. Our model identifies a priority list of ten health zones (highlighted by their names, Kwamouth, Masi Manimba, Bokoro, Bagata, Mushie, Kimputu, Mokala, Bulungu, Nioki and Kenge) for consideration for supplementary VC implementation because these health zones have high disease burden and low chance of achieving EOT under good AS coverage. Health zones outside of the former Bandundu province are excluded from our modelling recommendation because of the concern of implementing feasibility. AS active screening, VC vector control, EOT elimination of transmission, PEOT probability of elimination of transmission.