WHO's latest report spotlights critical gaps in prevention coverage, particularly in sub-Saharan Africa. An estimated 43% of people at risk of malaria in the region were not protected by either a net or indoor insecticide spraying in 2015. Approximately 69% of pregnant women in 20 African countries did not have access to the recommended 3 or more doses of preventive treatment. Some targeted prevention approaches have been adopted by countries as policy, but the actual uptake has been slow. Preventive treatment for infants, for example, which is safe, cost-effective and well accepted by health workers and communities, is currently only being implemented in Sierra Leone.