Abt staff Ben Johns, Yemane Yihdego, Lena Kolyada, Dereje Dengela, and Brad Lucas coauthored this article that looks at the effectiveness and efficiency of integrating Indoor Residual Spraying (IRS) into the government-funded community-based rural health services program in Ethiopia. The results show that an established community-based service delivery systems can be adapted to include a seasonal IRS campaign alongside the community-based health workers’ routine activities to improve performance efficiency. Further modifications of the community-based IRS model may reduce the total cost of the intervention and increase its financial sustainability.

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