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53; South East PR =0.59; South South PR =0.51) and the North Central zone (PR =0.36). Changes in the north were less marked, but were significant and indicated overall reductions by more than 20% (North-West PR =0.74; North East PR =0.7. Changes in the south occurred mostly between 2010 and 2015, whereas those in the north were more gradual and most continued after 2015. Recent changes were not correlated with survey-reported variation in use of preventive measures. Reductions in malaria infection in children under 5 have occurred in