A Global Environment Facility project entitled “Demonstration of sustainable alternatives to DDT and strengthening of national vector control capabilities in the Middle East and North Africa”, has been developed to: reduce the negative effects of DDT in public health and the global environment through the introduction of sustainable, cost-effective and environmentally-friendly alternative interventions; and reduce the reliance on DDT in case of outbreaks of vector-borne diseases and minimize the potential of countries to revert to its use.