Vector-borne diseases (VBDs) such as malaria, dengue, and leishmaniasis cause a high level of morbidity and mortality. Although vector control tools can play a major role in controlling and eliminating these diseases, in many cases the evidence base for assessing the efficacy of vector control interventions is limited or not available. Studies assessing the efficacy of vector control interventions are often poorly conducted, which limits the return on investment of research funding. Here we outline the principal design features of Phase III vector control field studies, highlight major failings and strengths of published studies, and provide guidance on improving the design and conduct of vector control studies. We hope that this critical assessment will increase the impetus for more carefully considered and rigorous design of vector control studies.Evidence-based policy making on vector control VBDs such as malaria, dengue, and leishmaniasis are responsible for considerable morbidity and mortality and fall disproportionately on the poorest communities in the developing world [1-4]. One of the key methods by which VBDs can be controlled and eliminated is through vector control [5-10]; for example, long-lasting insecticidal nets (LLINs) for malaria or indoor residual spraying (IRS) for Chagas disease.Development of vector control interventions follows a multistage process [11] (Figure 1). First, a draft target product profile should be generated. This document guides the development process by outlining the features and performance targets of the intended vector control tool. The next step is demonstrating the proof of concept by conducting Phase I studies (laboratory assays to determine the mode of action) and Phase II (semi-field and small-scale field) studies, which generally have entomological end points. Large-scale Phase III field studies (efficacy studies) (see Glossary) are then conducted, which measure the efficacy of the vector control tool against epidemiological outcomes when implemented under optimal conditions. Based on the results of Phase III trials, the World Health Organization (WHO) will make recommendations for pilot implementation. These Phase IV studies will assess the effectiveness of the vector control tool when it is delivered and used operationally (i.e., under 'real-world' conditions), as well as collecting information on feasibility, distribution mechanisms, acceptability, economics, and safety. Information gathered from the Phase III and IV studies will enable the WHO to draw up policy recommendations and, in parallel, member states will develop country-level policy.Evidence-based policy making on vector control tools is now regarded as essential and is adopted by the WHO [12,13] (Box 1). The quality of evidence on vector control interventions from epidemiological trials or systematic reviews needs to be rated before recommendations and policy can be formulated. Since 2008, the WHO has adopted the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology fo...