In a sub-Saharan African context, limited natural resources, infectious diseases, including those transmitted by arthropod vectors, and chronic exposure to food contaminated with mycotoxin-producing fungi which, among others, are vectored by insects, are among the major constraints to human health. Thus, pest control should be an important component in human health improvement projects. It appears that the advantages of preventive over curative methods are rarely recognised in Africa, with more emphasis being given to the search for the ‘silver bullet’ than to integrated control approaches. Integrated pest management (IPM) systems can be assigned to different decision-making levels as well as to different integration levels, combining ecological (individual pest species, species communities, species assemblages) and management (crop, cropping systems, farms, communities) levels with the respective control systems. These levels produce a highly structured environment for decision-making, in which the use of modern information technology is important. Case studies show that IPM systems are developed and implemented at four integration levels, whereby most work is done on the lowest integration level, addressing a single pest or pest complex attacking a particular crop, group of livestock or human population, and the respective control measures undertaken. Coordinated efforts to develop and implement supplementary IPM systems at higher levels are concluded to be important elements in integrated pest management and a further contribution to human health improvement and poverty alleviation.