title: National malaria control and scaling up for impact: the Zambia experience through 2006.
abstract: With its 2006-2011 National Malaria Strategic Plan, Zambia committed to control malaria at a national scale. This scale-up for impact approach was facilitated by sound business planning and financing in 2006 of approximately US$35 million. Compared with surveys in 2001 and 2004, a 2006 national survey of 14,681 persons in 2,999 households at the end of the transmission season showed substantial coverage increases for preventive interventions. Ownership and use rates of insecticide-treated mosquito nets (ITNs) among vulnerable groups doubled, with 44% of households owning ITNs and 23% of children less than five years of age and 24% of pregnant women using them. Roll Back Malaria Abuja targets for intermittent preventive treatment in pregnancy (IPTp) were exceeded, with 62% of pregnant women receiving at least two doses of IPTp. As of 2006, Zambia is demonstrating substantial progress toward the national targets (80% population coverage rates for the interventions) and aspires to show that malaria need not be its leading health problem, and that malaria control is a sound national investment.
authors.affiliation: Malaria Control and Evaluation Partnership in Africa, PATH, Ferney, France. rsteketee@path.org
authors.forename: Richard W
authors.initials: RW
authors.lastname: Steketee
authors.forename: Naawa
authors.initials: N
authors.lastname: Sipilanyambe
authors.forename: John
authors.initials: J
authors.lastname: Chimumbwa
authors.forename: James J
authors.initials: JJ
authors.lastname: Banda
authors.forename: Abdirahman
authors.initials: A
authors.lastname: Mohamed
authors.forename: John
authors.initials: J
authors.lastname: Miller
authors.forename: Suprotik
authors.initials: S
authors.lastname: Basu
authors.forename: Simon K
authors.initials: SK
authors.lastname: Miti
authors.forename: Carlos C
authors.initials: CC
authors.lastname: Campbell
mesh_terms: D000962:Antimalarials / Q000627:therapeutic use; D003625:Data Collection; D035082:Federal Government; D006801:Humans; D007306:Insecticides; D008288:Malaria / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D009032:Mosquito Control; D009313:National Health Programs; D011314:Preventive Health Services / Q000458:organization & administration; D015024:Zambia / Q000453:epidemiology
chemical_list: D000962:Antimalarials; D007306:Insecticides