Scaling up malaria control in Zambia: progress and impact 2005-2008.
Zambia national survey, administrative, health facility, and special study data were used to assess progress and impact in national malaria control between 2000 and 2008. Zambia malaria financial support expanded from US$9 million in 2003 to US$ approximately 40 million in 2008. High malaria prevention coverage was achieved and extended to poor and rural areas. Increasing coverage was consistent in time and location with reductions in child (age 6-59 months) parasitemia and severe anemia (53% and 68% reductions, respectively, from 2006 to 2008) and with lower post-neonatal infant and 1-4 years of age child mortality (38% and 36% reductions between 2001/2 and 2007 survey estimates). Zambia has dramatically reduced malaria transmission, disease, and child mortality burden through rapid national scale-up of effective interventions. Sustained progress toward malaria elimination will require maintaining high prevention coverage and further reducing transmission by actively searching for and treating infected people who harbor malaria parasites.
Chizema-Kawesha
Elizabeth
E
National Malaria Control Center, Ministry of Health, Ndeke House, Lusaka, Zambia. elizabethchizema@yahoo.co.uk
Miller
John M
JM
Steketee
Richard W
RW
Mukonka
Victor M
VM
Mukuka
Chilandu
C
Mohamed
Abdirahman D
AD
Miti
Simon K
SK
Campbell
Carlos C
CC
D002675:Child, Preschool; D005381:Financing, Organized; D006801:Humans; D007223:Infant; D007226:Infant Mortality / Q000639:trends; D008288:Malaria / Q000453:epidemiology / Q000517:prevention & control*; D011203:Poverty; D019035:Rural Health Services; D015024:Zambia / Q000453:epidemiology
Am J Trop Med Hyg. 2003 Apr;68(4 Suppl):100-7
12749492
Am J Trop Med Hyg. 2003 Apr;68(4 Suppl):168-73
12749501
PLoS Med. 2007 Jul;4(7):e229
17608562
Emerg Infect Dis. 1998 Jul-Sep;4(3):442-50
9716967
East Afr Med J. 1978 Jun;55(6):268-76
699838
Am J Trop Med Hyg. 2008 Jul;79(1):45-52
18606763
Malar J. 2008 Aug 22;7:160
18718028
Am J Trop Med Hyg. 1996 Dec;55(6):655-60
9025694
Epidemiol Rev. 1996;18(1):77-89
8877332
Trans R Soc Trop Med Hyg. 2007 Sep;101(9):852-3
17507065
Cochrane Database Syst Rev. 2004;(2):CD000363
15106149
FEMS Immunol Med Microbiol. 1997 Aug;18(4):325-31
9348170
Malar J. 2008 Jan 29;7:25
18230140
Am J Trop Med Hyg. 2003 Apr;68(4 Suppl):121-7
12749495