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Open Access Highly Accessed Scoping Review

Scaling up impact of malaria control programmes: a tale of events in Sub-Saharan Africa and People’s Republic of China

Ernest Tambo12*, Ahmed Adebowale Adedeji3, Fang Huang1, Jun-Hu Chen1, Shui-Sen Zhou1 and Ling-Hua Tang1

Author Affiliations

1 National Institute of Parasitic Disease, Chinese Center for Disease Control and Prevention, WHO Collaborating Centre on Malaria, Schisostomiasis and Filariasis, Key Laboratory of Parasite and Vector Biology, Ministry of Health, 207 Rui Jin Er Rd, Shanghai, 200025, People’s Republic of China

2 School of Medicine & Pharmacy, Houdegbe North American University PK10, Route de Porto-Novo, 06 BP 2080, Cotonou, République du Bénin

3 Department of Pharmacology and Toxicology, Kampala International University Western Campus, P.O.Box 71, Ishaka, Bushenyi, Uganda

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Infectious Diseases of Poverty 2012, 1:7  doi:10.1186/2049-9957-1-7

Published: 1 November 2012

Abstract

This review aims at providing synthetic information with scientific evidence on the trends in the malaria events from 1960 to 2011, with the hope that it will help policy makers to take informed decisions on public health issues and intervention designs on malaria control towards elimination in both Sub-Sahara Africa and in the People’s Republic of China by highlighting the achievements, progress and challenges in research on moving malaria from epidemic status towards elimination. Our findings showed that since 1960, malaria control programmes in most countries have been disjointed and not harmonized. Interestingly, during the last decade, the causal factors of the unprecedented and substantial decline in malaria morbidity and mortality rates in most vulnerable groups in these endemic areas are multifaceted, including not only the spread of malaria and its related effects but also political and financial willingness, commitment and funding by governments and international donors. The benefits of scaling up the impact of malaria coverage interventions, improvement of health system approaches and sustained commitment of stakeholders are highlighted, although considerable efforts are still necessary in Sub-Sahara Africa. Furthermore, novel integrated control strategies aiming at moving malaria from epidemic status to control towards elimination, require solid research priorities both for sustainability of the most efficient existing tools and intervention coverage, and in gaining more insights in the understanding of the epidemiology, pathogenesis, vector dynamics, and socioeconomic aspects of the disease. In conclusion, political commitment and financial investment of stakeholders in sustaining the scaling up impact of malaria control interventions, networking between African and Chinese scientists, and their Western partners are urgently needed in upholding the recent gains, and in translating lessons learnt from the Chinese malaria control achievements and successes into practical interventions in malaria endemic countries in Africa and elsewhere.

Keywords:
malaria; funding; scaling up; interventions; health system; Sub-Sahara Africa; People’s Republic of China