Scaling Up Malaria Control in Zambia: Progress and Impact 2005–2008

Elizabeth Chizema-Kawesha National Malaria Control Center, Ministry of Health, Ndeke House, Lusaka, Zambia; Malaria Control and Evaluation Partnership in Africa (MACEPA), PATH, Lusaka, Zambia; Ferney-Voltaire, France, and Seattle, Washington; Ministry of Health, Ndeke House, Lusaka, Zambia

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John M. Miller National Malaria Control Center, Ministry of Health, Ndeke House, Lusaka, Zambia; Malaria Control and Evaluation Partnership in Africa (MACEPA), PATH, Lusaka, Zambia; Ferney-Voltaire, France, and Seattle, Washington; Ministry of Health, Ndeke House, Lusaka, Zambia

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Richard W. Steketee National Malaria Control Center, Ministry of Health, Ndeke House, Lusaka, Zambia; Malaria Control and Evaluation Partnership in Africa (MACEPA), PATH, Lusaka, Zambia; Ferney-Voltaire, France, and Seattle, Washington; Ministry of Health, Ndeke House, Lusaka, Zambia

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Victor M. Mukonka National Malaria Control Center, Ministry of Health, Ndeke House, Lusaka, Zambia; Malaria Control and Evaluation Partnership in Africa (MACEPA), PATH, Lusaka, Zambia; Ferney-Voltaire, France, and Seattle, Washington; Ministry of Health, Ndeke House, Lusaka, Zambia

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Chilandu Mukuka National Malaria Control Center, Ministry of Health, Ndeke House, Lusaka, Zambia; Malaria Control and Evaluation Partnership in Africa (MACEPA), PATH, Lusaka, Zambia; Ferney-Voltaire, France, and Seattle, Washington; Ministry of Health, Ndeke House, Lusaka, Zambia

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Abdirahman D. Mohamed National Malaria Control Center, Ministry of Health, Ndeke House, Lusaka, Zambia; Malaria Control and Evaluation Partnership in Africa (MACEPA), PATH, Lusaka, Zambia; Ferney-Voltaire, France, and Seattle, Washington; Ministry of Health, Ndeke House, Lusaka, Zambia

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Simon K. Miti National Malaria Control Center, Ministry of Health, Ndeke House, Lusaka, Zambia; Malaria Control and Evaluation Partnership in Africa (MACEPA), PATH, Lusaka, Zambia; Ferney-Voltaire, France, and Seattle, Washington; Ministry of Health, Ndeke House, Lusaka, Zambia

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Carlos C. Campbell National Malaria Control Center, Ministry of Health, Ndeke House, Lusaka, Zambia; Malaria Control and Evaluation Partnership in Africa (MACEPA), PATH, Lusaka, Zambia; Ferney-Voltaire, France, and Seattle, Washington; Ministry of Health, Ndeke House, Lusaka, Zambia

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DOI:
https://doi.org/10.4269/ajtmh.2010.10-0035
Volume/Issue:
Volume 83: Issue 3
Page(s):
480–488
Restricted access
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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$9 million in 2003 to US$ ~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.

Author Notes

*Address correspondence to Richard W. Steketee, PO Box 900922, Seattle, WA 98109. E-mail: rsteketee@path.org

Authors' addresses: Elizabeth Chizema-Kawesha, Department of Technical Resources, Zambia Ministry of Health, Lusaka, Zambia, E-mail: elizabethchizema@yahoo.co.uk. John M. Miller, MACEPA-PATH, Lusaka, Zambia, E-mail: jmiller@path.org. Richard W. Steketee, MACEPA-PATH, Ferney-Voltaire, France, E-mail: rsteketee@path.org. Victor M. Mukonka, Department of Public Health and Research, Zambia Ministry of Health, Lusaka, Zambia, E-mail: vmukonka@gmail.com. Chilandu Mukuka, National Malaria Control Program, Zambia Ministry of Health, Lusaka, Zambia, E-mail: chilandu@nmcc.org.zm. Abdirahman D. Mohamed, private physician, Minneapolis, MN, E-mail: adenmn@yahoo.com. Simon K. Miti, Zambia Ministry of Health, Lusaka, Zambia, E-mail: mitisk@yahoo.com. Carlos C. Campbell, Malaria Control Program, PATH, Seattle, WA, E-mail: cccampbell@path.org.

Copyright:
©The American Society of Tropical Medicine and Hygiene 2010
Received:
19 Jan 2010
|
Accepted:
27 Apr 2010
|
Published Online:
07 Sep 2010
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
Online ISSN:
1476-1645
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