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Review
. 2019 Jun 6;18(1):190.
doi: 10.1186/s12936-019-2832-9.

Setting the scene and generating evidence for malaria elimination in Southern Mozambique

Pedro Aide  1   2 , Baltazar Candrinho  3 , Beatriz Galatas  4   5 , Khátia Munguambe  4   6 , Caterina Guinovart  5 , Fabião Luis  4 , Alfredo Mayor  4   5 , Krijn Paaijmans  4   5   7 , Lucía Fernández-Montoya  5 , Laia Cirera  5 , Quique Bassat  4   5   8 , Sonia Mocumbi  4 , Clara Menéndez  4   5   9 , Delino Nhalungo  4 , Ariel Nhacolo  4 , Regina Rabinovich  5   10 , Eusébio Macete  4   11 , Pedro Alonso  4   5 , Francisco Saúte  4
Affiliations
Review

Setting the scene and generating evidence for malaria elimination in Southern Mozambique

Pedro Aide et al. Malar J. .

Abstract

Mozambique has historically been one of the countries with the highest malaria burden in the world. Starting in the 1960s, malaria control efforts were intensified in the southern region of the country, especially in Maputo city and Maputo province, to aid regional initiatives aimed to eliminate malaria in South Africa and eSwatini. Despite significant reductions in malaria prevalence, elimination was never achieved. Following the World Health Organization's renewed vision of a malaria-free-world, and considering the achievements from the past, the Mozambican National Malaria Control Programme (NMCP) embarked on the development and implementation of a strategic plan to accelerate from malaria control to malaria elimination in southern Mozambique. An initial partnership, supported by the Bill and Melinda Gates Foundation and the La Caixa Foundation, led to the creation of the Mozambican Alliance Towards the Elimination of Malaria (MALTEM) and the Malaria Technical and Advisory Committee (MTAC) to promote national ownership and partner coordination to work towards the goal of malaria elimination in local and cross-border initiatives. Surveillance systems to generate epidemiological and entomological intelligence to inform the malaria control strategies were strengthened, and an impact and feasibility assessment of various interventions aimed to interrupt malaria transmission were conducted in Magude district (Maputo Province) through the "Magude Project". The primary aim of this project was to generate evidence to inform malaria elimination strategies for southern Mozambique. The goal of malaria elimination in areas of low transmission intensity is now included in the national malaria strategic plan for 2017-22 and the NMCP and its partners have started to work towards this goal while evidence continues to be generated to move the national elimination agenda forward.

Keywords: Alliance; Elimination; Magude project; Malaria; Mozambique.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Map of southern Mozambique and districts of Maputo Province—Magude district (in green) and all other districts of Maputo province (in orange)
Fig. 2
Fig. 2
Historical malaria prevalence in children reported between 1999–2005 for 2–15 year olds (Sharp et al. [9]), and in 2007 (MIS [16]), 2011 (DHS [17]) and 2015 (MIS [18]) for < 5 year olds in Maputo Province, Southern Mozambique
Fig. 3
Fig. 3
Design of the Magude Project including the interventions implemented (green, “x”), the activities for the collection of primary data to evaluate the impact of the interventions (yellow, “+”), and the research activities performed during the project (blue, “o”) between 2014 and 2019
See this image and copyright information in PMC

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