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Successfully controlling malaria in South Africa
Summary
South Africa aims to eliminate malaria by 2018 through integrated vector control, case management, and community engagement. Key priorities include enhanced surveillance, resistance monitoring, and cross-border collaboration to achieve zero local transmission.
Area of Science:
- Public Health
- Tropical Medicine
- Epidemiology
Background:
- South Africa has achieved significant malaria control over 75 years.
- The nation is pursuing malaria elimination with a 2018 target for zero local transmission.
Purpose of the Study:
- To outline the strategies and priorities for achieving malaria elimination in South Africa.
- To highlight the critical components of the national malaria control program.
Main Methods:
- Intensive vector control, including indoor residual spraying.
- Case management using parasitological diagnosis and artemisinin-based combination therapy.
- Community-based health promotion and cross-border collaborations.
Main Results:
- Past successes attributed to vector control, case management, community engagement, and political commitment.
- Malaria transmission has significantly decreased.
Conclusions:
- Achieving malaria elimination requires strengthened active surveillance with molecular tests.
- Monitoring antimalarial drug and insecticide resistance is crucial.
- Sustained political commitment, funding, and cross-border initiatives are vital for success.
