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Published on: October 6, 2015
The Blantyre Integrated Malaria Initiative: a model for effective malaria control
Mary J Hamel1, Christopher Mkandala1, Nyson Chizani1
1Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Public Health Service, U.S. Department of Health and Human Services, Atlanta, Georgia, USA (MJH,RS); The Blantyre District Health Office, Blantyre (CM, NK); the Blantyre Integrated Malaria Initiative, Blantyre (NC), and the Malaria Project and Department of Community Health, College of Medicine, Blantyre, Malawi (JK).
The Blantyre Integrated Malaria Initiative (BIMI) in Malawi aims to cut malaria deaths in young children by 30%. This district-wide program uses sustainable strategies for malaria prevention and control.
Area of Science:
- Public Health
- Tropical Medicine
- Epidemiology
Background:
- Malaria remains a significant cause of mortality and morbidity, particularly in children under five in sub-Saharan Africa.
- The Blantyre Integrated Malaria Initiative (BIMI) was established in Malawi in 1998 to address this public health challenge.
- BIMI is a collaborative effort between the Government of Malawi and the United States Agency for International Development (USAID).
Purpose of the Study:
- To implement and evaluate sustainable and effective strategies for malaria prevention and control in Blantyre District.
- To reduce malaria-related deaths among children under five years of age by 30% through targeted interventions.
- To achieve specific objectives outlined in Table 1 for comprehensive malaria management.
Main Methods:
- District-wide implementation of integrated malaria control strategies.
- Focus on sustainable interventions to manage and prevent malaria.
- Monitoring and evaluation of key performance indicators related to malaria morbidity and mortality.
Main Results:
- The Blantyre Integrated Malaria Initiative (BIMI) has implemented key interventions detailed in Table 2.
- Expected beneficial outcomes from BIMI interventions are described, aiming for significant reductions in malaria impact.
- The initiative targets a 30% reduction in malaria deaths in children under five.
Conclusions:
- Integrated malaria control programs like BIMI are crucial for reducing child mortality in high-burden areas.
- Sustainable strategies and multi-agency collaboration are essential for effective malaria management.
- Continued efforts are needed to achieve and sustain the 30% reduction goal for malaria deaths in young children.

