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Learnings from two independent malaria elimination demonstration projects in India
Harsh Rajvanshi1, Kirti Mishra2, Praveen K Bharti3
1Malaria Elimination Demonstration Project (MEDP), Mandla, Madhya Pradesh 481661, India.
Problem:
India and sub-Saharan Africa contributes about 85% of the global malaria burden, and India is committed to eliminating malaria by 2030.
Approach:
Two novel initiatives-the Malaria Elimination Demonstration Project (MEDP) in Madhya Pradesh and Durgama Anchalare Malaria Nirakaran (DAMaN) in Odisha-were initiated independently to demonstrate that indigenous malaria can be eliminated in a short period of time.
Local Setting:
These initiatives focused on rural, tribal areas where there is a high malaria burden and complex epidemiology.
Relevant Changes:
The case management and vector control strategies used in these programmes were based on the national guidelines, with context-specific changes and introduction of accountability at management, operational, technical and financial levels. The MEDP achieved a 91% reduction in malaria cases and recorded zero transmission for 6 consecutive and a total of 9 mo. The DAMaN project brought about an 88% reduction in malaria cases.
Lessons Learned:
Malaria elimination will require robust surveillance and case management, monitoring of vector control interventions, community-centric information education communication and behaviour change communication initiatives and management controls, as well as regular internal and external reviews.
