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Perspective: End malaria for good: a review of current strategies and future novelties for malaria elimination in Nigeria

March 15, 2018 - 16:30 -- MalariaWorld Journal
Author(s): 
Omosivie Maduka
Reference: 
MWJ2018,9,1
Article type: 
Opinion
Abstract: 

Malaria is endemic in 91 countries and territories. Currently, over half of the world’s population is at risk for malaria with malaria prevalence in sub-Saharan Africa remaining the highest in the world. Nigeria accounts for 56% of malaria cases in the West African sub-region. Malaria control is historically the oldest control programme in Nigeria, having been in existence since 1948. Malaria control in Nigeria is guided by National Malaria Strategic Plans. The goal of the NMSP (2014-2020) is ‘to reduce malaria burden to pre-elimination levels and bring malaria-related mortality to zero’ using strategies under seven strategic objectives. The theme for the 2017 World Malaria Day activities was ‘End Malaria for Good’. This theme indicates a sustained push for national and international commitments toward goal zero. Although the prevalence of malaria has dropped significantly, from 42% in 2010 to 27.4% in 2015, a lot of effort needs to be made to actualise a malaria-free Nigeria. This review discusses the current strategies in place to control and eliminate malaria. It also describes some future novelties available to sub-Saharan Africa and Nigeria to ‘End Malaria for Good.’

 

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Comments

William Jobin's picture
Submitted by William Jobin on
Given that the drop in malaria prevalence in Nigeria has been fairly modest in the last 5 years, it would be wise to take another look at the methods being used - which unfortunately are ephemeral and must be repeated every year. The lack of emphasis on permanent measures, such as Larval Source Management, is a key to the problem. The national budget for malaria control can only increase slowly, thus the program will only increase slowly. In contrast, if permanent measures are employed, such as LSM, each year the area under control can be greatly expanded, roughly doubled. Successful control of malaria in the USA was based on this approach, as far back as 1935.

William Jobin Director of Blue Nile Associates

William Jobin's picture
Submitted by William Jobin on
While it is encouraging to see the recent progress against malaria in Nigeria, we have to be aware that this is not a short-term battle. Malaria has been around for centuries and is embedded in African ecology. So we must see the fight against malaria as a continuing battle.

William Jobin Director of Blue Nile Associates