The aim of this Guide is to provide guidance and high-level technical
insight to leaders in governments that are considering or have embarked
upon a national or regional strategy of malaria elimination and to the
donors, agencies, and others who support them. This document is a policy
digest of the Prospectus on Malaria Elimination, published by the Global
Today, 108 countries in the world are malaria free. One hundred
countries have continuing malaria transmission, and of these, 39 are
embarked upon malaria elimination, either nationally or subnationally.
It is primarily for these countries, and those who support them, that
this document is written. It will also be useful to those of the 61
countries currently engaged in the sustained control of malaria that are
considering a switch to a policy of elimination.
This Guide first considers the challenging question of whether and when
to embark upon malaria elimination. This decision rests on both
consideration of costs and benefits and a detailed review of technical,
operational, and financial feasibility. For countries that have made an
affirmative decision on elimination, the Guide then reviews a two-stage
process of \"getting to zero\" and \"holding the line.\" The first task
for countries, which can take a decade or more, is to reduce the local
transmission of malaria to zero. Having achieved this, countries must
then maintain it; how this can be done and the perils inherent in a
failure to maintain adequate financing and programmatic strength are
The relationships between malaria elimination and health systems
strengthening are spelled out, and the value of engagement with
nongovernmental health care providers, and of outsourcing malaria
elimination functions, are described. The essential role of full
participation and engagement by communities is stressed. The Guide goes
on to discuss the importance of regional, multicountry, and cross-border
collaborations, without which malaria elimination is scarcely possible
for many continental countries. Last, the need to sustain political will
and commitment for a long period is emphasized and discussed.
The Global Health Group, Global Health Sciences,University of California, San Francisco, USA, ISBN-13: 978-0-615-28480-4, 66 pp.