Seven years of regional malaria control collaboration - Mozambique, South Africa, and Swaziland

Sharpe, B.L., Kleinschmidt, Immo, Streat, Elisabeth, Maharaj, Rajendra, Barnes, Karen I., Durrheim, David N., Ridl, Frances C., Morris, Natasha, Seocharan, Ishen, Kunene, Simon, la Grange, Jacobus J.P., Mthembu, Jotham D., Maartens, Francois, Martin, Carrin L., and Barreto, Avertino (2007) Seven years of regional malaria control collaboration - Mozambique, South Africa, and Swaziland. American Journal of Tropical Medicine and Hygiene, 76 (1). pp. 42-47.

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Abstract

The Lubombo Spatial Development Initiative is a joint development program between the governments of Mozambique, Swaziland, and South Africa, which includes malaria control as a core component of the initiative. Vector control through indoor residual spraying (IRS) was incrementally introduced in southern Mozambique between November 2000 and February 2004. Surveillance to monitor its impact was conducted by annual cross-sectional surveys to assess the prevalence of Plasmodium falciparum infection, entomologic monitoring, and malaria case notification in neighboring South Africa and Swaziland. In southern Mozambique, there was a significant reduction in P. falciparum prevalence after the implementation of IRS, with an overall relative risk of 0.74 for each intervention year (P < 0.001), ranging from 0.66 after the first year to 0.93 after the fifth intervention year. Substantial reductions in notified malaria cases were reported in South Africa and Swaziland over the same period. The success of the program in reducing malaria transmission throughout the target area provides a strong argument for investment in regional malaria control.

Item ID: 2222
Item Type: Article (Refereed Research - C1)
Keywords: malaria; Mozambique; disease control; South Africa; Swaziland; collaboration
Additional Information:

Reproduced with permission from the American Journal of Tropical Medicine and Hygiene.

Sharpe BL, Kleinschmidt I, Streat E, Maharaj R, Barnes KI, Durrheim DN, Ridl FC, Morris N, Seocharan I, Kunene S, la Grange JJP, Mthembu JD, Maartens F, Martin CL, Barreto A (2007) Seven years of regional malaria control collaboration - Mozambique, South Africa, and Swaziland. American Journal of Tropical Medicine and Hygiene, 76 (1). pp. 42-47

ISSN: 1476-1645
Date Deposited: 28 May 2009 01:18
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9299 Other Health > 929999 Health not elsewhere classified @ 100%
Citation Count from Web of Science Web of Science 108
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