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Am. J. Trop. Med. Hyg., 79(1), 2008, pp. 45-52
Copyright © 2008 by The American Society of Tropical Medicine and Hygiene

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National Malaria Control and Scaling Up for Impact: The Zambia Experience through 2006

Richard W. Steketee*, Naawa Sipilanyambe, John Chimumbwa, James J. Banda, Abdirahman Mohamed, John Miller, Suprotik Basu, Simon K. Miti, AND Carlos C. Campbell
Malaria Control and Evaluation Partnership in Africa, PATH, Seattle, Washington, Lusaka, Zambia, and Ferney, France; National Malaria Control Centre, Ministry of Health, Lusaka, Zambia; Roll Back Malaria Partnership, East Africa Regional Network, Secretariat, Nairobi, Kenya; Roll Back Malaria Partnership Secretariat, Geneva, Switzerland; Malaria Booster Program, The World Bank, Washington, District of Columbia; Ministry of Health, Lusaka, Zambia

With its 2006–2011 National Malaria Strategic Plan, Zambia committed to control malaria at a national scale. This scale-up for impact approach was facilitated by sound business planning and financing in 2006 of approximately US$35 million. Compared with surveys in 2001 and 2004, a 2006 national survey of 14,681 persons in 2,999 households at the end of the transmission season showed substantial coverage increases for preventive interventions. Ownership and use rates of insecticide-treated mosquito nets (ITNs) among vulnerable groups doubled, with 44% of households owning ITNs and 23% of children less than five years of age and 24% of pregnant women using them. Roll Back Malaria Abuja targets for intermittent preventive treatment in pregnancy (IPTp) were exceeded, with 62% of pregnant women receiving at least two doses of IPTp. As of 2006, Zambia is demonstrating substantial progress toward the national targets (80% population coverage rates for the interventions) and aspires to show that malaria need not be its leading health problem, and that malaria control is a sound national investment.

Received September 24, 2007. Accepted for publication March 27, 2008.

* Address correspondence to Richard W. Steketee, PATH, Bâtiment Avant Centre, 13 Chemin du Levant, 01210 Ferney-Voltaire France. E-mail: rsteketee{at}path.org

Authors’ addresses: Richard W. Steketee, PATH, Batiment Avant Centre, 13 Chemin du Levant 01210, Ferney-Voltaire, France, E-mail: rsteketee{at}path.org. Naawa Sipilanyambe, University of Zambia, Private Bag 849, Post NetBox 765, Lusaka, Zambia, E-mail: nsipilan{at}yahoo.co.uk. John Chimumbwa, RTI International, PO Box 25013, Nairobi 00603, Kenya, E-mail: jchimumbwa{at}rti.org. James J. Banda, RBM Partnership Secretariat, 20 Avenue Appia, 1211 Geneva, Switzerland, E-mail: bandaj{at}who.int. Abdirahman Mohamed and John Miller, PATH Malaria Control and Evaluation Partnership in Africa, National Malaria Control Centre, Chainama Hospital College Grounds, Lusaka, Zambia, E-mails: amohamed{at}path.org and jmiller{at}path.org. Suprotik Basu, The World Bank Group, 1818 H Street, NW, Washington, DC 20433, E-mails: Sbasu{at}worldbank.org and suprotik.basu{at}malarianomore.org. Simon K. Miti, Permanent Secretary for Health, Ministry of Health, PO Box 30205, Lusaka, Zambia, E-mail: ps{at}moh.gov.zm. Carlos C. Campbell, Malaria Control and Evaluation Partnership in Africa/PATH, 1455 NW Leary Way, Seattle, WA 98107, E-mail: cccampbell{at}path.org.






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Copyright © 2008 by the American Society of Tropical Medicine and Hygiene.