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Malaria Journal

, 15:360

First Online: 13 July 2016Received: 14 May 2016Accepted: 04 July 2016DOI: 10.1186-s12936-016-1415-2

Cite this article as: Sande, S., Zimba, M., Chinwada, P. et al. Malar J 2016 15: 360. doi:10.1186-s12936-016-1415-2

Abstract

This review outlines and discusses the new challenges in malaria control and prospects for its elimination in Mutare and Mutasa Districts, Zimbabwe. The burden of malaria has declined significantly over the past 5 years in most regions in Zimbabwe, including Mutare and Mutasa Districts. The nationwide malaria reduction has been primarily linked to scaled-up vector control interventions and early diagnosis and treatment with effective anti-malarial medicines. The successes recorded have prompted Zimbabwe’s National Malaria Control Programme to commit to a global health agenda of eliminating malaria in all districts in the country. However, despite the decline in malaria burden in Mutare and Mutasa Districts, there is clear evidence of new challenges, including changes in vector behaviour, resistance to insecticides and anti-malarial medicines, invasion of new areas by vectors, vectors in various combination of sympatry, changes in vector proportions, outdoor malaria transmission, climate change and lack of meticulousness of spray operators. These new challenges are likely to retard the shift from malaria control to elimination in Mutare and Mutasa Districts.

KeywordsMalaria New challenges Malaria vectors Malaria elimination AbbreviationsACTartemesinin-based combination therapy

APIannual parasite index

BHCbenzene hexachloride

CDCCenters for Disease Control and Prevention

CFVconstant flow valve

CScapsule suspension

DDTdichloro-diphenyl-trichloro-ethane

E8elimination eight

IRSindoor residual spraying

LLINslong-lasting insecticidal nets

MGDMillennium Development Goal

NIHRNational Institute of Health Research

NMCPNational Malaria Control Programme

RBMRoll Back Malaria

RDTrapid diagnostic kits

SPsulfadoxine–pyrimethamine

ZDHIS2Zimbabwe District Health Information System two

ZMISZimbabwe Malaria Indicator Survey

MPRZimbabwe Malaria Programme Review

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Autor: Shadreck Sande - Moses Zimba - Peter Chinwada - Hieronymo Takundwa Masendu - Joseph Mberikunshe - Aramu Makuwaza

Fuente: https://link.springer.com/







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