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This analysis assessed operational aspects of implementing reactive case investigation in very low malaria transmission areas in northern Senegal. Malaria incidence increased throughout the country, overwhelming the health system and contributing to case investigation not being conducted according to protocol, missing many households.

Participating communities were reached with information about mass drug administration (MDA) through village meetings, drama groups, radio ads, and engagement of village chiefs and local headmen among other methods. Communities that received sensitization were able to recall MDA messages, refusal rate was low (2%), and most participants reported that they believed the benefits of participating to outweigh the risks.

Zambia looks to pursue an increasingly aggressive strategy in pursuit of a malaria-free country. The strategy will use a stratified approach to deploy interventions across the country, building on progress to date, and accelerate efforts toward national elimination with a focus on strengthening surveillance systems, expanding access to diagnosis and treatment, enhancing coverage of vector control interventions, and rolling out population-wide and focal drug-based strategies where appropriate.

The 2015 malaria indicator survey (MIS) reflected high ITN coverage and increased IPTp coverage. Most provinces could further expand IRS. Despite high ITN coverage, there was not a drop in malaria prevalence by microscopy.

This fact sheet describes PATH's work to control and eliminate malaria, including expanding the use of lifesaving tools, identifying and developing better diagnostics and drugs, devising new strategies for malaria control, and accelerating the development of malaria vaccines.