The online version of this article (doi:10.1186/1475-2875-11-294) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
DM and RM conceptualized the paper and all other authors provided technical content. All authors read and approved the final manuscript.
Malaria is one of the key targets within Goal 6 of the Millennium Development Goals (MDGs), whereby the disease needs to be halted and reversed by the year 2015. Several other international targets have been set, however the MDGs are universally accepted, hence it is the focus of this manuscript.
An assessment was undertaken to determine the progress South Africa has made against the malaria target of MDG Goal 6. Data were analyzed for the period 2000 until 2010 and verified after municipal boundary changes in some of South Africa’s districts and subsequent to verifying actual residence of malaria positive cases.
South Africa has made significant progress in controlling malaria transmission over the past decade; malaria cases declined by 89.41% (63663 in 2000 vs 6741 in 2010) and deaths decreased by 85.4% (453 vs 66) in the year 2000 compared to the year 2010. Coupled with this, malaria cases among children under five years of age have also declined by 93% (6791 in 2000 vs 451 in 2010). This has resulted in South Africa achieving and exceeding the malaria target of the MDGs. A series of interventions have attributed to this decrease, these include: drug policy change from monotherapy to artemisinin combination therapy, insecticide change from pyrethroids back to DDT; cross border collaboration (South Africa with Mozambique and Swaziland through the Lubombo Spatial Development Initiative– LSDI) and financial investment in malaria control. The KwaZulu-Natal Province has seen the largest reduction in malaria cases and deaths (99.1% cases- 41786 vs 380; and 98.5% deaths 340 vs 5), when comparing the year 2000 with 2010. The Limpopo Province recorded the lowest reduction in malaria cases compared to the other malaria endemic provinces (56.1% reduction- 9487 vs 4174; when comparing 2000 to 2010).
South Africa is well positioned to move beyond the malaria target of the MDGs and progress towards elimination. However, in addition to its existing interventions, the country will need to sustain its financing for malaria control and support programmed reorientation towards elimination and scale up active surveillance coupled with treatment at the community level. Moreover cross-border malaria collaboration needs to be sustained and scaled up to prevent the re-introduction of malaria into the country.
South Africa National Department of Health: National Malaria Control Policy 2007. 2007, Pretoria, South Africa
South Africa National Department of Health: National Malaria Programme Review 2009. 2009, Pretoria, South Africa
United Nations: United Nations Millennium Declaration. 2000, United Nations Head Quarters, New York, http://www.un.org/millennium/declaration/ares552e.htm,
Southern African Development Community: E8 Windhoek Declaration 2009. 2009, Windhoek, Namibia
South Africa National Department of Health: Notification of Diseases1956. 1956, Pretoria, South Africa
Sharp BL, Craig M, Curtis B, Mnzava A, Maharaj R, Kleinschmidt I: Malaria. Health Systems Trust (ed.). South African Health Review 2000. 2000, The Press-Gang, Durban, South Africa, 351-364.
South Africa National Department of Health: Guidelines for the Treatment of Malaria in South Africa 2010. 2010, Pretoria, South Africa
Le Sueur D, Sharp BL, Appleton CC: Historical Perspective of the malaria problem in Natal with emphasis on the period 1928–1932. S Afr J Science. 1993, 89: 232-239.
Sharp BL, Le Sueur D: [Malaria in South Africa: past, present and perspectives](in French). Med Trop (Mars). 1996, 56: 189-196.
South Africa National Department of Health: National Health Promotion Strategy for South Africa 2008. 2008, Pretoria, South Africa
Freese JA, Sharp BL, Ngxongo SM, Markus MB: In vitro confirmation of chloroquine-resistant Plasmodium falciparum malaria in KwaZulu. S Afr Med J. 1988, 74: 576-578. PubMed
Deacon HE, Freese JA, Sharp BL: Drug-resistant Plasmodium falciparum malaria in the eastern Transvaal. S Afr Med J. 1994, 84: 394-395. PubMed
Kruger P, Durrheim DN, Hansford F: Increasing chloroquine resistance- the Mpumalanga Lowveld story. S Afr Med J. 1996, 86: 280-281. PubMed
Bredenkamp BL, Sharp BL, Mthembu SD, Durrheim DN, Barnes K: Failure of sulphadoxine- pyrimethamine in treating Plasmodium falciparum malaria in KwaZulu-Natal. S Afr Med J. 2001, 91: 970-972. PubMed
Sharp BL, Kleinschmidt I, Streat E, Maharaj R, Barnes KI, Durrheim DN, Ridl FC, Morris N, Seocharan I, Kunene S: Seven years of regional malaria control collaboration–Mozambique, South Africa, and Swaziland. AmJTrop Med Hyg. 2007, 76: 42-47.
South Africa National Department of Health: National Malaria Elimination Strategy 2011–2018. 2011, Pretoria, South Africa
South Africa National Department of Health: National Malaria Notifications 2011. 2011, Pretoria, South Africa
WHO: Malaria Elimination: A Field Manual for Low and Moderate Endemic Countries. 2007, World Health Organization, Geneva
- Malaria control in South Africa 2000–2010: beyond MDG6
Philip S Kruger
Eric S Rasiswi
Frew G Benson
- BioMed Central
Neu im Fachgebiet Innere Medizin
Meistgelesene Bücher aus der Inneren Medizin
Mail Icon II