World Malaria Report 2005

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World Malaria Report 2005

• Launched 3 May 2005
• Developed by WHO and UNICEF for Roll Back Malaria
• Most comprehensive global account of progress in
  malaria control efforts since launch of RBM
• Information collected from countries and RBM
  partners through 2004
• Available onlinerbm.who.int/wmr2005

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World Malaria Report 2005

• WHO and UNICEF developed the report through
  consultation at various levels
• Global RBM Monitoring and Evaluation Reference
  Group (MERG)
• Regional WHO Regional offices (6)
• Country MOH (all malaria-affected countries)

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World Malaria Report 2005

• Report draws on many sources of information
• Evidence from national and sub-national community
  surveys such as Demographic and Health Surveys
  (DHS), Multiple Indicator Cluster Surveys (MICS)
• National malaria control programmes
• Annual country-reported information from health
  information systems
• Research studies and ongoing activities at
  sentinel surveillance sites

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World Malaria Report 2005

• This report presents the best available evidence
  on
• Malaria burden, including what countries report
  to WHO
• Coverage of key interventions including access to
  antimalarial treatment and insecticide-treated
  nets
• National programme efforts to deliver malaria
  services
• Current country-level policy and financial
  environment
• Results of antimalarial drug efficacy studies

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World Malaria Report 2005

• The report covers 107 malaria-endemic countries
  and territories, by geographical regions (Africa,
  Asia, the Americas)
• Includes a few countries that reported no malaria
  transmission in 2003 but which had reported
  malaria transmission within the time frame 1990
  to 2003
• Report does not include information related to
  the burden among travellers or on prevention
  treatment of this population

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Global Burden of Malaria

• 3.2 billion people at risk
• 350-500 million clinical cases of malaria each
  year most caused by P. falciparum and P. vivax
• P. falciparum malaria directly causes more than 1
  million deaths each year
• also contributes indirectly to many additional
  deaths in synergy with other infections and
  illnesses

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Burden of Malaria in Africa

• Africa south of the Sahara
• 60 of cases worldwide
• 75 of global falciparum cases
• More than 80 of all deaths
• most deaths in children lt 5
• 25-30 of all outpatient visits
• 20-45 of hospital admissions
• 15-35 of hospital deaths

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World Malaria Report 2005

• This report suggests real progress is being made
  in
• Revitalizing national malaria control programme
  efforts in Africa, Asia and the Americas
• Scaling up interventions in Africa
• distributing ITNs
• Adopting recommendations for malaria control
  during pregnancy
• Changing drug policies
• Collecting evidence on antimalarial drug efficacy
  to inform drug policy change
• Making finances available at the global level for
  malaria control efforts

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Fig. 43 Cumulative number of mosquito nets sold
or distributed and (re-)treated in Africa
according to country reports, 19992003
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Map 5. Drug resistance to P. falciparum from
studies in sentinel sites, up to 2004
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Map 6. Countries that include artemisinin-based
combination therapy in antimalarialtreatment
policy, as of 2004
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World Malaria Report 2005

• However, despite real progress, much more needs
  to be done to face the ongoing challenges
• Huge gap remains between resources needed
  (minimum of 3.2 billion per year for at least
  the next decade) and what is available
• Supply of ITNs and drugs needs to also be scaled
  up to meet increasing demand
• Investment in capacity building, esp. at country
  level
• Continued investment in research to improve
  present tools and develop new tools
• More attention needed to develop effective ME
  systems

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World Malaria Report 2005

• Report suggests that in order to effectively
  monitor progress in malaria control efforts,
  there is need for
• Strengthening country capacity for ME and
  strengthening national HIS
• Improved efforts to understand malaria burden
• Household-level surveys, such as the Malaria
  Indicator Survey, to assess coverage of key
  malaria interventions
• Continued monitoring of antimalarial drug
  efficacy
• More systematic efforts to monitor malaria
  finances and services delivered by programs

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THANK YOU
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World Malaria Report 2005

• "When I learned that malaria kills so many people
  just because they can't get simple medicine or a
  net to sleep under, I said, 'This is not
  possible, we must do something'."
• Youssou N'Dour, Musician, describing the
  motivation for Africa Live-Roll Back Malaria
  Concert, Dakar, 12-13 March 2005