Elimination Target Year
At a Glance
- With over 6 million cases of malaria reported in 2015, Mozambique has a goal to eliminate malaria in the southernmost provinces by 2020, and gradually achieve elimination nationally by 2030
- 100% of the population is at risk of malaria (Total population: 27.98mil)
Currently, malaria is the second leading cause of death within Mozambique and is endemic throughout the entire country. Malaria transmission is year-long, with a seasonal peak during the rainy season from December-April. The National Malaria Control Program (NMCP) between the period 2012-2016, focused primarily on continued scale-up of malaria prevention and control activities, including the dissemination of malaria prevention information and increasing access to insecticide treated nets (ITNs) and indoor residual spraying (IRS).
Focus on the End Game
Although Mozambique has prioritized malaria control and prevention in recent years, it remains a leading cause of mortality within the country, and its high burden is in turn a challenge for its low-transmission neighbors. Mozambique’s national malaria control strategic plan focuses on: decentralizing malaria control activities, improving access to ITNs and IRS, improving malaria education, using lab tests to confirm suspected cases, and strengthening monitoring and evaluation. Mozambique is working towards subnational elimination in its southernmost provinces by 2020, which will be crucial for reducing the national malaria burden, as well as supporting elimination in neighboring countries such as South Africa and Swaziland.
- Slow National Scale-Up: Survey results have shown a slow pace of progress in scaling up malaria control interventions. This is in part due to frequent turnover of national program staff, reliance on external donors, and prioritization of other diseases.
- Low Domestic Funding: most of the funding for malaria control and elimination continues to come from external sources, such as the Global Fund and PMI. It is important that the government continues to increase its contribution to malaria control, especially to areas such as human resources development, where it is more difficult to cover with donor funding.
- Poor Supply Chain Management: Supply chain issues are an ongoing challenge for malaria commodities but particularly for ITNs, as the country does not have a formal system for distribution. Information management systems to detect shortages and of malaria commodities need strengthening.
- Lack of Behavior Change Communication (BCC): Improved communications around the importance of vector control interventions are not reaching the most rural populations in the country, which is impeding progress towards malaria control. Increased support at the provincial and district levels are needed to improve BCC for the prevention of malaria.