Elimination Target Year
At a Glance
- Zimbabwe achieved a 70% decrease in reported malaria cases between 2004 and 2014; twenty of its sixty two districts are implementing elimination strategies, and are positioned to eliminate by 2020.
- 50% of the population is considered to be at risk of contracting malaria (Total Population: 14.15 million)
Zimbabwe has seen a decline in malaria cases from 154/1000 population in 2004 to 20.5/1000 population in 2016. Furthermore, deaths have been reduced from 1,844 in 2002 to 462 in 2015. The transmission of malaria varies throughout the country ranging from year-round transmission in lowland areas to highlands regions that are prone to epidemics. Transmission is highly heterogeneous; with malaria infections from three main provinces: Manicaland, Mashonaland East, and Mashonaland Central.
Focus on the End Game
The key approaches of the National Malaria Strategic Plan (NMSP) 2016-2020 include: achieving universal access to malaria prevention with 90% of the population at risk covered by indoor residual spraying (IRS) and insecticide treated nets, improving diagnosis and treatment of malaria, improving detection and timely control of malaria epidemics. Zimbabwe has declared a sub-national elimination goal, aiming to achieve zero cases by 2020 in approximately one third of the territory of Zimbabwe. Twenty of Zimbabwe’s sixty-three districts are in elimination phase, with incidence of less than 5 per 1,000, and less than 1 per 1,000 in Beitbridge Province.
- Insufficient Financial Resources: Lack of sustainable funding has led to challenges in meeting staff compensation, insufficient supply of diagnostics and treatment commodities, and monitoring and evaluation.
- Inadequate Surveillance: Improved surveillance is necessary in order to determine imported vs. local cases. Additionally, surveillance surrounding vector resistance to spraying is crucial. A case-based surveillance system has been introduced in the eliminating districts, and is proving to be a model for other E8 countries, while electronic tools for monitoring IRS coverage and effectiveness are also being introduced.
- Cross-Border Importation: Although national incidence has declined in recent years, districts near the border of Mozambique report the highest number of cases of malaria annually.