
Malaria Journal, Journal Year: 2025, Volume and Issue: 24(1)
Published: April 1, 2025
Malaria elimination, defined as interrupting local transmission and reducing cases to zero, is a critical public health goal. While dual parasite-vector approach essential, the path elimination complex marked by both progress setbacks. Despite renewed commitment initiatives like "High Burden High Impact" approach, challenges persist, particularly in sub-Saharan Africa. These include shifting epidemiological profiles, weak systems, drug insecticide resistance, emerging global issues. Effective therefore, requires multi-pronged scaling-up package of interventions tailored intensity, including prompt treatment with ACT, IPTp for pregnant women, vector control measures IRS LLINs, robust community engagement. Ultimately, combination contextually appropriate strategies, implemented synergistically, will be crucial breaking cycle achieving sustained malaria elimination. This report aims review available evidence on strategies deployment current tools targeting vectors parasites resource-limited settings, focusing Combining can create synergistic effect, where combined impact greater than sum individual interventions. For example, simulations show benefits from combining MDA IRS, vaccines bed nets, or RTS,S vaccine perennial chemotherapy. However, effects are not always guaranteed; some combinations, LLINs may provide additional benefit. Conversely, MDA, SMC seasonal vaccination, has demonstrated increased protective effects. Therefore, successful efforts depend country-specific factors burden, political commitment, system capacity. significant biological operational remain, which necessitate approaches achieve Synergistic intervention crucial, but implementation context paramount. highly effective, all combinations yield equal results. Thus, tailoring specific dynamics essential maximizing impact. Moreover, heavily reliant systems understanding challenges. Consequently, adaptable, evidence-based required overcome these obstacles lasting toward
Language: Английский