Malaria and children: Progress in intervention coverage - Unicef
Malaria and children: Progress in intervention coverage - Unicef
Malaria and children: Progress in intervention coverage - Unicef
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3<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
Figure 2 Global mosquito net procurement<br />
has been rapidly scaled up<br />
1<br />
2000<br />
2<br />
4 4<br />
2002<br />
7<br />
2004<br />
17<br />
25<br />
2006<br />
Number of <strong>in</strong>secticidetreated<br />
nets procured<br />
by UNICEF, 2000–2006<br />
(millions)<br />
Note:<br />
Data refer to<br />
<strong>in</strong>secticide-treated nets<br />
treated by the user <strong>and</strong><br />
long-last<strong>in</strong>g <strong>in</strong>secticidal<br />
nets. S<strong>in</strong>ce 2004 data<br />
refer mostly to longlast<strong>in</strong>g<br />
<strong>in</strong>secticidal nets.<br />
Source:<br />
UNICEF Supply<br />
Division data, 2007.<br />
120<br />
100<br />
80<br />
60<br />
40<br />
20<br />
Figure 3 Recent <strong>and</strong> rapid scale-up <strong>in</strong> the<br />
global procurement of artemis<strong>in</strong><strong>in</strong>based<br />
comb<strong>in</strong>ation therapies<br />
0<br />
3 4<br />
2003<br />
2004<br />
51<br />
2005<br />
100<br />
2006<br />
Number of doses of<br />
artemis<strong>in</strong><strong>in</strong>-based<br />
comb<strong>in</strong>ation therapies<br />
procured worldwide,<br />
2003–2006 (millions)<br />
Source:<br />
Roll Back <strong>Malaria</strong><br />
database, 2007;<br />
UNICEF Supply<br />
Division data, 2007;<br />
<strong>and</strong> WHO <strong>and</strong> UNICEF<br />
2005b.<br />
<strong>Malaria</strong> <strong>and</strong> <strong>children</strong> Executive summary<br />
This report’s f<strong>in</strong>d<strong>in</strong>gs are based on<br />
new malaria data that allow for a<br />
more comprehensive assessment of<br />
progress <strong>in</strong> malaria control <strong>in</strong>tervention<br />
<strong>coverage</strong> across a large number<br />
of countries. In addition, this report<br />
comes dur<strong>in</strong>g a rapid transition <strong>in</strong><br />
the fight aga<strong>in</strong>st malaria, when many<br />
sub- Saharan countries have only<br />
recently scaled up <strong>in</strong>tervention <strong>coverage</strong><br />
or are <strong>in</strong> the process of do<strong>in</strong>g<br />
so. Therefore, data for some countries<br />
may not yet reflect higher <strong>coverage</strong><br />
rates. (For example, Ethiopia<br />
has distributed more than 18 million<br />
nets s<strong>in</strong>ce its last household survey <strong>in</strong><br />
2005.) The data <strong>in</strong> this report should<br />
be viewed <strong>in</strong> the rapidly chang<strong>in</strong>g<br />
context of efforts to scale up malaria<br />
control <strong>in</strong>tervention <strong>coverage</strong>.<br />
The impressive ga<strong>in</strong>s <strong>in</strong> the fight<br />
aga<strong>in</strong>st malaria across numerous sub-<br />
Saharan African countries show that<br />
major progress can be achieved—<strong>and</strong><br />
<strong>in</strong> a short period of time. Many countries<br />
have quickly absorbed sizeable<br />
additional resources directed towards<br />
combat<strong>in</strong>g malaria to accelerate their<br />
national malaria programmes. Additional<br />
resources have supported new<br />
<strong>and</strong> more effective malaria control<br />
<strong>in</strong>terventions, such as long-last<strong>in</strong>g<br />
Map 1 African countries have rapidly changed drug policies to<br />
<strong>in</strong>clude more effective drugs<br />
2003<br />
The designations employed <strong>in</strong> this<br />
publication <strong>and</strong> the presentation of<br />
the material do not imply on the<br />
part of the United Nations<br />
Children’s Fund or the Roll Back<br />
<strong>Malaria</strong> Partnership the expression<br />
of any op<strong>in</strong>ion whatsoever<br />
concern<strong>in</strong>g the legal status of any<br />
country or territory, or of its<br />
authorities or the delimitations of<br />
its frontiers.<br />
<strong>in</strong>secticidal nets, <strong>and</strong> have helped<br />
reduce bottlenecks <strong>in</strong> the supply of<br />
key malaria control commodities.<br />
These recent ga<strong>in</strong>s create a strong<br />
foundation from which countries<br />
can work towards achiev<strong>in</strong>g global<br />
malaria goals <strong>and</strong> targets. But<br />
enhanced commitments <strong>and</strong> bolder<br />
efforts are needed to meet these<br />
2007<br />
Country<br />
recommendations for<br />
first-l<strong>in</strong>e treatment of<br />
uncomplicated malaria,<br />
2003 <strong>and</strong> 2007<br />
Artemis<strong>in</strong><strong>in</strong>-based<br />
comb<strong>in</strong>ation therapy<br />
Other antimalarial<br />
medic<strong>in</strong>e (for<br />
example, chloroqu<strong>in</strong>e,<br />
sulfadox<strong>in</strong>epryimetham<strong>in</strong>e)<br />
Non-malaria-endemic<br />
area<br />
Source: WHO <strong>and</strong> UNICEF 2003c; World Health Organization Global <strong>Malaria</strong> Programme<br />
website [www.who.<strong>in</strong>t/malaria/treatmentpolicies.html].<br />
ambitious targets. Keys to success<br />
<strong>in</strong>clude scal<strong>in</strong>g-up malaria <strong>in</strong>tervention<br />
<strong>coverage</strong> through accelerated<br />
community-based programm<strong>in</strong>g<br />
efforts <strong>and</strong> <strong>in</strong>tegrat<strong>in</strong>g malaria<br />
programm<strong>in</strong>g <strong>in</strong>to exist<strong>in</strong>g service<br />
delivery mechanisms such as the<br />
Exp<strong>and</strong>ed Programme on Immunisation,<br />
child health days <strong>and</strong> antenatal<br />
care services.