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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.

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