Malaria and children: Progress in intervention coverage - Unicef

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Although data are limited, more than 80 per cent of nets in households that own at least one insecticidetreated net are long-lasting insecticidal nets 17 Malaria and children Figure 9 Despite significant progress, sub- Saharan African countries are still falling short of Roll Back Malaria targets for insecticide-treated net use among children under age five 2 Guinea-Bissau (2006) 73 Congo (2005) Gambia, The (2006) São Tomé & Principe (2006) Benin (2006) Togo (2006) Comoros (2000) Central African Republic (2006) Ghana (2006) Mauritania (2003–2004) Tanzania, United Rep. of (2004–2005) Madagascar (2000) Malawi (2006) Cameroon (2006) Chad (2000) Zambia (2006) Sudan (2000) Uganda (2006) Sierra Leone (2005) Burkina Faso (2006) Somalia (2006) Côte d'Ivoire (2006) Rwanda (2005) Equatorial Guinea (2000) Kenya (2003) Niger (2006) Senegal (2005) Burundi (2005) Congo, Dem. Rep. of the (2001) Eritrea (2002) Guinea (2005) Liberia (2005) Mozambique a (2003) Djibouti (2006) Namibia a (2000) Zimbabwe (2005–2006) Nigeria (2003) Ethiopia (2005) Swaziland (2000) Sub-Saharan Africa average b 13 12 12 12 11 10 9 7 7 6 2
18 UNICEF/HQ07-0588/Giacomo Pirozzi UNICEF/HQ07-0590/Giacomo Pirozzi 2 Figure 10 Rapid progress in scaling up insecticide-treated net use across all sub- Saharan African countries with trend data 100 Trends in insecticidetreated net use 80 Roll Back Malaria target for 2010 Percentage of children under age five sleeping under an insecticidetreated net, sub-Saharan Africa, 2000–2005 60 Roll Back Malaria (Abuja) target for 2005 Around 2000 40 38 39 42 49 Around 2005 20 0 Kenya (2000, 2003) 3 5 5 2 Sierra Leone (2000, 2005) Côte d’Ivoire (2000, 2006) 6 1 1 7 7 2 1 8 2 10 10 0 1 Niger (2000, 2006) Senegal (2000, 2005) Burundi (2000, 2005) Burkina Faso (2003, 2006) Uganda (2000–2001, 2006) Cameroon (2000, 2006) 13 13 4 15 2 2 16 Rwanda (2000, 2005) Central African Republic (2000, 2006) Tanzania, United Rep. of (1999, 2004–2005) 7 20 4 22 3 23 23 1 2 7 23 15 Benin (2001, 2006) Ghana (2003, 2006) Malawi (2000, 2006) Zambia (1999, 2006) Togo (2000, 2006) Guinea-Bissau (2000, 2006) São Tomé & Principe (2000, 2006) Gambia, The (2000, 2006) Note: Some sub-Saharan African countries have a significant population share living in nonmalarious areas. National-level estimates may obscure higher coverage in endemic subnational areas targeted by programmes (see annex A). Source: UNICEF global malaria database, based on 20 Sub-Saharan African countries with available trend data for around 2000 and 2005. Therefore, insecticide-treated net use in these countries has likely increased significantly, but data are not yet available to document these major gains. Other countries with more recent data show much higher insecticide-treated net use rates for children under age five, including The Gambia (49 per cent in 2006), São Tomé and Principe (42 per cent in 2006), Guinea-Bissau (39 per cent in 2006) and Togo (38 per cent in 2006). 18 Significant progress in insecticide-treated net use Rapid gains have been made in insecticide-treated net use by children across all sub- Saharan African countries with available trend data in a short period of time and from a very low baseline. In fact, 16 of 20 countries with trend data available have at least tripled coverage since 2000 (figure 10). Between 2000 and 2005 the proportion of children sleeping under insecticide-treated nets based on a subset of 20 countries covering nearly half the
Page 1 and 2: Malaria & children Progress in inte
Page 3 and 4: Copyright © 2007 by the United Nat
Page 5 and 6: Acknowledgements This report was pr
Page 8 and 9: 1 Executive summary An estimated 3
Page 10: 3 30 25 20 15 10 5 0 Figure 2 Globa
Page 13 and 14: 6 Bonnie Gillespie/Voices for a Mal
Page 15 and 16: 8 Background on malaria Where is th
Page 18 and 19: 11 Progress in the fight against ma
Page 20 and 21: Large increases in funding and atte
Page 22 and 23: The number of nets procured by UNIC
Page 26 and 27: Rapid gains have been made in insec
Page 28 and 29: Since 2003 nearly all sub- Saharan
Page 30 and 31: Many countries still treat a large
Page 32 and 33: Since around 2005 both production o
Page 34 and 35: Coverage of intermittent preventive
Page 36 and 37: Countries are now accelerating thei
Page 38 and 39: New medicines are urgently needed t
Page 40: 33 2000 2006 Figure 3 Togo has seen
Page 43 and 44: 36 2005 Alfredo L. Fort/Courtesy of
Page 45 and 46: 38 M. Hallahan/Sumitomo Chemical-Ol
Page 47 and 48: 40 Malaria intervention coverage da
Page 49 and 50: 42 spraying rather than insecticide
Page 51 and 52: 44 Republic, Ecuador, Egypt, El Sal
Page 53 and 54: 46 26. Gazsi 2007. 27. Novartis Int
Page 55 and 56: 48 on Morbidity, Mortality, CD4-Cel
Page 57 and 58: Contents Statistical annex Statisti
Page 59 and 60: 52 Statistical table 1 (continued)
Page 63 and 64: 56 Statistical table 2 Household av
Page 65 and 66: 58 Statistical table 3 Household av
Page 73 and 74: 66 Statistical table 8 Children wit
Page 75 and 76:
68 Statistical table 9 Pregnant wom
Page 78:
This report assesses progress in ma
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Malaria and children: Progress in intervention coverage - Unicef

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