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Malaria and children: Progress in intervention coverage - Unicef

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S<strong>in</strong>ce around 2005 both production of <strong>and</strong><br />

fund<strong>in</strong>g for artemis<strong>in</strong><strong>in</strong>-based comb<strong>in</strong>ation<br />

therapies have been rapidly scaled up<br />

25<br />

<strong>Malaria</strong> <strong>and</strong> <strong>children</strong><br />

Figure 15 Despite relatively high treatment rates, many African <strong>children</strong> receive less effective drugs<br />

2<br />

Comoros (2000) 63<br />

Gambia, The (2006)<br />

Ug<strong>and</strong>a a (2006)<br />

Ghana (2006)<br />

Ben<strong>in</strong> (2001)<br />

Cameroon (2006)<br />

Tanzania, United Rep. of (2004–2005)<br />

Zambia a (2006)<br />

Central African Republic (2006)<br />

Congo, Dem. Rep. of the (2001)<br />

Sierra Leone (2006)<br />

Sudan (2000)<br />

Equatorial Gu<strong>in</strong>ea (2000)<br />

Burk<strong>in</strong>a Faso (2006)<br />

Congo (2005)<br />

Togo (2006)<br />

Gu<strong>in</strong>ea-Bissau (2006)<br />

Gu<strong>in</strong>ea (2005)<br />

Côte d’Ivoire (2006)<br />

Madagascar (2003)<br />

Nigeria a (2003)<br />

Mauritania (2003–2004)<br />

Niger (2006)<br />

Chad (2000)<br />

Burundi (2006)<br />

Kenya (2003)<br />

Senegal (2005)<br />

Swazil<strong>and</strong> (2000)<br />

São Tomé & Pr<strong>in</strong>cipe (2006)<br />

Malawi (2006)<br />

Mozambique (2003)<br />

Namibia (2000)<br />

Rw<strong>and</strong>a a (2005)<br />

Djibouti (2006)<br />

Somalia (2006)<br />

Zimbabwe (2005–2006)<br />

Eritrea (2002)<br />

Ethiopia (2005)<br />

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63<br />

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27<br />

Roll Back <strong>Malaria</strong> (Abuja) target for 2005<br />

Roll Back <strong>Malaria</strong> target for 2010<br />

<strong>Malaria</strong><br />

treatment<br />

by drug type<br />

Percentage of <strong>children</strong><br />

under age five with fever<br />

receiv<strong>in</strong>g chloroqu<strong>in</strong>e<br />

<strong>and</strong> any antimalarial<br />

medic<strong>in</strong>e, sub-Saharan<br />

Africa, 2000–2006<br />

Children under age<br />

five with fever<br />

receiv<strong>in</strong>g chloroqu<strong>in</strong>e<br />

Children under age<br />

five receiv<strong>in</strong>g any<br />

antimalarial medic<strong>in</strong>e<br />

Note:<br />

Some sub-Saharan<br />

African countries have<br />

a significant population<br />

share liv<strong>in</strong>g <strong>in</strong> nonmalarious<br />

areas.<br />

National-level estimates<br />

may obscure higher<br />

<strong>coverage</strong> <strong>in</strong> endemic<br />

subnational areas<br />

targeted by programmes<br />

(see annex A).<br />

a. Data on chloroqu<strong>in</strong>e<br />

use not available.<br />

Source:<br />

UNICEF global malaria<br />

database, based on 38<br />

Multiple Indicator<br />

Cluster Surveys,<br />

Demographic <strong>and</strong><br />

Health Surveys <strong>and</strong><br />

<strong>Malaria</strong> Indicator<br />

Surveys for 2000–2006.<br />

<strong>Progress</strong> <strong>in</strong> the fight aga<strong>in</strong>st malaria<br />

0 20 40 60 80 100<br />

pregnant women is not recommended for countries<br />

with a large proportion of their population<br />

liv<strong>in</strong>g <strong>in</strong> areas with low-<strong>in</strong>tensity malaria<br />

transmission, such as Botswana, Burundi, Cape<br />

Verde, Comoros, Eritrea, Ethiopia, Mauritania,<br />

South Africa <strong>and</strong> Swazil<strong>and</strong> (see annex A).<br />

These countries have therefore not <strong>in</strong>cluded<br />

<strong>in</strong>termittent preventive treatment for pregnant<br />

women as part of their national malaria control<br />

strategies.

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