Abstract
Swaziland is working to be the first country in mainland sub-Saharan Africa to eliminate malaria. The highest level of Swaziland's government recently approved a national elimination policy, which endorses Swaziland's robust national elimination strategic plan. This commentary outlines Swaziland's progress towards elimination as well as the challenges that remain, primarily around securing long-term financial resources and managing imported cases from neighbouring countries.
Highlights
In March 2011, Swaziland became the first country in sub-Saharan Africa to approve a national malaria elimination policy
Swaziland greatly reduced the national burden of malaria; between 1999 and 2009 laboratory confirmed cases declined from 3.9 to 0.07 cases per 1000 population, as shown in Figure 2 [4]
This decrease has been attributed to a scale up of vector control activities in Swaziland’s at-risk region and bordering areas associated
Summary
In March 2011, Swaziland became the first country in sub-Saharan Africa to approve a national malaria elimination policy. Swaziland greatly reduced the national burden of malaria; between 1999 and 2009 laboratory confirmed cases declined from 3.9 to 0.07 cases per 1000 population, as shown in Figure 2 [4] This decrease has been attributed to a scale up of vector control activities in Swaziland’s at-risk region and bordering areas associated. Cross-border initiatives like LSDI represent a contemporary elimination strategy intended to reduce a country’s importation risk and in the case of LSDI, it has been shown to lead to success towards elimination in both South Africa and Swaziland [5].
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