–Tolbert Shaba, acting district medical officer, Kazangula District Community Medical Office.
In southern Zambia’s Kazangula District, a robust malaria control program has had a dramatic impact. In 2004, when the program was launched, about 50 percent of the population had malaria. By 2014, the number was down to 5 cases out of 1,000 people.
The program’s success—which included indoor residual spraying in every household, bednets, testing and treating by community health workers, and contact tracing—surprised even its implementers. Now Shaba and his colleagues have raised the bar. “Our main aim as a district is to reduce malaria further, to zero per 1,000. We want to eliminate it. We are almost there.”
–Aminata Ka, home-based health provider in Gassane Village, Senegal.
–Cecile Ngom, Gassane Village, Senegal. (Visit the website for the national Senegalese campaign, “Zero malaria! Count me in!”)
–Kent Campbell, director of PATH’s Malaria Control and Elimination Program and Malaria Center of Excellence. (Read full interview with PATH’s Kent Campbell and Rick Steketee)
–Abdoulaye Dieng, community health worker, Senegal.
–Rick Steketee (left), science director for PATH’s Malaria Control and Elimination Program. (Read full interview with PATH’s Kent Campbell and Rick Steketee)
–Chief Singani of the Tonga people in southern Zambia.
To overcome the stigma surrounding such interventions as using bednets, getting blood drawn for diagnostic tests, or going to the hospital for treatment, Chief Singani leads by example. “I go there straight to see the problem, to sensitize. Once I’m there they say, ‘Our chief is here. Let us listen carefully now.’”
–Joseph Chebundet, pictured with his daughter, Rael. Since Rael was stricken with cerebral malaria, she can no longer walk, feed herself, or communicate with her family.
(Read “Fighting back against malaria” from the PATH blog)
“The men in this community go fishing at night and in the morning, they move. When you try to meet, they are not around. Timing is crucial.”
–Litiya Mulemwa (left), public health officer, Siavonga District Hospital, on the challenges of reaching certain members of the community during malaria campaigns.
Typical malaria campaigns during the day may not reach the fishing communities on Lake Kariba, which borders Siavonga District, but programmatic innovation and coordination are catching these slippery segments of the community.
–Chieftainess Mwenda in Chikankata, Southern Province (red dress) (Visit our toolkit for resources on malaria elimination)
–Kochelani Saili (center), malaria control officer at PATH's MACEPA project, with entomologist Musapa and neighborhood community health worker Richard in Sinazongwe District, Southern Province, Zambia.