Malaria eradication will require adaptive, well-managed malaria programmes that are able to tailor implementation of evidence-based strategies, founded upon strong sub-national surveillance and response, with adequate funding and human resources.
Country experiences in the Eliminating Malaria Case Study Series were reviewed to identify success factors on the road to elimination using a cross-case study analytic approach. Most countries aligned with integrated vector management, all programmes conducted entomological surveillance, and indoor residual spraying (IRS) and bednets were commonly used. There were several examples of severe reductions or halting of IRS coverage and subsequent resurgence of malaria.
Low malaria transmission in Namibia suggests that elimination is possible, but the risk of imported malaria from Angola remains a challenge. This case study reviews the early transition of a program shift from malaria control to elimination in three northern regions of Namibia.