Volume 11 Supplement 1

Challenges in malaria research

Open Access

Eliminating malaria in a sub-Saharan Africa: debate it or just do it?

  • Richard W Steketee1
Malaria Journal201211(Suppl 1):O52


Published: 15 October 2012

At the outset of the RBM movement in late 1998 with the declared goal of halving the global malaria burden, there was much talk that was eventually (by ~2005) followed by resources and country-led action in scale up of malaria control, notably in sub-Saharan African countries, that has achieved the anticipated burden reduction in many nations. Following the 2007 affirmation that malaria elimination and ultimate eradication was a viable goal, there has been much opportunity for discussion addressing both enthusiasm and caution. That discussion has led to increased clarity on the opportunities to act, and what is meant by “program scale up”, “sustained control”, “pre-elimination” and “elimination”. Yet few sub-Saharan African countries have truly embarked on the needed actions. This talk describes some current country actions, early learning regarding the components of the required actions for sub-Saharan African countries, and discusses details of some critical components including: optimizing preventive intervention coverage; building a sufficient information and surveillance system; using existing tools with updated strategies; measuring and costing; and confronting “time” as both a facilitator and an enemy of progress in elimination.

Authors’ Affiliations

Science Director, Malaria Control Program at PATH


© Steketee; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


By submitting a comment you agree to abide by our Terms and Community Guidelines. If you find something abusive or that does not comply with our terms or guidelines please flag it as inappropriate.