Table 1 Context and prospect of malaria elimination in the Greater Mekong Sub-region
|  | Cambodia (ref. National Strategic Plan for Elimination of Malaria (2011–2025) [75] | Laos (ref. National Strategic Plan for Malaria Control and Elimination 2016–2020) [76] | Myanmar (ref. National Plan for Malaria Elimination in Myanmar 2016–2030 (NMCP) [77] | Vietnam (ref. National malaria control program Vietnam) [78] | Thailand (ref. National malaria control program of Thailand) [79] |
|---|---|---|---|---|---|
Aims | Eliminate artemisinin-resistant parasites of falciparum malaria by 2015 Achieve zero deaths by falciparum malaria by 2020 Eliminate all forms of malaria in Cambodia by 2025 | Eliminate malaria in Lao by the year 2030 Establish a tight collaboration between all governmental departments and ministries as well as collaborating with external (implementing-) partners to strengthen the health system at all levels | Interrupt malaria-transmission and eliminate malaria throughout the entire country by 2030 Maintain a malaria-free status in regions where transmission has been interrupted and prevent re-establishment of local transmission Establishing universal access to malaria detection- and treatment Close coordination with communities, national- as well as international NGOs, agencies of the UN and other financial stakeholders and partners | Achieve malaria elimination by 2030 | Eliminate malaria by 2024 |
Main interventions | Promotion of use of ITNs Provision of comprehensive services for free malaria-diagnostic and treatment Stop spread of malaria-drug resistant parasites Control of sale of anti-malarials to reduce the spread of ineffective and/or fake-drugs MDA in selected areas within Cambodia Development and implementation of technical- and operational plans for elimination of malaria with both national- and international partners | NSP 2016–2020 is the first part of a three-phase plan to eliminate all forms of malaria in Cambodia It focusses primarily on the impact-reduction of multi-drug resistance in the southern parts of the country, while promoting efforts to eliminate malaria in the in northern- and central parts of Lao The second phase focusses on the elimination of falciparum malaria in the entire country while eliminating all forms of malaria in the northern provinces The third phase focusses on the elimination of all forms of malaria in the entire country by 2030 | Key interventions Case management Disease prevention Malaria surveillance and prevention Control of malaria outbreaks | Control of malaria in moderate and high malaria endemic areas where the targets for 2020 are morbidity below 0.15 per 1000 population, mortality below 0.02 per 100,000 population and malaria elimination in at least 40 provinces (targets have already been achieved) | One of the key component of national malaria elimination is the 1-3-7 strategy Real-time notification investigation and response parameter for individual cases as they are detected diagnostics and medicines available at provincial level (health facilities) Cross + border collaboration with neighbouring countries as around 80% of malaria cases among migrant- + and mobile populations, clusters concentrated along Cambodian- and Thai–Myanmar border |
Funding | Total costs estimated: US$755,318,886 Budget Cambodian Government: US$131,740,244 Total budget gap: US$623,578,643 (has to be covered by external funding) | Total costs estimated: US$72,800,000 | Total costs estimated: US$1,323,000,000–1,403,000,000 | Total costs estimated: US$75,000,000 Budget from two sources: State budget (28 mil.) and international supported projects (50 mil. World Bank loans and Global fund) 55–80% of malaria-related budget comes from Global Fund in malaria-endemic districts | Total costs estimated: US$64.800,000 (2015–2021) |