Madagascar

While malaria cases and deaths reported through the national health management information system declined between 2003 and 2012, malaria remains a major health problem in Madagascar, particularly for children and pregnant women. Severe malaria is among the top five causes of reported overall mortality.

The cyclone season, extending from December to April, often results in flooding and increased risk of communicable diseases and malaria, compounded by the loss of ITNs. The new national strategy has organized the country into three geographic zones based on the local epidemiology and level of coverage of malaria interventions: control, consolidation, and pre-elimination zones.

The project’s goal is to meet PMI’s objective of covering at least 85 percent of eligible structures found in all communes/districts targeted for spraying. The four main objectives of the PMI VectorLink Project for Madagascar are as follows:

  1. Strengthen the capacity of seasonal spray campaign supervisors and government officials in monitoring/supervision of IRS activities
  2. Strengthen the National Malaria Control Program’s (NMCP) capacity in entomological and environmental compliance monitoring
  3. Ensure that teams carry out high quality spraying on time, before the peak transmission season
  4. Collect, analyze and disseminate routine epidemiological and entomological data in the South East and the East Coast, in partnership with the NMCP.
  5. Prepare the ITN distribution in close coordination with NMCP and set a strong strategy for net quality control.

The project will spay in the following areas:

Region District # of Target Structures Population Protected Insecticide Class
South West Tulear II 60,164 300,820 Organophosphate
South West Sakaraha 26,187 130,936 Organophosphate
South East Farafangana 86,830 391,225 Sumishied
South East Vohipeno 47,840 196,311 Sumishield
South East Mananjary 49,108 199,975 Organophosphate
South East Manakara 83,227 340,906 Organophosphate
Grand Total 353,356 1,560,173