Profile

From: WHO, 2015. Madagascar Malaria Profile. Geneva: World Health Organization. Available at: www.who.int

Epidemiological profile of Madagascar

Population by malaria endemicity (000) 2015 %
High transmission (≥ 1 case per 1000 population) 21 300 88
Low transmission (0-1 cases per 1000 population) 2 960 12
Malaria free (0 cases) 0 0
Total 24 240  
Parasites and vectors
Major plasmodium species P. falciparum (96%), P. vivax (4%)
Major anopheles species An. gambiae, arabiensis, funestus

Intervention policies and strategies

   Intervention    WHO-recommended policy/strategy Yes/no Year adopted
ITN/LLIN

ITNs/LLINs distributed free of charge

ITNs/LLINs distributed to all age groups

Yes

Yes

2004

2009

IRS

IRS is recommended

DDT is used for IRS

Yes

No

1993

-

IPT IPT is used to prevent malaria during pregnancy Yes 2006
Case management

Patients of all ages should receive diagnostic test

RDTs used at community level

ACT is free for all ages in public sector

Pre-referral treatment with recommended medicines

Marketing authorization for all oral artemisinin-based monotherapies withdrawn

Yes

Yes

Yes

No

No

2006

2010

2006

-

-

 

Antimalarial policy Type of medicine Year adopted
First-line treatment of unconfirmed malaria AS+AQ 2006
First-line treatment of P.falciparum AS+AQ 2006
For treatment failure of P.falciparum QN 2006
Treatment of severe malaria QN 2006
Treatment of P.vivax - -

Therapeutic efficacity tests (therapeutic or parasitological failure, %)

Medicine Year No. of studies Min. Median Max. Follow-up
AL 2006-2006 1 0 1.7 1.7 28 days
AS+AQ 2006-2013 18 0 0 8.7 28 days