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GHG Support for Country Elimination Efforts The GHG is currently working with partners in several countries and regions around the world, including Melanesia, southern Africa, and China, assisting countries in developing their strategic plans for elimination, and preparing for implementation. Assistance includes level of feasibility assessments and management support for strategic planning efforts, data collection and analysis, stakeholder development, funding acquisition and identification and resolution of bottlenecks.
Melanesia: Vanuatu & the Solomon Islands Strategic planning efforts to eliminate malaria in Vanuatu and the Solomon Islands are well under way. Overall coordination of the planning and implementation effort is organized through the Pacific Malaria Initiative (PacMI), established in 2007 to eliminate malaria from Vanuatu and the Solomon Islands, one province at a time, followed in the future by elimination in Papua New Guinea. PacMI is supported by the Australian government, with additional financing coming from the Global Fund to Fight AIDS, Tuberculosis and Malaria. PacMI is guided by the Malaria Reference Group (MRG), which is chaired by Dr. Richard Feachem. Additional technical support is provided through a consortium of partners in Brisbane, including the University of Queensland, the Queensland Institute for Medical Research, and the Australian Army Malaria Institute. Vanuatu and the Solomon Islands have both finalized Strategic Malaria Elimination Plans and two-year action plans for elimination in their respective initial target provinces (Tafea Province in Vanuatu, and the Santa Cruz Islands in the Solomon Islands). Significant entomological and parasitological baseline assessments have been conducted and results are being collated. Detailed planning for next steps is underway: the major challenge will be logistics, as the target islands are extremely remote, and transportation and facilities are unreliable. Asia Pacific Malaria Elimination Network (APMEN)
In 2007, the Southern African Development Community (SADC) approved a new strategic plan for the fight against malaria in the region, including the complete cessation of malaria transmission in six member countries by 2015, including Botswana, Namibia, South Africa, and Swaziland. Support for the Four Elimination Countries In December 2007, the GHG and the Clinton Foundation created a partnership to support implementation of the SADC strategic plan by helping targeted countries conduct baseline and gap assessments, develop sound, aggressive action plans, mobilize sufficient resources, and prepare for implementation of elimination plans, in accordance with national and regional goals. The engine of this partnership is the Southern African Malaria Elimination Support Team (SAMEST), a small team of skilled professionals based in the region, jointly funded by the GHG and the Clinton Foundation. Along with SADC, other key partners in this work include the Southern African Regional Network (SARN) of the Roll Back Malaria (RBM) Partnership, the World Health Organization (WHO), UNICEF, MACEPA and others. SAMEST currently provides significant support to the Ministries of Health and National Malaria Control Programs in Botswana, Namibia and Swaziland in the development of their national elimination plans, assisting with data collection, development of monitoring and evaluation frameworks, identification and resolution of bottlenecks, and development of funding proposals.
"Elimination Eight" (E8) Regional Initiative The current boundary of malaria transmission in southern Africa stretches across the four “front-line” countries of Botswana, Namibia, South Africa and Swaziland, with transmission occurring predominantly in their northern provinces. For these countries to succeed in eliminating malaria from their northern borders, they will rely on the success of their northern neighbors (Angola, Mozambique, Zambia and Zimbabwe) in significantly reducing malaria incidence on their respective southern borders, through scaled-up malaria control efforts. E8 Ministerial Meeting On March 2-3, 2009, the Ministry of Health and Social Services in Namibia hosted the “Elimination Eight” (E8) Malaria Elimination Ministerial Meeting, bringing together Ministers of Health and Malaria Program Managers from the eight “front-line” and “second-line” countries, along with regional and international partners, to discuss opportunities for greater regional collaboration. The meeting resulted in a Ministerial Resolution which was approved by the Southern African Development Community (SADC), in Maputo, Mozambique in April 2009. The inaugural meeting was made possible through funding from the UCSF Global Health Group, under its grant from ExxonMobil. Press Release: Eight Countries Launch Cross-Border Effort to Eliminate Malaria 
The inaugural meeting of the Elimination Eight (E8) brought together Ministers of Health from Angola, Botswana, Mozambique, Namibia, South Africa, Swaziland, Zambia, and Zimbabwe and other global health leaders to launch the new sub-regional partnership. 
Professor Awa Marie Coll-Seck Opening Remarks Welcoming Remarks Malaria Elimination in Africa Keynote Opening Speech
In the past half century, China has dramatically decreased malaria incidence – from over 30 million cases per year in the 1940s to an estimated 500,000 cases per year today. The remaining affected areas include Hainan island, Yunnan, the central provinces (Anhui, Henan, Hubei, and Jiangsu), and Guizhou. China’s malaria program is shifting from control to elimination, with an initial focus on elimination in Hainan. GHG is exploring opportunities for collaboration with China on domestic elimination efforts. We are also identifying ways to help China share its knowledge and expertise with the greater global malaria community. GHG is particularly interested in the issues surround Plasmodium vivax, which is a major challenge for the central provinces and many parts of Asia. Asia Pacific Malaria Elimination Network (APMEN) |
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