Briefcase nr 5
Africa takes on malaria

In Africa today malaria is understood as both a disease of poverty and a cause of poverty

The ‘Race against Malaria’ campaign aims at educating southern African rural communities
about a killer disease that threatens thousands
of lives every day

Each year 300 million cases of malaria are recorded worldwide, resulting in more than a million deaths. Nearly 90% of these deaths occur in Africa, which is home to the most deadly species of mosquitoes that carry the disease. Most deaths occur among children, with malaria being the leading cause of mortality in children under five in Africa. Each year 200 000 newborn babies are killed by malaria according to a report by the World Health Organisation (WHO) and the United Nations Children's Fund (UNICEF).

Malaria is understood as a disease of poverty as well as
a cause of poverty. Economists believe that the disease imposes a growth penalty of up to 1.3% per year in some African countries. Not only does malaria result in loss of life and lost productivity due to illness and premature death, it also hampers children's schooling and social development through absenteeism and permanent neurological and other damage caused by severe episodes of the disease. One of the greatest challenges facing Africa in the fight against malaria is drug resistance.

Growing political commitment by African leaders for action
on malaria was given a boost by the founding of the Roll Back Malaria global partnership initiated by the WHO,
UNDP, UNICEF and the World Bank in 1998. The partnership seeks to work with governments, other development agencies, NGOs, and private sector companies to reduce
the human and socio-economic costs of malaria. The
Abuja Declaration, signed in April 2000, endorsed a concerted strategy to tackle the problem of malaria across Africa before 2010. The 25th of April will become
Africa Malaria Day. The commemoration for 2003, will focus on pregnant women and children, the two groups most vulnerable to malaria. The slogan is ‘Roll Back Malaria, Protect Women and Children!’ Malaria Day will also promote the use and supply of treated bed nets and will lobby for increased resources, stronger community leadership and more action for malaria prevention and control.

Rally teams, each including a national malaria control officer, a journalist, a health representative and an official will travel through affected countries to spread the word about the disease. The 2003 sub-regional race began at Ndumo in KwaZulu-Natal and will end in Tanzania on Africa Malaria Day. Countries visited will include Zimbabwe, Swaziland, Mozambique, Namibia, Botswana, Angola, Zambia, Malawi and the Democratic Republic of Congo. The visits will help to increase partnership and sponsorship for malaria control in southern Africa and will raise the national and international profile of malaria control across southern Africa. Due to the high costs of the campaign, appeals were made to local companies for sponsorship. "The battle for malaria prevention should not only be fought by those infected as it concerns everyone," the regional co-coordinator for the malaria control programme declared.

Child receives treatment - WHO

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Malaria in Africa
SAHIMS is a project of the United Nations Office for the Coordination of Humanitarian Affairs (OCHA)
Johannesburg, 25 April 2003


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