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Uncertainty in Malaria Control in Tanzania: Crossroads and Challenges for Future Interventions.

Mboera, L. E. G., Makundi, E. A. and Kitua, A. Y. (2007) Uncertainty in Malaria Control in Tanzania: Crossroads and Challenges for Future Interventions. The American journal of tropical medicine and hygiene, 77 (6 Supp). pp. 112-8. ISSN 0002-9637

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Abstract

In Tanzania malaria is the leading cause of morbidity and mortality, especially in children under 5 years. The disease ranks number one in both outpatient and inpatient statistics. The socio-economic impact of malaria is so high that it contributes highly to poverty and underdevelopment. Efforts made during the past century to combat and control malaria have not been successful. The prospects of achieving the Abuja declaration targets are uncertain within the remaining period of time. Currently, the Ministry of Health through a 5-year strategic plan advocates four main approaches in the fight against the disease. These include improved case management, vector control using insecticide treated mosquito nets, prevention and control of malaria in pregnancy and epidemic preparedness, prevention and control. However, these strategies face various challenges including inadequate human, financial, and material resources; inefficiency in the healthcare system that is incapable of providing quality health services and access to prompt diagnosis and treatment; lack of an effective disease surveillance system; and an inefficient health education communication mechanism. Tanzania is at the crossroads and is challenged with the need to introduce a new antimalarial treatment regimen and the reintroduction of DDT for indoor residual spray. Unless malaria control strategy adopts an integrated approach its success is far from being realized. This article reviews the current malaria control strategies and its challenges in Tanzania and proposes new strategies.

Item Type: Article
Keywords: Malaria Control, Insecticide Treated Mosquito Nets, ITN, Healthcare, Malaria Diagnosis, Treatment, Tanzania
Subjects: Health Systems > Quality of Care
Malaria > Vector control
Malaria > Diagnosis & treatment
Divisions: National Institute for Medical Research
Depositing User: Mr Joseph Madata
Date Deposited: 16 Mar 2015 08:29
Last Modified: 16 Mar 2015 08:29
URI: http://ihi.eprints.org/id/eprint/1818

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