Malaria elimination: situation analysis of cases in India, the state of Madhya Pradesh in central India, and district Mandla of Madhya Pradesh

India contributed approximately 66% of the malaria cases in the WHO South-East Asia region in 2022. In India, approximately 44% of cases have been reported to be disproportionately contributed by approximately 27 districts. A comparative analysis of reported malaria cases between January 2017 and De...

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Bibliographic Details
Published in:Frontiers in public health 2024-04, Vol.12, p.1363736-1363736
Main Authors: Singh, Mrigendra P, Bharti, Praveen K, Rajvanshi, Harsh, Sahu, Ram S, Jayswar, Himanshu, Anvikar, Anup R, Lal, Altaf A
Format: Article
Language:English
Subjects:
Disease Eradication - statistics & numerical data
Humans
India - epidemiology
Malaria - epidemiology
Malaria - prevention & control
malaria elimination
MEDP
monitoring and accountability frameworks
Public Health
robust surveillance
situation analysis
tribal malaria
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Summary:India contributed approximately 66% of the malaria cases in the WHO South-East Asia region in 2022. In India, approximately 44% of cases have been reported to be disproportionately contributed by approximately 27 districts. A comparative analysis of reported malaria cases between January 2017 and December 2022 was performed in Mandla district, which is the site of a model malaria elimination demonstration project (MEDP) in Madhya Pradesh (MP), India. Compared to 2017, the decrease in malaria cases in Mandla from 2018 to 2022 was higher than MP and the rest of the country. The reduction of cases was significant in 2018, 2019, and 2021 ( < 0.01) (Mandla vs. MP) and was highly significant during 2018-2022 ( < 0.001) (Mandla vs. India). Robust surveillance and real-time data-based decisions accompanied by appropriate management, operational controls, and independent reviews, all designed for resource optimisation, were the reasons for eliminating indigenous malaria in Mandla district. The increase in infection rates during the months immediately following rains suggests that surveillance, vector control, and case management efforts should be specifically intensified for eliminating imported and indigenous cases in the near-elimination districts to work towards achieving the national elimination goal of 2030.
ISSN:2296-2565
2296-2565
DOI:10.3389/fpubh.2024.1363736