Malaria remains a significant public health issue in Malawi, with the entire population of 20 million plus at risk of infection. Notably, children under the age of five continue bearing the highest burden of the disease. Malawi accounts for 2% of malaria cases worldwide and is among the top 15 countries with a high malaria burden.
However, each day breeds hope to have malaria eliminated in at least 30 countries by 2030 as per the 2016-2030 global technical strategy for malaria.
Rabecca Kapulula, a Health Surveillance Assistant (HSA) at Chileka Health Centre in the outskirts of Lilongwe, is one of the foot soldiers that continue to be vigilant in waging the war against malaria. Rabecca has been plying her trade for 17 years, she notes there is a great deal of progress in stamping out malaria.The introduction of the malaria vaccine is a game changer as we have witnessed minimized cases in children. We are getting in the right direction, we are getting there,” she observed.
In 2022, Africa was home to 94% of malaria cases (233 million) and 95% (580 000) of malaria deaths. Children under 5 accounted for about 80% of all malaria deaths in the region according to the 2023 World Malaria Report.
“Apart from getting children aged five years or younger vaccinated, treated nets have been distributed far and wide. We also work with traditional and faith leaders to ensure community members treat the nets and use them accordingly. These compliment other traditional means of eliminating malaria which focus on a multi-pronged approach that includes vector control, prompt access to effective treatment, and preventive measures,” said Rabecca.
Three days a week, Rabecca uses her push-bike, conquering hills and valleys, to reach out to communities within her 10-kilometer catchment area which comprises a population of about 1900.
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