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Table 1 Implementation of malaria control tools/strategies in Zanzibar between 2002 and 2016

From: From high to low malaria transmission in Zanzibar—challenges and opportunities to achieve elimination

Year, month

Interventions

2002, November

New antimalarial treatment policy: ACT; 1st line: ASAQ, 2nd line: AL

2003, September

ACT deployment in all public health facilities.

2004

ITN distribution, geographically focused Intermittent preventive treatment in pregnancy (IPTp)

2005, September

LLIN universal distribution to all children < 5 years and pregnant women

2006, July

IRS (pyrethroid) aiming at annual universal coverage, in March before the main transmission season (after 2006)

2006

RDT provision to all public health facilities. LLIN provision initiated to all pregnant women and infants (9 months old) in MCH clinics

2008

LLIN universal distribution—two nets per household

2009

New antimalarial treatment policy: 1st line: ASAQ, 2nd line: quinine Weekly reporting of malaria cases by mobile phone from health care facilities (MEEDS)

2012

LLIN universal distribution—two nets per household IRS policy change: targeting hotspots only (carbamate 2012–2014, pirimiphos-methyl 2015-) Malaria case investigation and reactive household RDT screening and LLIN distribution

2015

RDT and ACT provision to private health facilities (AMFm programme) Intermittent screening and treatment in pregnancy (ISTp) replacing IPTp

2016

Larviciding in few selected sites New antimalarial treatment policy: ACT + primaquine (single low dose)

  1. ACT artemisinin-based combination therapy, ASAQ artesunate-amodiaquine, AL arthemeter-lumefantrine, ITN insecticide-treated net, IRS indoor residual spraying, RDT rapid diagnostic test, LLIN long-lasting insecticidal net, MEEDS malaria early epidemic detection system, AMFm affordable medicines for malaria, MCH mother and child health