Shrinking the Malaria Map

UCSF Global Health Group’s Malaria Elimination Initiative (MEI)

Nepal

Nepal reported 1,320 cases of local malaria transmission in 2015 and is working to achieve national elimination by 2026.

Nepal achieved an 83% decline in reported malaria cases between 2000 and 2015, from 7,981 cases to 1,320 cases. The majority of malaria cases in Nepal are caused by Plasmodium vivax, with P. falciparum primarily responsible for periodic outbreaks. While the proportion of cases caused by P. falciparum has been in steady decline since the 1960s, this trend has reversed in recent years. In 2015, P. falciparum accounted for an average of 14% of total cases.

Malaria is endemic in 65 of Nepal’s 75 districts, and thirteen districts are considered to be highly endemic by the Nepal National Malaria Control Program (NMCP). Historically, malaria cases have largely been confined to the Terai, which is home to over half of Nepal’s total population and shares a southern border with India. Malaria transmission occurs year round, peaking in July during the seasonal monsoon. Risk groups include ethnic minorities, the poor, young men, mobile populations, and people living in border areas.

Nepal has recently made great progress in reducing the incidence of poverty while increasing access to healthcare and reducing health disparities, despite an extended period of political instability and numerous socioeconomic and geographical barriers. Essential health services, including diagnosis and treatment for malaria, are now free at all local health facilities. Nepal is also a member of the Asia Pacific Malaria Elimination Network (APMEN). Over the next few years, the Nepal NMCP aims to increase coverage and quality of malaria interventions, build program management capacity, improve international and intersectoral collaboration, and strengthen reporting and surveillance in preparation for malaria elimination by 2026.

1,320 # of cases (2015)
2026
Elimination goal
Low
Income level

Country briefing

Reported cases
Reported cases
P falciparum transmission limit (2010)
P falciparum transmission limit (2010)
P vivax transmission limit (2010)
P vivax transmission limit (2010)

Challenges to elimination