Shrinking the Malaria Map

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

Swaziland

Swaziland achieved a 72% decrease in reported malaria cases between 2000 and 2014 and is poised to eliminate malaria by 2017.

Swaziland is located on the southern endemic margin of malaria transmission in sub-Saharan Africa, and is working to become the first mainland country in the region to eliminate malaria. Swaziland has dramatically decreased its malaria burden in the last two decades, moving from 1,395 cases in 2000 to only 389 cases in 2014. In 2014, 100% of malaria cases in Swaziland were due to Plasmodium falciparum.

Most malaria transmission in Swaziland occurs in the lowlands of the Lubombo region during the rainy season, which is between November and May, with a peak in March or April.

In 2008, with the support of a Global Fund grant, Swaziland began transitioning from malaria control to elimination with a strategic plan centered on robust surveillance and response and strengthened case management. The Ministry of Health (MOH) recently released its National Malaria Elimination Strategic Plan 2015-2020 with the goal of accelerating progress towards elimination by the end of 2015. Further support for Swaziland’s elimination goal is generated through the country’s participation in the Elimination Eight (E8). 

389 # of cases (2014)
2017
Elimination goal
Lower middle
Income level
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