Shrinking the Malaria Map

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

Elimination Scenario Planning Tool

Why is appropriate planning for malaria elimination important?

In many endemic areas, increased financial support and implementation of proven malaria control measures has reduced malaria levels to a very low level, bringing malaria elimination within reach. Planning for differentelimination scenarioshelps national malaria programsdetermine an effective elimination strategy given the intrinsic malaria burden in a defined area, levels of program coverage, and available financial resources. It also helps to create a sustainable path for preventing malaria reintroduction and possible resurgence, which could lead to waste of resources, loss of public faith, and a heavy health burden on a population that has lost its immunity.

What is the Elimination Scenario Planning tool and why is it useful?

The Elimination Scenario Planning (ESP) tool is an assessment that guides national malaria control programs through the strategic thinking required to design and implement a malaria elimination strategy. The ESP tool reviews elimination concepts and provides an evidence-based approach for assessing three linked sets of consideration for malaria elimination: technical, operational, and financial feasibility. Based on experience from other programs and settings, the ESP tool allows users to explore different scenarios and combinations of interventions to assess what reductions in transmission are likely and the timelines over which reductions may be achieved. By using the ESP tool, malaria programs can determine if and how malaria elimination, or other reductions in malaria, can be achieved.

Who should use this tool and how?

The ESP tool should be used by national malaria program managers and can be used in conjunction with malaria transmission model software, which allows users to explore the effect of a range of intervention packages in their country and to understand better what levels of intervention coverage might be needed to make elimination possible.

The MEI requests that national malaria programs contact us when using any of the tools in the Malaria Elimination Toolkit. Support in implementing the tool may be available. If you are using the ESP manual, please contact Laura Newman (laura.newman [at] at the Malaria Elimination Initiative, Global Health Group, University of California, San Francisco.

Download the ESP tool here.

Malaria Elimination Toolkit

About Our Tools

The Malaria Elimination Toolkit offers approaches that address the challenges confronting national malaria control programs in low-transmission settings. The MEI has built this toolkit around key areas that enable successful malaria elimination and prevention of reintroduction: advocacy, financing, regional collaboration, surveillance and response, and vector control. By supplementing global malaria policy and guidance, these tools aim to accelerate elimination efforts in countries that are paving the way for malaria eradication.