National Malaria Strategic Plan (NMSP) of Madagascar: 2018 – 2022

General Oblectives:

• Reduce malaria-related mortality to zero by 2022.
• Increase the number of districts in the pre-elimination phase from 3 to 74 by 2022.
• Increase the number of districts in the elimination phase from 5 to 16 by 2022.

Specific Objectives:

1. Strengthen Program Management and Coordination
   • Strengthen managerial and operational capacities at all levels.
   • Ensure the continuous availability of malaria medicines and control products across all sectors and at all levels.
2. Ensure protection for the entire population through the most efficient prevention interventions
   • Protect at least 90% of the population in areas targeted by IRS and LLINs.
   • Protect at least 80% of pregnant women through IPTp, in accordance with national guidelines.
3. Properly manage all cases of uncomplicated and severe malaria
   • Diagnose 100% of suspected malaria cases using RDTs or thick blood smears, in accordance with national guidelines.
   • Treat 100% of confirmed malaria cases in accordance with national guidelines.
4. Strengthen the communication and social mobilization framework
   • Ensure that at least 80% of the population adopts behaviors conducive to malaria prevention and case management.
5. Improve the surveillance framework
   • Detect 100% of epidemics and emergency situations within one week using an early warning system, and control 100% of epidemics and emergency situations within two weeks of detection.
   • In pre-elimination zones, strengthen the surveillance system to map high-incidence population groups and sources of infection.
   • In elimination zones, implement an effective system for investigating confirmed cases.
6. Improve the monitoring and evaluation framework
   • Integrate malaria data into DHIS2.
   • Maintain the timeliness and completeness rate of reports from all health facilities at a minimum of 90%.