Last Updated

27 May 2021

Elimination of malaria in Honduras through the implementation of 'Diagnostic, Treatment, Investigation, Response' (DTIR) and comprehensive approach in targeted areas



  • A 45% reduction in cases of autochthonous malaria by 2017, as compared with cases registered in 2014 in the national health system.
  • Zero cases of autochthonous Plasmodium falciparum malaria registered in 2017.


  • To implement an integrated vector management plan.
  • To strengthen the malaria focused approach based on the specific stratum.
  • To strengthen the coverage and quality of malaria diagnostic and treatment services.

Principal Institution(s)

Rationale and Abstract

The  National Strategic Plan (NSP) for malaria 2014 – 2017 promoted a shift from a malaria control focus towards a pre-elimination and elimination focus, and included a revised stratification of all municipalities:

  • Stratum I (165 municipalities free of malaria since at least three years).
  • Stratum II (102 municipalities with low transmission 1 or less cases per 1000 habitants per year, in the last three years).
  • Stratum III (31 municipalities not meeting the criteria for strata I and II): This stratum included the municipalities reporting more than 80% of all malaria cases in the country, among them the department of Gracias a Dios “The Mosquitia region” reporting more than 80% of all P.falciparum cases.

The project included the following activities:

  • Integrated vector control management combining use of IRS and installation of bednets mainly in stratum III municipalities, to intensify vector control activities.
  • Case management including detection, diagnosis, treatment and monitoring of 100 percent of notified cases, as well as progressive increase of number of cases investigated.
  • Development of the comprehensive active surveillance activities for malaria in border areas of epidemiological interest (Honduras/Nicaragua/El Salvador/Guatemala).
  • Promotion of detection, notification and monitoring of malaria cases in community notification units through voluntary workers.
  • Strengthening of surveillance systems.
  • Improvement of social participation and local inter institutional partnerships.
Study Design

The target population were those groups living mostly in Stratum III, with focus on:

  • Women and children under 5.
  • Indigenous people, with focus on the “mosquitia region” covering the border between Nicaragua and Honduras.
  • Afro-Hondurans.
  • Migrants and mobile population.