Malaria epidemiology and interventions in Ethiopia from 2001 to 2016
Infectious Diseases of Poverty·
- DOI
- 10.1186/s40249-018-0487-3
- PMID
- 30392470
- PMCID
- PMC6217769
- OpenAlex
- W2897083011
- Study type
- Journal article
- Publisher
- Springer Science and Business Media LLC
- Article type
- journal-article
- Integrity
- current
Why this research matters now
The findings document substantial reductions in malaria burden following intensified interventions, but identify persistent transmission in western Ethiopia and gaps between ITN ownership and use that require targeted control efforts to sustain progress.
Structured evidence summary
Research question
The study evaluated changes in malaria control policy and reviewed trends in confirmed and clinical malaria cases, deaths, and transmission patterns in Ethiopia from 2001 to 2016.
Study design
This was a retrospective review analyzing country-wide malaria surveillance data, policy changes, and district-level annual parasite incidence over a 16-year period.
Population and setting
The analysis covered all ages and children under five years across Ethiopia, with particular attention to malarious areas and epidemic-prone districts above 2500 meters elevation.
Main findings
Clinical malaria incidence decreased from 43.1 cases per 1000 population annually (2001-2010) to 29.0 cases per 1000 population annually (2011-2016). Malaria deaths fell from 2.1 per 100,000 people annually (2001-2010) to 1.1 per 100,000 annually (2011-2016). Transmission maps showed geographic shrinkage with high transmission concentrated in western border areas, though the proportion of P. falciparum cases remained stable from 2000 to 2016.
Public-health relevance
The findings document substantial reductions in malaria burden following intensified interventions, but identify persistent transmission in western Ethiopia and gaps between ITN ownership and use that require targeted control efforts to sustain progress.
Important limitations
ITN and IRS coverages remained suboptimal, with 64% ITN coverage nationally in 2016 and IRS limited to epidemic-prone areas. This summary relies on the supplied abstract and bibliographic metadata; the original article is needed for complete methodological assessment and decision-grade interpretation.
GIDS interpretation
This retrospective analysis provides national-level context on malaria epidemiology and intervention coverage in Ethiopia through 2016. It characterizes long-term trends and geographic patterns but does not represent real-time surveillance data or a current outbreak investigation.
Related GIDS surveillance
Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.
Evidence relationships
This article has 11 auditable classifier relationships to diseases, places, topics, and study design.