Malaria is endemic in Nigeria and remains one of the leading causes of childhood and maternal morbidity and mortality in the country. All Nigerians are at risk of malaria due to living in areas with varying transmission intensities. Nigeria accounted for 27% of the 247 million cases of the global burden of the disease 0 31% of the 619 global malaria death reported in the 2022 World Malaria Report (WHO, 2021). The financial loss due to malaria annually is estimated to be ~132 billion Naira in the form of treatment cost, prevention and loss of man-hours.
The National Malaria Elimination Programme (NMEP), with the support of partners have committed itself to a strategy of universal coverage for all malaria interventions as the optimal approach to malaria control. The current Malaria strategic Plan covers the period 2021 and 2025 and is meant to achieve a parasite prevalence of less than 10% and reduce mortality attributable to malaria to less than 50 deaths per 1,000 livebirths by 2025. Some of the core interventions implemented by the programme include Integrated Vector Management and its strategies include the use of Insecticide Treated Nets ITNss), indoor Residual Spraying (IRS), Larval Source Management (Larviciding and Environmental Management) and personal protective measures such as house screening, durable linings and the use of repellents.
In view of the above, the NMEP is conducting a Mid-Term Review (MTR) of its current National Malaria Strategic Plan (2021-2025). The MTR will focus on the review of the malaria epidemiology, entomology, capacity to implement, policy & programming framework, organization, financing, structure and management. The MTR will review the programme performance by interventions, thematic areas. Malaria in humanitarian crisis (emergency preparedness and response), health equity, gender equality and human rights and service delivery levels beginning from the Federal Ministry Level to community level. It is hoped that the findings of the review will provide evidence on the progress made towards achieving national, regional and global targets as well as defining steps to improve programme performance or redefining the strategic direction and focus including revision of policies and strategic plan and the updating of the current strategic plan. Different categories of experts, both international and national, are required for the MTR, which will be conducted in 4 phases. Also visits would be made to selected states based on some criteria to be approved by the Technical Working group on Malaria (TWG).