Preventing the Reintroduction of Malaria in Mauritius: A Programmatic and Financial Assessment
2011

Preventing Malaria Reintroduction in Mauritius

publication Evidence: moderate

Author Information

Author(s): Tatarsky Allison, Aboobakar Shahina, Cohen Justin M., Gopee Neerunjun, Bheecarry Ambicadutt, Moonasar Devanand, Phillips Allison A., Kahn James G., Moonen Bruno, Smith David L., Sabot Oliver

Primary Institution: Clinton Health Access Initiative

Hypothesis

What is the cost structure of successful elimination and prevention of reintroduction (POR) programs?

Conclusion

Ongoing intervention, strong leadership, and substantial predictable funding are critical to consistently prevent the reestablishment of malaria in Mauritius.

Supporting Evidence

  • On average, Mauritius spent $4.43 per capita per year during its second elimination campaign from 1982 to 1988.
  • The country currently spends $2.06 per capita on its POR program.
  • Modeling suggests that the estimated 14% of imported malaria infections identified by the passenger screening program reduces the annual risk of indigenous transmission by approximately 2%.
  • Thirty-five percent of POR costs are for a passenger screening program.

Takeaway

Mauritius has successfully kept malaria away by spending money on health programs and checking travelers for the disease. This helps stop malaria from coming back.

Methodology

The study involved a comprehensive review of literature and government documents, supplemented by program observation and interviews with policy makers and program personnel.

Limitations

The study may not fully account for the unique conditions of other countries attempting similar malaria elimination efforts.

Participant Demographics

The total population of Mauritius was approximately 1,288,000 in 2009.

Digital Object Identifier (DOI)

10.1371/journal.pone.0023832

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