Volume 97 Number 4_Suppl
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Haiti is committed to malaria elimination by 2020. Following a 2010 earthquake and cholera epidemic, Haiti capitalized on investments in its health system to refocus on malaria elimination. Efforts, including expanding diagnostics, ensuring efficacy of standard treatments, building institutional capacity, and strengthening surveillance were undertaken to complement the broad health system strengthening activities. These efforts led to the adoption and scale-up of malaria rapid diagnostic tests as a diagnostic modality. In addition, drug-resistant monitoring has been established in the country, along with the development of molecular testing capacity for the parasite at the National Public Health Laboratory. The development and piloting of surveillance activities to include an enhanced community-based approach for testing and treatment of patients has increased the ability of the Ministry of Health to map foci of transmission and respond promptly to outbreaks. The reinforcement of evidence-based approaches coupled with strong collaboration among the Ministry of Health and partners has demonstrated that malaria elimination by 2020 is a realistic prospect.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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  1. Domercant JW, Guillaume FD, Marston BJ, Lowrance DW, , 2015. Update on progress in selected public health programs after the 2010 earthquake and cholera epidemic—Haiti, 2014. MMWR Morb Mortal Wkly Rep 64: 137140. [Google Scholar]
  2. Vertefeuille JF, Dowell SF, Domercant JW, Tappero JW, , 2013. Cautious optimism on public health in post-earthquake Haiti. Lancet 381 : 517519. [Google Scholar]
  3. Nájera JA, González-Silva M, Alonso PL, , 2011. Some lessons for the future from the Global Malaria Eradication Programme (1955–1969). PLoS Med 8: e1000412. [Google Scholar]
  4. Carter KH, Singh P, Mujica OJ, Escalada RP, Ade MP, Castellanos LG, Espinal MA, , 2015. Malaria in the Americas: trends from 1959 to 2011. Am J Trop Med Hyg 92: 302316. [Google Scholar]
  5. WHO, 1990. World malaria situation 1988. Bull World Health Organ 68: 667–670, 675–678.
  6. The Global Fund. Haiti’s Response to Malaria, HTI-304-G03-M. Available at: http://www.theglobalfund.org/en/portfolio/country/list/. Accessed September 8, 2016.
  7. Ministère de la Santé Publique et de la Population (Haiti), Ministerio de Salud (Dominican Republic), 2009. Eliminating Malaria from Hispaniola: A Binational Effort. Available at: https://www.cartercenter.org/resources/pdfs/news/health_publications/itfde/binational-malaria-elimination-plan-092809-en.pdf.
  8. The Millennium Project, 2006. Millennium Development Goals. Available at: http://www.unmillenniumproject.org/goals/gti.htm#goal6. Accessed September 13, 2016.
  9. News BBC, , 2010. Haiti Death Toll Rises to 230,000. Available at: http://news.bbc.co.uk/2/hi/americas/8507531.stm. Accessed October 10, 2016.
  10. United States Institute of Peace, 2010. Haiti: A Republic of NGOs? Peacebrief 23. Washington, DC: United States Institute of Peace.
  11. Bhattacharjee A, Lossio R, , 2011. Evaluation of the OCHA Response to the Haiti Earthquake: Final Report. Available at: https://docs.unocha.org/sites/dms/Documents/Evaluation%20of%20OCHA%20Response%20to%20the%20Haiti%20Earthquake.pdf. Accessed October 4, 2016.
  12. Floret N, Viel JF, Mauny F, Hoen B, Piarroux R, , 2006. Negligible risk for epidemics after geophysical disasters. Emerg Infect Dis 12: 543548. [Google Scholar]
  13. Watson JT, Gayer M, Connolly MA, , 2007. Epidemics after natural disasters. Emerg Infect Dis 13: 15. [Google Scholar]
  14. Ministère de la Santé et de la Population. Plan strategique national de lutte contre la malaria, 2009-2013.
  15. FIND, TDR, and WHO, 2009. Malaria rapid diagnostic test performance. Results of WHO product testing RDTs: Round 2 (2009). Available at: http://apps.who.int/iris/bitstream/10665/44329/1/9789241599467_eng.pdf. Accessed May 14, 2017.
  16. Existe A, ., 2010. Rapid diagnostic tests for malaria – Haiti, 2010. MMWR Morb Mortal Wkly Rep 59: 13721373. [Google Scholar]
  17. World Health Organization, 2010. Global Report on Antimalarial Drug Efficacy and Drug Resistance: 2000–2010. Available at: http://www.who.int/malaria/publications/atoz/9789241500470/en/. Accessed August 20, 2016.
  18. Duverseau YT, Magloire R, Zevallos-Ipenza A, Rogers HM, Nguyen-Dinh P, , 1986. Monitoring of chloroquine sensitivity of Plasmodium falciparum in Haiti, 1981–1983. Am J Trop Med Hyg 35: 459464. [Google Scholar]
  19. Londono BL, ., 2009. Chloroquine-resistant haplotype Plasmodium falciparum parasites, Haiti. Emerg Infect Dis 15: 735740. [Google Scholar]
  20. Djimdé A, ., 2001. A molecular marker for chloroquine-resistant falciparum malaria. N Engl J Med 344: 257263. [Google Scholar]
  21. Charles M, ., 2016. Plasmodium falciparum K76T pfcrt gene mutations and parasite population structure, Haiti, 2006–2009. Emerg Infect Dis 22: 786793. [Google Scholar]
  22. Morton LC, ., 2016. Plasmodium falciparum drug-resistant haplotypes and population structure in postearthquake Haiti, 2010. Am J Trop Med Hyg 95: 811–816.
  23. Okech BA, Existe A, Romain JR, Memnon G, Victor YS, de Rochars MB, Fukuda M, , 2015. Therapeutic efficacy of chloroquine for the treatment of uncomplicated Plasmodium falciparum in Haiti after many decades of its use. Am J Trop Med Hyg 92: 541545. [Google Scholar]
  24. Gamboa D, ., 2010. A large proportion of P. falciparum isolates in the Amazon region of Peru lack pfhrp2 and pfhrp3: implications for malaria rapid diagnostic tests. PLoS One 5: e8091. [Google Scholar]
  25. Abdallah JF, ., 2015. Prevalence of pfhrp2 and pfhrp3 gene deletions in Puerto Lempira, Honduras. Malar J 14: 19. [Google Scholar]
  26. Alonso PL, ., 1991. The effect of insecticide-treated bed nets on mortality of Gambian children. Lancet 337: 14991502. [Google Scholar]
  27. Binka FN, Kubaje A, Adjuik M, Williams LA, Lengeler C, Maude GH, Armah GE, Kajihara B, Adiamah JH, Smith PG, , 1996. Impact of permethrin impregnated bednets on child mortality in Kassena-Nankana district, Ghana: a randomized controlled trial. Trop Med Int Health 1: 147154. [Google Scholar]
  28. Phillips-Howard PA, ., 2003. Efficacy of permethrin-treated bed nets in the prevention of mortality in young children in an area of high perennial malaria transmission in western Kenya. Am J Trop Med Hyg 68 (Suppl): 2329. [Google Scholar]
  29. Hobbs J, Sexton J, St. Jean Y, Jacques JR, , 1986. The biting and resting behavior of Anopheles albimanus in northern Haiti. J Am Mosq Control Assoc 2: 150153. [Google Scholar]
  30. Molez JF, Desenfant P, Jacques JR, , 1998. Bioecology in Haiti of Anopheles albimanus Wiedemann, 1820 (Diptera:Culicidae) [in French]. Bull Soc Pathol Exot 91: 334339. [Google Scholar]
  31. Sinka ME, ., 2010. The dominant Anopheles vectors of human malaria in the Americas: occurrence data, distribution maps and bionomic precis. Parasit Vectors 3: 72. [Google Scholar]
  32. Frederick J, ., 2016. Malaria vector research and control in Haiti: a systematic review. Malar J 15: 376. [Google Scholar]
  33. Richards FO, Jr ., 1993. Permethrin-impregnated bed nets for malaria control in northern Guatemala: epidemiologic impact and community acceptance. Am J Trop Med Hyg 49: 410418. [Google Scholar]
  34. Kroeger A, Mancheno M, Alarcon J, Pesse K, , 1995. Insecticide-impregnated bed nets for malaria control: varying experiences from Ecuador, Colombia, and Peru concerning acceptability and effectiveness. Am J Trop Med Hyg 53: 313323. [Google Scholar]
  35. Kroeger A, Gonzalez M, Ordonez-Gonzalez J, , 1999. Insecticide-treated materials for malaria control in Latin America: to use or not to use? Trans R Soc Trop Med Hyg 93: 565570. [Google Scholar]
  36. Zimmerman RH, Voorham J, , 1997. Use of insecticide-impregnated mosquito nets and other impregnated materials for malaria control in the Americas. Rev Panam Salud Publica 2: 1825. [Google Scholar]
  37. Steinhardt LC, ., 2017. The effectiveness of insecticide-treated bednets for preventing malaria in Haiti: results from a case-control study. Lancet Glob Health 5 : e96e103. [Google Scholar]
  38. Ministère de la Santé Publique et de la Population, Programme National de la Contrôle de la Malaria, 2015. Plan stratégique national d’elimination de la malaria en Haïti, 2016–2022. Port-au-Prince, Haiti: Ministère de la Santé Publique et de la Population.
  39. Okell LC, Bousema T, Griffin JT, Ouédraogo AL, Ghani AC, Drakeley CJ, , 2012. Factors determining the occurrence of submicroscopic malaria infections and their relevance for control. Nat Commun 3: 1237. [Google Scholar]
  40. Lucchi NW, ., 2014. PET-PCR method for the molecular detection of malaria parasites in a national malaria surveillance study in Haiti, 2011. Malar J 13: 462. [Google Scholar]
  41. Knipes AK, ., 2017. Partnering for impact: Integrated transmission assessment surveys for lymphatic filariasis, soil transmitted helminths and malaria in Haiti. PLoS Negl Trop Dis 11: e0005387. [Google Scholar]

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  • Received : 15 Nov 2016
  • Accepted : 08 Jun 2017
  • Published online : 18 Oct 2017

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