Deanship of Scientific Research, University of Gezira
Abstract
Summary. Malaria is a major public health problem in Sudan and this is theleading cause of death. A lot of efforts are done recently to decrease theprevalence adopting the RBM initiative with its well known six elements.There is a new protocol for treatment which would be launched in June2004.Malaria Burden. Malaria in Sudan is a major public Health Problem. Itleads to an estimated 7.5- 10 million cases and 35000 deaths every year. Theburden of the disease on the health system is a reality. Out of the totaloutpatients’ attendance, admissions and deaths malaria represents 20- 40%, 30-50%and 15-20% respectively. These figures bring Sudan on the top of WHO /EMRO countries, as Sudan shouldered 50% of cases and 70% of deaths in theregion (WHO/EMRO). Malaria is endemic throughout the Sudan. Theendemicity level varies from hypo-endemic in the north - mesoendemic inthe central part and hyper-and holo-endemic in the south. (Map 1).Considering other factors which serve as a background for malaria in Sudan;metriological, human behavior and activities, status of the controlprogramme, country economic and social conditions, Sudan has beenstratified to 5 strata (Map2). It is worth to mention here that 80% of thepopulations are living in epidemic-prone area-unstable malaria transmission