The President’s Malaria Initiative (PMI)
Malaria prevention and control is a major U.S. foreign assistance objective and PMI’s Strategy fully aligns with the U.S. Government’s vision of ending preventable child and maternal deaths and ending extreme poverty. Under the PMI Strategy for 2015-2020, the U.S. Government’s goal is to work with PMI-supported countries and partners to further reduce malaria deaths and substantially decrease malaria morbidity, towards the long-term goal of elimination.
Benin is one of Africa’s most stable democracies. The national health system has a pyramid structure with three levels: central, intermediate, and peripheral. Community health workers serve at the peripheral level and are trained in malaria treatment, health promotion, and other high impact interventions. While largely unlicensed, the private health sector provides care for more than half the country’s population.
The entire population of Benin is at risk for malaria. The most common malaria vector, Anopheles gambiae, breeds continuously in the south and seasonally in the north, resulting in an endemic pattern of malaria transmission nationwide. Entomological monitoring has confirmed insecticide resistance among mosquito vector populations in parts of the country. Malaria is the leading cause of mortality among children under five and the leading cause of morbidity among adults in Benin. It is reported to account for 40 percent of outpatient consultations and 25 percent of all hospital admissions. With 37 percent of the population living below the poverty line, malaria places an enormous economic strain on Benin’s development. The World Bank estimates that households in Benin spend approximately one-quarter of their annual income on the prevention and treatment of malaria.
Large-scale implementation of ACTs and IPTp began in Benin in 2007 and has progressed rapidly with support from PMI and other partners. Rapid diagnostic tests (RDTs), ACTs, and IPTp are now available and being used in public health facilities nationwide; and millions of long-lasting ITNs have been distributed with the last nationwide distribution campaign completed in 2014. Benin has shown significant improvements in several key malaria indicators, such as net ownership and usage and uptake of IPTp. The country’s long-term vision is to reduce the burden of malaria so that it is no longer a roadblock to national socioeconomic development.
Progress to Date
The following table provides information on the major indicators used by PMI to measure progress in malaria prevention and treatment activities in Benin.
PMI Contributions Summary
Benin is currently in its ninth year as a PMI focus country. With support from PMI and its partners, malaria control interventions are being scaled up and vital commodities are being distributed to vulnerable populations. The following table shows PMI contributions for fiscal year 2014 and cumulatively across the key intervention areas.
1 The data reported in this table are-up-to date as of September 30, 2014. Please refer to Appendix 2 of the 2015 PMI Annual Report for year-by-year breakouts of PMI contributions.
2 A cumulative count of the number of houses sprayed and residents protected is not provided since many areas were sprayed on more than one occasion.
3 A cumulative count of individual health workers trained is not provided since some health workers were trained on more than one occasion.
For details on FY 2015 PMI activities in Benin, please see the Benin Malaria Operational Plan: http://www.pmi.gov/docs/default-source/default-document-library/malaria-operational-plans/fy-15/fy-2015-benin-malaria-operational-plan.pdf?sfvrsn=3