Algeria African Region I. Epidemiological profile Population (UN) Number of active foci 2015 % - Number of people living within active foci Parasites and vectors Plasmodium species: P. falciparum (0%), P.vivax (0%) An. multicolor, An. labranchiae, An. sergentii, An. hispaniola - - Major anopheles species: Malaria-free (0 cases) 36,900,000 - Reported confirmed cases (health facility): 0 Total 36,900,000 Confirmed cases at community level: - Reported deaths: 1 Estimated cases: 0 Estimated deaths: 0 II. Intervention policies and strategies Intervention Policies/strategies Yes/No Adopted ITN ITNs/ LLINs distributed free of charge No ITNs/ LLINs distributed to all age groups No - Yes 1980 No IRS is recommended IRS Medicine Year adopted First-line treatment of unconfirmed malaria - - First-line treatment of P. falciparum - - Treatment failure of P. falciparum - - - Treatment of severe malaria - - Yes - Treatment of P. vivax CQ - DDT is authorized for IRS Antimalarial treatment policy Larval control Use of larval control recommended IPT IPT used to prevent malaria during pregnancy - - Dosage of Primaquine for radical treatment of P. vivax Diagnosis Patients of all ages should receive diagnostic test - - Type pf RDT used Yes 1968 - - Never allowed - Single dose of primaquine is used as gametocidal medicine for P. falciparum Yes - Primaquine is used for radical treatment of P. vivax Yes - Therapeutic efficacy tests (clinical and parasitological failure, %) No - Medicine Yes - System for monitoring adverse reactions to antimalarials exists No - ACD for case investigation (reactive) Yes - ACD of febrile cases at community level (pro-active) No - Mass screening is undertaken No - Uncomplicated P. falciparum cases routinely admitted No - Uncomplicated P. vivax cases routinely admitted No - Foci and case investigation undertaken Yes 1968 Case reporting from private sector is mandatory Yes - Malaria diagnosis is free of charge in the public sector Treatment ACT is free of charge for all ages in public sector The sale of oral artemisinin-based monotherapies (oAMTs) G6PD test is a requirement before treatment with primaquine Directly observed treatment with primaquine is undertaken Surveillance III. Financing 0.25 mg/Kg (14 days) - Year Min Median Max Follow-up No of studies Species Insecticide susceptibility bioassays (reported resistance to at least one insecticide for any vector at any locality) Year Pyrethroid DDT Carbamate Organophosphate Species/complex tested 2010–2014 Sources of financing Government expenditure by intervention in 2015 Contribution ($USm) 100 Insecticides & spray materials ITNs Diagnostic testing Antimalarial medicines Monitoring and Evaluation Human Resources & Technical Assistance Management and other costs 80 60 40 20 Pie chart includes 100% of total expenditures 0 2008 2009 Gov. expend. 2010 Global Fund 2012 World Bank IV. Coverage USAID/PMI 2013 2014 WHO/UNICEF 2015 Others Coverage of ITN and IRS Cases tested 100 100 80 80 Supected cases (%) Population (%) 2011 60 40 20 0 2005 2006 2007 2008 2009 2010 At high risk protected with ITNs Households with at least one ITN (survey) 2011 2012 2013 2014 60 40 20 0 2005 2015 2006 2007 2008 2009 80 60 60 (%) 80 40 40 20 20 0 0 2008 2009 2010 Antimalarials distributed vs reported cases Primaquine distributed vs reported P. v. cases V. Impact 2011 2012 2013 2014 ACTs distributed vs reported P. f. cases ACTs as % of all antimalarials received by <5 (survey) 2007 8 6 0.4 4 0.2 2 0 2008 2009 2010 ABER (microscopy & RDT) RDT positivity rate 2014 2015 2011 2012 Slide positivity rate Notes: Reported confirmed cases and reported deaths are indigenous only 2013 2009 2010 2011 Cases investigated 2012 2013 2014 2015 Foci investigated 1,000 800 0.6 2007 2013 Number of malaria cases 0.8 2006 2008 Reporting completenes 2014 2015 Cases Positivity rate (%) 2006 Confirmed malaria cases per 1000 and ABER 10 0 2005 2005 2015 ABER (%) Case (%) 100 2007 2012 Cases tracked 100 2006 2011 All ages who slept under an ITN (survey) At high risk protected with IRS Cases treated 2005 2010 600 400 200 0 2005 2006 2007 Total cases Indigenous case (P.vivax) 2008 2009 Imported cases 2010 2011 2012 2013 2014 Indigenous case (P.falciparum) 2015
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