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Paul Collier's work, the Bottom Billion, about broken states backs up the case for using our DfID budget – yes for meeting the Millennium Development Goals, yes for vaccination and malaria reduction and all of those extremely worthwhile things – but we're mad if we don't put money into mending broken states where so many of the problems of poverty come from".
This is critical considering the reversal in malaria reduction after the year 2010 and the variation by transmission zones.
We need to bring together experts from diverse fields to develop a large-scale research agenda that makes a clear connection between improved homes and malaria reduction.
Ultimately, although there have been major gains in malaria reduction with the majority of effort from international organisations, to get to the point of malaria elimination, African countries have to be the major drivers of malaria control strategies.
Measures targeting adults are preferable to larval control due to the large number of breeding sites by the river compared to the small number of houses and the generally accepted increased efficiency of targeting the adult stage for malaria reduction [35], [36].
Potential time paths of malaria reduction in response to intervention are identified in the GMAP.
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Two new books provide myriad examples of this, from malaria-reduction efforts that inadvertently lead to the rise of resistant strains to American agricultural techniques exported wholesale to places with other systems of land ownership.
Zambia had become a model country in malaria-reduction policy; a 2008 survey showed that the prevalence of the malaria parasite in children under age five had decreased by more than 50% since 2006.
"The announcement by the global fund that round 11 of funding would be cancelled raises enormous doubts as to whether the gains in malaria mortality reduction can be built on or even sustained," say the authors.
She wanted to be able to spend her time talking with people "on the ground" about their work -- on childhood immunization, family planning, cervical cancer, malaria, the reduction of maternal and infant mortality and AIDS.
In some cases, such as malaria, the reduction of females is directly connected with the transmission of the disease, whereas in the case of Anopheles gambiae only females bite humans and thereby transmit the Plasmodium parasite.
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