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Last Updated: 14/01/2025

Optimising seasonal malaria chemoprevention and seasonal vaccination in childhood to address the resurgent malaria burden in Africa

Objectives

To understand how to: 

  1. Maximise the impact of SMC as currently designed (e.g. by timing it more accurately in different areas).
  2. Modify the SMC strategy to make it more effective (e.g. by identifying the causes of severe malaria in the context of SMC).
  3. Use other control tools, including seasonally-targeted vaccination, alongside SMC.
  4. Understand how improving malaria prevention in childhood would affect naturally-acquired immunity. 
Principal Investigators / Focal Persons

Matthew Cairns

Rationale and Abstract

Almost half of the 435,000 malaria deaths each year occur in countries of the Sahel region of Africa, and the majority of these deaths occur during the three-four month rainy season. Monthly seasonal malaria chemoprevention (SMC) is highly effective in these areas, reducing malaria cases by 75-80% in trials, and malaria-specific mortality by 40-50% under programmatic conditions. However, malaria remains a leading cause of disease and death in several countries deploying SMC. Analysis of data from a comprehensive evaluation of SMC in 7 countries, an SMC trial in 20,000 children, and the first-ever trial of seasonally-targeted vaccination alongside SMC provides a unique opportunity to answer these questions. Mathematical models incorporating these results will enable malaria prevention packages to be optimised according to the local epidemiology.

Date

Jan 2021 — Jan 2026

Total Project Funding

$1.25M

Funding Details
Wellcome Trust, United Kingdom

Sir Henry Dale Fellowship
Grant ID: 220658
GBP 916,153
Project Site

United Kingdom

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