The feasibility of malaria elimination on the island of Hispaniola, with a focus on Haiti

The feasibility of  malaria elimination  on the island of  Hispaniola, with a  focus on Haiti

This feasibility assessment was conducted to inform the governments of Haiti and the Dominican Republic (DR) as they work to achieve their joint goal of malaria elimination by 2020. This report was intended to complement the existing national and bi-national strategic plans by reviewing the status of the malaria programs, conducting detailed technical, operational, and financial analyses of what will be required to achieve elimination, and highlighting programmatic gaps that must be filled to achieve the goal of elimination by 2020. The feasibility of interrupting transmission in the great majority of the DR was demonstrated in the 1960s, although these successes could not be maintained as importation from Haiti increased in the 1970s. Accordingly, this assessment focuses primarily on evaluating the prospects for Haiti to eliminate malaria under the assumption that success in Haiti will be the key to sustainable elimination across Hispaniola.