Comprehensive annual report documenting Rwanda's malaria and neglected tropical diseases (NTD) program performance for FY 2019-2020, demonstrating significant achievements in reducing malaria burden during a critical period of enhanced intervention deployment. The report shows remarkable progress with malaria incidence decreasing from 321 per 1,000 person-years in 2018-2019 to 198 per 1,000 in 2019-2020, representing a 38% reduction and achieving the national strategic target.
Key achievements include distribution of over 5.5 million Long-Lasting Insecticidal Nets (LLINs) including next-generation PBO and IG2 nets through mass campaigns in 23 districts, scale-up of Indoor Residual Spraying to 12 districts achieving 99.3% coverage and protecting nearly 5 million people, and significant reduction in severe malaria cases from 7,054 to 4,358 (38% decrease) with malaria deaths dropping from 372 to 167 (55% reduction).
The report documents comprehensive vector control strategies including insecticide resistance monitoring across 25 sites, entomological surveillance revealing dominance of Anopheles arabiensis, and innovative interventions like drone-based larviciding trials. Community health worker programs delivered 1.7+ million malaria tests and treatments, with 58% of all malaria cases now managed at community level. NTD control achieved >95% coverage in mass drug administration campaigns targeting soil-transmitted helminths in school-aged children nationwide.
Essential for understanding integrated disease control program performance, evidence-based intervention effectiveness, and strategic adaptations during epidemiological transitions and public health emergency responses.
