MIN/Sp/AU/CAMH3/6 Malaria Page 24 Figure 6: Examples of countries with declining malaria cases at health facility level 2001 - 2006 South Africa 15,000 140 140 120 100 80 120,000 120 100,000 100 80,000 80 60,000 60 40,000 40 20,000 20 60 10,000 Cases 20,000 140,000 Deaths 40 20 5,000 0 0 0 0 2001 2002 2003 2004 2005 2006 2001 2002 2003 2004 2005 2006 Year Tanzania (Zanzibar) 60 20,000 18,000 16,000 14,000 12,000 10,000 8,000 6,000 4,000 2,000 0 50 30 20 37,500 Cases 40 30,000 22,500 15,000 10 7,500 0 0 2001 2002 2003 2004 2005 2006 2001 2002 2003 2004 2005 2006 Death s Cases Year 900 800 700 600 500 400 300 200 100 0 45,000 Deaths Cases Year Swaziland Deaths Cases 25,000 160 Deaths Eritrea 30,000 Year Malaria Cases Year Malaria Deaths Source: Country reports to WHO. To assess the impact of Global Fund activities, assessments in a sample of health facilities in Ethiopia and Rwanda show a marked decline in malaria cases and deaths that could be attributed to scaling up ITNs and ACTs as shown in figure 7. Figure 7: Malaria Cases compared to other non-malaria cases in selected health facilities in Rwanda and Ethiopia. Rwanda 12000 Ethiopia 2,500 10000 3,000 9000 2,500 10000 2,000 8000 7000 5000 4000 Malaria cases 6000 Non-malaria cases Malaria cases 6000 1,500 1,500 1,000 1,000 4000 3000 2000 Malaria cases 2000 Malaria 500 500 Non-malaria Non-malaria cases 1000 0 0 2001 2002 2003 2004 2005 2006 Year Source: WHO/GMP Global fund Success Stories 2007. Status Report on Malaria in Africa 2008 2007 0 0 2003 2004 2005 Year 2006 2007 Non-malaria cases 2,000 8000