,
Nivaldo António Tomo Chirindza,
Acácio Mugunhe,
Atanásio Serafim Vidane,
Gerito Augusto
Introduction: malaria is considered a public health threat for the humankind worldwide, estimations indicate that more than 1/3 of the population is in equal risk of acquiring it. Shared borders between countries with different malaria prevalence and preventive strategies delays elimination goals. Aim: to analyze malaria transmission dynamics in the cross border areas of Mozambique, South Africa and ESwatini from March 2017 to March 2019. Methodology: a secondary malaria database was used. Ratio comparison tests and logistic regression model estimation were done. The sample consisted of 250563 migrants and residents in MOSASWA cross-border areas tested for malaria, between March 2017 to March 2019. Data were analyzed using SPSS 22.0. Results: 250563 people were tested, out of which, 93035 (37.13%) were migrant populations and 157528 (62.87%) were residents of the surrounding areas. Regarding gender and occupation, 50.1% were male and 76% had informal occupation. The positivity rate was 2.1% (5253), out of which, 33.3% (1751) were mobile and migrant populations, 45.9% of the total cases were asymptomatic carriers. 39.18% (686) and 28.44% (498) of the positive migrants were using the Macuacua and Ressano Garcia borders on their way to South Africa respectively. 66.7% of the positives cases were surrounding populations, out of which 20.5% and 20.6% crossed the borders three to four times a week. The predictive power of having malaria increased 5.090 and 3.540 times more if the migrant had been tested in Mozambique and if he/she was a resident in the neighbouring borders, crossing into the borders of the same country respectively. Conclusions: A large number of the moving cases were diagnosed in Mozambique on their way to South Africa through Macuacua border.
| Published in | Central African Journal of Public Health (Volume 11, Issue 2) |
| DOI | 10.11648/j.cajph.20251102.12 |
| Page(s) | 53-61 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Malaria Elimination, Cross-Border Malaria Transmission, MOSASWA Malaria Initiative
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APA Style
Uate, N. R., Chirindza, N. A. T., Mugunhe, A., Vidane, A. S., Augusto, G. (2025). Dynamics in Malaria Transmission in the Cross-Border Areas of Mozambique, South Africa and Eswatini (Mosaswa), from March 2017 to March 2019. Central African Journal of Public Health, 11(2), 53-61. https://doi.org/10.11648/j.cajph.20251102.12
ACS Style
Uate, N. R.; Chirindza, N. A. T.; Mugunhe, A.; Vidane, A. S.; Augusto, G. Dynamics in Malaria Transmission in the Cross-Border Areas of Mozambique, South Africa and Eswatini (Mosaswa), from March 2017 to March 2019. Cent. Afr. J. Public Health 2025, 11(2), 53-61. doi: 10.11648/j.cajph.20251102.12
AMA Style
Uate NR, Chirindza NAT, Mugunhe A, Vidane AS, Augusto G. Dynamics in Malaria Transmission in the Cross-Border Areas of Mozambique, South Africa and Eswatini (Mosaswa), from March 2017 to March 2019. Cent Afr J Public Health. 2025;11(2):53-61. doi: 10.11648/j.cajph.20251102.12
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Download@article{10.11648/j.cajph.20251102.12,
author = {Nelson Raul Uate and Nivaldo António Tomo Chirindza and Acácio Mugunhe and Atanásio Serafim Vidane and Gerito Augusto},
title = {Dynamics in Malaria Transmission in the Cross-Border Areas of Mozambique, South Africa and Eswatini (Mosaswa), from March 2017 to March 2019
},
journal = {Central African Journal of Public Health},
volume = {11},
number = {2},
pages = {53-61},
doi = {10.11648/j.cajph.20251102.12},
url = {https://doi.org/10.11648/j.cajph.20251102.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20251102.12},
abstract = {Introduction: malaria is considered a public health threat for the humankind worldwide, estimations indicate that more than 1/3 of the population is in equal risk of acquiring it. Shared borders between countries with different malaria prevalence and preventive strategies delays elimination goals. Aim: to analyze malaria transmission dynamics in the cross border areas of Mozambique, South Africa and ESwatini from March 2017 to March 2019. Methodology: a secondary malaria database was used. Ratio comparison tests and logistic regression model estimation were done. The sample consisted of 250563 migrants and residents in MOSASWA cross-border areas tested for malaria, between March 2017 to March 2019. Data were analyzed using SPSS 22.0. Results: 250563 people were tested, out of which, 93035 (37.13%) were migrant populations and 157528 (62.87%) were residents of the surrounding areas. Regarding gender and occupation, 50.1% were male and 76% had informal occupation. The positivity rate was 2.1% (5253), out of which, 33.3% (1751) were mobile and migrant populations, 45.9% of the total cases were asymptomatic carriers. 39.18% (686) and 28.44% (498) of the positive migrants were using the Macuacua and Ressano Garcia borders on their way to South Africa respectively. 66.7% of the positives cases were surrounding populations, out of which 20.5% and 20.6% crossed the borders three to four times a week. The predictive power of having malaria increased 5.090 and 3.540 times more if the migrant had been tested in Mozambique and if he/she was a resident in the neighbouring borders, crossing into the borders of the same country respectively. Conclusions: A large number of the moving cases were diagnosed in Mozambique on their way to South Africa through Macuacua border.
},
year = {2025}
}
TY - JOUR T1 - Dynamics in Malaria Transmission in the Cross-Border Areas of Mozambique, South Africa and Eswatini (Mosaswa), from March 2017 to March 2019 AU - Nelson Raul Uate AU - Nivaldo António Tomo Chirindza AU - Acácio Mugunhe AU - Atanásio Serafim Vidane AU - Gerito Augusto Y1 - 2025/03/21 PY - 2025 N1 - https://doi.org/10.11648/j.cajph.20251102.12 DO - 10.11648/j.cajph.20251102.12 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 53 EP - 61 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20251102.12 AB - Introduction: malaria is considered a public health threat for the humankind worldwide, estimations indicate that more than 1/3 of the population is in equal risk of acquiring it. Shared borders between countries with different malaria prevalence and preventive strategies delays elimination goals. Aim: to analyze malaria transmission dynamics in the cross border areas of Mozambique, South Africa and ESwatini from March 2017 to March 2019. Methodology: a secondary malaria database was used. Ratio comparison tests and logistic regression model estimation were done. The sample consisted of 250563 migrants and residents in MOSASWA cross-border areas tested for malaria, between March 2017 to March 2019. Data were analyzed using SPSS 22.0. Results: 250563 people were tested, out of which, 93035 (37.13%) were migrant populations and 157528 (62.87%) were residents of the surrounding areas. Regarding gender and occupation, 50.1% were male and 76% had informal occupation. The positivity rate was 2.1% (5253), out of which, 33.3% (1751) were mobile and migrant populations, 45.9% of the total cases were asymptomatic carriers. 39.18% (686) and 28.44% (498) of the positive migrants were using the Macuacua and Ressano Garcia borders on their way to South Africa respectively. 66.7% of the positives cases were surrounding populations, out of which 20.5% and 20.6% crossed the borders three to four times a week. The predictive power of having malaria increased 5.090 and 3.540 times more if the migrant had been tested in Mozambique and if he/she was a resident in the neighbouring borders, crossing into the borders of the same country respectively. Conclusions: A large number of the moving cases were diagnosed in Mozambique on their way to South Africa through Macuacua border. VL - 11 IS - 2 ER -
Health Department, Centro de Colaboração em Saúde (CCS), Maputo City, Mozambique
Public Health and Physical Activity Department, Ministry of National Defence, Maputo City, Mozambique
M&E Department, ADPP-Mozambique, Matola City, Mozambique
Clinical Department, Eduardo Mondlane University, Maputo City, Mozambique
Malaria Department, World Vision, Maputo City, Mozambique
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