Background

Malaria was the major cause of outpatient attendances, admissions and deaths in Khartoum in the 1980s and 1990s. This led to the launch of the Khartoum Malaria Free Initiative (KMFI) in 2002 by the State and Federal Ministry of Health, in collaboration with the World Health Organization (WHO), with the aim of reducing malaria incidence in Khartoum State by 80 % between 2002 and 2008, to less than 0.5 cases per 1000 people per annum [1] and to demonstrate the potential of modern malaria control interventions in order to attract funding for malaria control in the rest of the country [2]. The KMFI has three main components: (1) diagnosis & treatment, (2) prevention and (3) epidemic surveillance [2]. Larval source management is an essential component of the malaria prevention program. This document outlines the structure of the KMFI and its impact........................................