Spatial technologies, i.e. geographic information systems, remote sensing, and global positioning systems, offer an opportunity for rapid assessment of malaria endemic areas. These technologies coupled with prevalence/incidence data can provide reliable estimates of population at risk, predict disease distributions in areas that lack baseline data and provide guidance for intervention strategies, so that scarce resources can be allocated in a cost-effective manner. This review focuses on the spatial technology applications that have been used in epidemiology and control of malaria in Africa. Peer-reviewed papers identified through a PubMed search using the following keywords: geospatial technology OR Geographic Information Systems OR Remote Sensing OR Earth Observation OR Global Positioning Systems OR geospatial modelling OR malaria incidence OR malaria prevalence OR malaria risk prediction OR malaria mapping AND malaria AND Africa were used. These included mapping malaria incidence and prevalence, assessing the relationship between malaria and environmental variables as well as applications for malaria early warning systems. The potential of new spatial technology applications utilising emerging satellite information, as they hold promise to further enhance infectious risk mapping and disease prediction, are outlined. We stress current research needs to overcome some of the remaining challenges of spatial technology applications for malaria so that further and sustainable progress can be made to control and eliminate this disease.
IntroductionMalaria poses serious economic, social and health burdens in tropical and subtropical countries where it is predominantly found (Gallup and Sachs, 2001). Recognising the impact of malaria on public health and economy, most African countries, with the help of interested international groups, have initiated numerous action plans as a malaria control and elimination strategy (Mendis et al., 2009). The World Health Organization (WHO) world malaria report of 2012 shows that malaria is presently endemic in 104 countries worldwide, while it is transmitted in 99 of them. According to this report, the majority of countries listed are classified as being in the malaria control phase, ten countries in the malaria pre-elimination phase and another ten countries in the malaria elimination phase. Five countries do not have ongoing transmission and are classified as being in the prevention of re-introduction phase (WHO, 2012). Although efforts of combating malaria have yielded dramatic decreases in the number of cases and deaths in most endemic regions, devastating statistics reported in the WHO (2012) report that 655,000 died from this disease, with 86% of the victims being children under 5 years of age. Furthermore, 80% of the cases reported and 91% of the total deaths of the 216 million cases worldwide occurred in Africa.It is widely acknowledged that the malaria transmission dynamics are closely related to socioeconomic, climatic and environmental factors; the latter includin...