Bangladesh has been one of the major malaria endemic countries in South-East Asia however, it has experienced a remarkable decline in malaria incidence over the last decade. Of the country's 64 administrative districts,13 are considered highly endemic for malaria. At the end of 2017, malaria cases and deaths have been reduced ~ 65% and 92% respectively in comparison with 2008. A total of 29,247 cases and 13 deaths were reported in 2017, in comparison to 84,690 cases and 154 deaths in 2008. There are 98.6% case reduction in elimination-targeted 8 districts since 2008.
Historically P. falciparum has been the main cause of malaria infections. 85% of total cases were P. falciparum in 2017, where P. Vivax and mixed infections accounted for 15% and 5% respectively. Approximately 93% of total malaria cases in 2017 were reported from the three Chittagong Hill Tract (CHT) districts (Rangamati, Khagrachari, and Banderban), which are in the south-eastern region of the country. Malaria services are provided free of cost at the door step of the risk populations. Over 85% of the total cases are diagnosed and treated in the community. Only 2.3% of total malaria cases were severe in 2017.
- 17.8 million people living in malaria endemic districts (approx. 10.8% of the total population)
- 2.99 Annual Parasite Index (cases/1,000 population/year)
- 4.84% slide positivity rate
- Dominant malaria species: P. falciparum
- Elimination goal: zero indigenous cases and zero deaths by 2020