In recent days, significant advancements and initiatives have been reported in the fight against malaria, particularly focusing on the implementation and impact of malaria vaccines.
Uganda has marked a significant milestone with the launch of the largest malaria vaccine introduction to date. As of April 4, 2025, Uganda’s Ministry of Health, supported by Gavi, the Vaccine Alliance, UNICEF, the World Health Organization (WHO), PATH, and CHAI, initiated a malaria vaccination campaign in the Apac District, northern Uganda. This campaign involves the R21/Matrix-M malaria vaccine, which is administered in four doses at 6, 7, 8, and 18 months. The vaccine will initially target 1.1 million children under two years in 105 high- and moderate-transmission districts, with plans to expand nationwide[3].
Malaria remains a devastating health issue in Uganda, accounting for up to 33% of all outpatient visits, 22% of hospital admissions, and 6% of deaths among young children, according to 2023 WHO data. Uganda is among the top five African countries with the highest malaria burden, alongside Nigeria, Democratic Republic of the Congo, Ethiopia, and Mozambique[3].
In another development, Mali has become the 20th African country to introduce the malaria vaccine. On World Malaria Day, April 25, 2025, Mali launched its vaccination program, marking a critical milestone in protecting children from this life-threatening disease. The introduction is supported by UNICEF, which is engaging in community outreach efforts to ensure the vaccination complements existing malaria prevention measures. Young volunteers are using digital tools like U-Report and chatbots to promote vaccination and counter misinformation[5].
The malaria vaccine has shown promising results in previous pilot evaluations. The Malaria Vaccine Implementation Programme (MVIP), coordinated by WHO and co-funded by Gavi, the Global Fund, and UNITAID, conducted pilot evaluations of the RTS,S/AS01 malaria vaccine in Ghana, Kenya, and Malawi between 2019 and 2023. Over 2 million children received the vaccine, resulting in a 13% reduction in mortality among age-eligible children. This evidence supported WHO’s recommendation and prequalification of the current malaria vaccines[5].
As of April 2025, the R21/Matrix-M malaria vaccine has been distributed in 12 malaria-endemic countries and has been recognized for its innovation, winning the Galien Foundation prize for Best Public Sector Innovation. This vaccine is part of a broader effort, with 25 countries approved for Gavi funding to support malaria vaccine introductions, of which 13 have already been approved for implementation[2][4].
These recent developments highlight the significant progress being made in the fight against malaria through vaccination, underscoring the collaborative efforts of global health organizations and national health ministries to protect vulnerable populations, especially children, from this deadly disease.