In a significant milestone in the global fight against malaria, Uganda has launched the largest malaria vaccine introduction to date, marking a crucial step towards protecting its most vulnerable populations. On April 2, 2025, Uganda's Ministry of Health, supported by Gavi, UNICEF, the World Health Organization (WHO), PATH, and CHAI, initiated a malaria vaccination campaign in the Apac District of northern Uganda.
This initiative makes Uganda the 19th country in Africa to incorporate the malaria vaccine into routine immunization campaigns. The vaccine being administered is the R21/Matrix-M malaria vaccine, which is given in four doses at 6, 7, 8, and 18 months. The initial target is 1.1 million children under the age of two in 105 high- and moderate-transmission districts, with plans to expand the program nationwide[2][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, 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[2].
The R21 malaria vaccine, prequalified by the WHO in December 2023, has been shown to be safe and effective in preventing malaria in children. It joins the RTS,S vaccine, which was prequalified in July 2022, in the arsenal against malaria. Both vaccines are expected to have a high public health impact and are being rolled out as part of childhood immunization programs across Africa[3].
As of early April 2025, 19 countries in Africa are offering malaria vaccines as part of their national malaria control plans. Additional countries are expected to introduce and scale up either the RTS,S or R21 malaria vaccines this year. The demand for these vaccines is unprecedented, with at least 30 countries in Africa planning to include them in their childhood immunization programs[3].
The introduction of these vaccines is part of a broader strategy that includes other malaria control interventions such as insecticide-treated nets (ITNs) and improved case management. Current data indicate that malaria vaccines can reduce uncomplicated malaria by approximately 40%, severe malaria by about 30%, and all-cause mortality by 13%[5].
This historic rollout in Uganda and the expanding use of malaria vaccines across Africa represent significant strides towards a malaria-free future. As researchers continue to explore additional technologies, such as gene drive technology, the potential for substantial reductions in malaria cases and mosquito populations looks promising. The ongoing efforts underscore the commitment of global health organizations and national health ministries to protect the most vulnerable populations from this debilitating disease[2][3].