After what has been discovered as a shocking death of 2,500 infants, the Malawian Government has begun vaccinating children as part of a world-first, large-scale campaign against malaria.
The RTS,S vaccine – more than three decades in the making – was developed by pharmaceutical company GSK.
However, early trials show just more than 30% of the five to 17-month-olds who received it were protected.
But Malawi believes it will still play a key role in the fight against the disease, which killed some 2,500 infants in the country two years ago.
“We’re quite aware of its low efficacy… [but] in malaria control there is no single intervention that does it all,” Dr Michael Kayange, the country’s national malaria control programme manager, told the BBC’s Focus on Africa.
“We’re not saying that the malaria vaccine has come to eliminate malaria but it’s one tool towards malaria elimination.”
Malaria has been one of the biggest scourges on humanity for millennia and mostly kills babies and infants.
But the disease, caused by parasites transmitted through the bites of infected female Anopheles mosquitoes, disproportionately affects Africa: in 2020, the continent recorded 95% of malaria cases and 96% of malaria deaths.
Children under five accounted for about 80% of all malaria deaths in Africa, according to the World Health Organization.
Dr Kayange said the new immunisation campaign will ensure that all children under five, even in the remotest parts of the country, will be covered.
The first part will see 11 of the country’s 28 districts will be covered, with 330,000 children expected to be vaccinated in this phase alone.