GIS-based stratification of malaria risk zones for Zimbabwe

Malaria burden has considerably declined in the last 15 years mainly due to large-scale vector control. The continued decline can be sustained through malaria risk stratification. Malaria stratification is the classification of geographical areas according to malaria risk. In this study, ecological niche modelling using the maximum entropy algorithm was applied to predict malaria vector habitat suitability in terms of bioclimatic and topographic variables. The output vector suitability map was integrated with malaria prevalence data in a GIS to stratify Zimbabwe into different malaria risk zones. Five improved and validated malaria risk zones were successfully delimited for Zimbabwe based on the World Health Organization classification scheme. These results suggest that the probability of occurrence of major vectors of malaria is a key determinant of malaria prevalence. The delimited malaria risk zones could be used by National Malaria Control programmes to plan and implement targeted malaria interventions based on vector control.