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The UN’s current Millennium Development Goal puts pressure on many countries to decrease malaria incidence by 2015, including Mozambique and South Africa. While Mozambique and South Africa have continually worked to decrease malaria incidence for the last five decades, neither country can claim elimination of disease by UN standards. This study analyzes the changes in political structure and the simultaneous changes in the malaria prevention programs of Mozambique and South Africa after the end of their respective civil wars in 1992 and 1994. This study analyzed public health, historical, and social science journal articles. This study examined political power distribution, primary healthcare, and malaria prevention strategies, and community perception of healthcare to identify the different political dynamics affecting malaria incidence control in Mozambique and South Africa. This study identified that while Mozambique heavily financially dependent, strong community structure, and general malaria outbreaks compared to South Africa’s economic independence, phasing out of private health care, and localized strong malaria epidemics, showcase the difference between the status of the two countries in malaria elimination. As bordering countries, the elimination of malaria in the two countries is tied together. The migration of people in between and the pre-existing organizations working in between the two countries showcase that South Africa and Mozambique must work together to eliminate malaria. A potential international cooperation agreement between South Africa and Mozambique that allows the two countries to help each other financially, through research, and management of malaria prevention resources would help eliminate malaria, while keeping the countries moderately independent of external aid.

Publication Date


Subject Major(s)

Biomedical Engineering


Malaria, Insecticide Treated Nets, Indoor Residual Spraying, South Africa, Mozambique, Public Health, International Cooperation


Community Health and Preventive Medicine | Health and Medical Administration | Health Services Administration | International Public Health | Law and Politics | Medical Education

Current Academic Year


Faculty Advisor/Mentor

Professor Mary Boyes


© The Author(s)

Changes in Malaria Prevention and Incidence Due to Political Restructuring of Mozambique and South Africa