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. 2021 Aug 11;20:339. doi: 10.1186/s12936-021-03872-2
Authors and year Title Study place Population Study design Outcome
Aborode et al. [48] Fighting COVID-19 at the expense of malaria in Africa: The Consequences and Policy Options Sub-Saharan Africa General population Opinion paper Supply chain disruptions; financial shortages; problems for HCWs; changed health-seeking behaviour; simplified modelling studies, real outcome could be worse
Aïkpon et al. [54] Digitalized mass distribution campaign of ITNs in the particular context of Covid-19 pandemic in Benin: Challenges and lessons learned Benin General population Country report Benin: successful ITN and IRS campaigns, adapted to COVID-19 hygiene measures
Ajayi et al. [28] Malaria and COVID-19: Commonalities, intersections and implications for sustaining malaria control Africa General population Opinion paper COVID-19 and malaria are both related to low socio-economic status; health system and diagnostical challenges; changed health seeking; lack of reliable data due to limited reporting
Amimo et al. [16] What does the COVID-19 pandemic mean for HIV, tuberculosis and malaria control? Africa General population Report Clinical and socio-economic aspects; changed health-seeking behaviour
Amimo et al. [53] The potential impact of the COVID-19 pandemic on HIV, tuberculosis and malaria control in Africa: A systematic review of modelling studies and population surveys Africa General population Review Malaria programme and antenatal clinic disruptions; antenatal care avoidance; increased costs for malaria services
Anjorin et al. [34] Co-morbidities and the COVID-19 pandemic dynamics in Africa Sub-Saharan Africa General population Review Clinical aspects e.g., overlapping age groups, common symptoms; malaria health service disruptions
Ansumana et al. [25] Effects of disruption from COVID-19 on anti-malarial strategies Sub-Saharan Africa General population Opinion paper Health system challenges; COVID-19 myths and misinformation affect malaria (reduced ITN usage, increased anti-malarial uptake)
Baral et al. [56]—pre-print Competing health risks associated with the COVID-19 pandemic and response: A scoping review General and Africa General population Review 73% disruptions among malaria programmes; 62% decrease of malaria diagnoses; delays in malaria surveillance
Bell and Hansen, [24]—pre-print Relative burdens of the COVID-19, malaria, tuberculosis and HIV/AIDS epidemics in sub-Saharan Africa Sub-Saharan Africa General population Modelling study Low direct COVID-19 impacts in SSA but high indirect impacts on other diseases such as malaria
Bell et al. [61] Predicting the impact of COVID-19 and the potential impact of the Public Health Response on Disease Burden in Uganda Uganda General population Modelling study Reduction of malaria cases, admissions, deaths in Uganda
Beshir et al. [37] Emergence of undetectable malaria parasites: A threat under the radar amid the COVID-19 pandemic? General and Africa specific General population Opinion paper Diagnostic challenges for malaria due to mutated parasites; clinical challenges and treatment problems
Brooke et al. [33] Implementing malaria control in South Africa, Eswatini and southern Mozambique during the COVID-19 pandemic South Africa, Eswatini, southern Mozambique General population Review Disruptions of malaria programmes; diagnostic, health system and socio-economic challenges
Buonsenso et al. [80] Child healthcare and immunizations in sub-Saharan Africa during the COVID-19 pandemic Sierra Leone Children under the age of 5 years Country report Reduction in malaria diagnoses (25–40%); no increases in malaria deaths
Buonsenso et al. [29] Management of malaria in children under 5 years old during COVID-19 pandemic in Sierra Leone: A lesson learned? Sierra Leone Children under 5 years Country report Changes in malaria diagnoses at health facilities in context of the lockdown; community education campaign in Sierra Leone; difficult data collection
Burt et al. [62]—pre-print Indirect effects of COVID-19 on maternal, neonatal, child, sexual and reproductive health services in Kampala, Uganda Uganda Mothers and newborns Country report Greatest impacts from delayed health seeking, no public transport, HCWs disruptions; closures of health facilities for outpatients; decreased antenatal care impacts IPTp; visits for malaria in children decreased by 54%
Chanda-Kapata et al. [26] COVID-19 and malaria: A symptom screening challenge for malaria-endemic countries Africa General population Opinion paper Health system disruptions; clinical aspects; importance of parallel testing; malaria commodities supply disruptions
Chasaya [65] An update on malaria trends in Zambia (2019 to 2020); A descriptive study Zambia General population Country report Increased malaria testing and cases
Coker et al. [81] Things must not fall apart: The ripple effects of the COVID-19 pandemic on children in sub-Saharan Africa Sub-Saharan Africa Children aged 0 to 19 years Review Malaria elimination is threatened by COVID-19
Di Gennaro et al. [35] Malaria and COVID-19: Common and different findings General and SSA-specific General population Opinion paper Changed health-seeking behaviour disproportionately affects children; health system challenges; clinical aspects, co-infections
Diongue and Diallo [82] COVID-19 during malaria transmission season in Africa and why we should be prepared: An example from Senegal Senegal General population Opinion paper Changed health-seeking behaviour; clinical aspects; COVID-19 and malaria management challenges
Elliot Mbunge et al. [50]—pre-print Impact of COVID-19 on malaria elimination: Juxtaposing indoor residual spraying and mobile phones in Buhera Rural District, Zimbabwe Zimbabwe General population Country report IRS delays in 2020; increase in malaria cases (2981 in 2020, 1376 in 2019); disruptions of health services; anti-malarial resistance problems; challenges for HCWs
Emmanuel Awucha et al. [52] Impact of the COVID-19 pandemic on consumers’ access to essential medicines in Nigeria Nigeria General population Country report Increase in alternative medicines uptake (10%) and prizes for anti-malarials; supply chain disruptions; 74% reported less income during the pandemic; LMICs strongly depend on importations
Gavi et al. [64] Malaria incidence and mortality in Zimbabwe during the COVID-19 pandemic: Analysis of routine surveillance data Zimbabwe General population Country report 16% more malaria cases and 28% more malaria deaths than expected in 2020, probably following several malaria outbreaks
Guerra et al. [57] Malaria vector control in sub-Saharan Africa in the time of COVID-19: No room for complacency Sub-Saharan Africa General population Opinion paper Clinical and diagnostical aspects; impacts on vector control measures; malaria campaign delays
Hategeka et al. [63]—pre-print Impact of the COVID-19 pandemic and response on the utilization of health services during the first wave in Kinshasa, the DRC Democratic Republic of the Congo General population Country report 20–90% reductions in health facility visits for malaria, depending whether the areas had lockdown or not
Hussein et al. [36] Malaria and COVID-19: Unmasking their ties General and Africa specific General population Review Hypothesis of causal link between antimalarials usage and low COVID-19 incidence; clinical aspects; challenges for malaria programmes
Inzaule et al. [83] Genomic-informed pathogen surveillance in Africa: Opportunities and challenges Africa General population Opinion paper Benefits for malaria from genomics-based surveillance strategy for COVID-19
Kangbai et al. [47] Re-reading ACT, BCG, and low COVID-19 in Africa Africa General population Opinion paper Hypothesis: low COVID-19 incidence due to anti-malarial usage and malaria antibodies
Kusotera and Nhengu, [27] Coronavirus-19 and malaria: The great mimics Zimbabwe General population Country report Concerns of false positive SARS-CoV-2 Ag-RDTs in malaria infected persons; increase in malaria cases in 2020 (44.7%); overlapping clinical aspects; health system challenges
Makanjuola et al. [84] COVID-19 and malaria in sub-Saharan Africa: Holistic diagnostic approaches may promote effective clinical case management Sub-Saharan Africa General population Review Importance of parallel testing for SARS-CoV-2 and malaria; clinical and health system difficulties
Menelas and Sabin [71]—pre-print Malaria or COVID-19? A case report highlighting a diagnostic challenge in Africa Rwanda 40 years old woman Case report Difficult diagnosis of malaria-COVID-19 co-infection
Mvumbi [85] Mass intake of hydroxychloroquine or chloroquine in the present context of the Covid-19 outbreak: Possible consequences in endemic malaria settings General and Africa General population Opinion paper Antimalarials uptake for COVID-19 affect malaria and resistance development
Newby et al. [59] Global health security requires endemic disease eradication General and SSA General population Opinion paper Over 90% of malaria campaigns undertaken in 2020; increase of health inequities; benefits of malaria eradication for COVID-19
Nghochuzie et al. [49] Pausing the fight against malaria to combat the COVID-19 pandemic in Africa: Is the Future of Malaria Bleak? sub-Saharan Africa General population Opinion paper Anti-malarial resistance; RDTs supply shortages; increases of malaria cases and deaths in Zimbabwe and Cameroon; diagnostic challenges; changed health-seeking and effects on children
US President’s malaria initiative [86] 15 years of fighting malaria and saving lives, Annual Report to Congress, April 2021 Sub-Saharan Africa and Southeast Asia General population Report Seasonal malaria chemoprevention for children in Sahel with minimal delays; community approach for malaria prevention; difficult health care access (nearly 50% of the participants)
Rahi et al. [79] COVID-19 Mitigation steps provide a blueprint for malaria control and elimination General and Africa General population Opinion paper COVID-19 control lessons important for malaria management
Rogerson et al.[51] Identifying and combating the impacts of COVID-19 on malaria General and Africa specific General population Opinion paper Treatment disruptions; socio-economic aspects; challenges for HCWs; malaria product disruptions; health system challenges, malaria surveillance problems
Rosenthal et al. [87] COVID-19: Shining the light on Africa Sub-Saharan Africa General population Opinion paper Financial aspects; anti-malarial shortages
Sherrard-Smith et al. [23] The potential public health consequences of COVID-19 on malaria in Africa Sub-Saharan Africa General population Modelling study Malaria deaths in 2020 could double; impact of ITN and anti-malarial disruptions; benefits of seasonal malaria chemoprevention, mass drug administration, presumptive malaria treatment
Shi et al. [55] Accessing the syndemic of COVID-19 and malaria intervention in Africa Sub-Saharan Africa (Ethiopia, Nigeria, Tanzania, Zambia) General population Modelling study Greatest impact on malaria health services if COVID-19 waves and main malaria season overlap
Steketee et al. [31] World Malaria Day 2021: Commemorating 15 Years of contribution by the US President’s Malaria Initiative General and Africa General population Opinion paper Nearly all malaria campaigns undertaken despite the pandemic; disruptions of malaria testing, and treatment; excess malaria deaths could exceed COVID-19 deaths in some regions
The alliance for malaria prevention [58] 2020 Annual Report General and Africa General population Report 74% of planned ITNs distributed
The Global Fund, 2021 [32] The impact of COVID-19 on HIV, tuberculosis and malaria services and systems for health: A snapshot from 502 health facilities across Africa and Asia Africa and Asia General population Report

Up to 115 million people in extreme poverty; fear of COVID-19 infection in health facilities as main reason for reduced outpatient visits; malaria diagnosis and treatment reduced by 17 and 15%, respectively; anti-malarials stock-outs (21% of all health facilities), lack of PPE (64%), deficits in COVID-19 testing capacities, lack of malaria treatments (40%);

about 75% of malaria programmes reported disruptions; large financial resources needed

Velavan et al. [70] COVID-19 and syndemic challenges in ‘Battling the Big Three’: HIV, TB and malaria General and Africa General population Review Increased malaria cases in many countries, suspended vector control activities
Wang et al. [69] Preparedness is essential for malaria-endemic regions during the COVID-19 pandemic Africa General population Opinion paper Measures to reduce malaria support the COVID-19 response; health system challenges
Weiss et al. [21] Indirect effects of the COVID-19 pandemic on malaria intervention coverage, morbidity, and mortality in Africa: A geospatial modelling analysis Africa General population Modelling study Anti-malarial disruptions with greater impact on malaria incidence and deaths than ITNs; great variability between countries
WHO [22] The potential impact of health service disruptions on the burden of malaria: A modelling analysis for countries in sub-Saharan Africa Sub-Saharan Africa General population Modelling study Importance of ITNs; impacts on malaria burden following ITN and anti-malarials shortages; worst case scenario: 769,000 deaths (743,000 in SSA), 70% in children under 5 years
WHO [30] Tailoring malaria interventions in the COVID-19 response General and Africa General population Policy guideline Mass drug administration or presumptive treatment of malaria; adaptation of malaria interventions
WHO [17] World malaria report 2020: 20 years of global progress and challenges, Chapter 10 General and SSA specific General population Report and modelling study Disruptions of malaria health services; delays of malaria programmes; changed health-seeking; adaptation of malaria programmes and guidelines; malaria product shortages; 100,000 additional deaths if 50% anti-malarials disruptions
Zawawi et al. [68] The impact of COVID-19 pandemic on malaria elimination General and Africa General population Review COVID-19 challenges Africa’s weak health system; increase in malaria cases; indirect social effects, malaria outbreak in Zimbabwe during the lockdown; clinical challenges