“The arrival of the RTS,S malaria vaccine was a landmark moment; Ghana, Kenya and Malawi were the first countries in the world to offer it to their populations as part of a pilot project launched in 2019, and the World Health Organization (WHO) recommended it for wider use in 2021.

Early studies indicated that the vaccine had a 13% drop in all-cause mortality, and a comprehensive new study of the last four years of vaccine roll-out published in The Lancet has confirmed this figure. That translates to roughly one in eight deaths prevented…

The study tracked 158 clusters across the three countries, with 79 areas introducing the vaccine in 2019 and 79 serving as comparison areas that received it later. Surveillance was built on a network of more than 26,000 local reporters who notified researchers of child deaths in their communities, followed by home visits to confirm details.

The findings carry particular weight because of how the study was designed. Clusters were randomly assigned, baseline characteristics were balanced, and coverage of other interventions, including bed-nets, routine vaccines and care-seeking for fever, remained similar across implementation and comparison areas throughout the four years.

This means, say the researchers, that the drop in deaths can be  ‘confidently attributed’ to the vaccine itself rather than to other shifts in malaria care.”

From Gavi.