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A narrative review of the RTS S AS01 malaria vaccine and its implementation in Africa to reduce the global malaria burden
Open accessAbstract
The RTS, S/AS01 vaccine is a significant milestone in advancing malaria control, especially in Africa, where the heavy burden of this disease is prevalent. The objective of this study is to discuss the effectiveness and utilization of the RTS, S/AS01 vaccine in Africa while simultaneously addressing the gaps and associated issues. We also explore briefly the R21/Matrix-M vaccines recommended by the World Health Organization (WHO) for children aged five months and older. Essential considerations include but are not limited to the vaccine's effectiveness, implementation challenges, available funding sources, public acceptance, and compatibility with various conventional prevention methods for malaria, like insecticide-coated bed nets and antimalarial medicines. This paper also examines the global practices for integrating vaccines into public health systems and policies while emphasizing sustainable and equitable approaches. By drawing from the lessons learned from the implementations of pilot programs as well as early adoption of the RTS, S/AS01 malaria vaccine, this perspective study tries to identify the key factors that may enhance the impact of the vaccine in the fight against malaria and significantly contribute to the vision of complete eradication the disease. Further research needs to be carried out regarding the efficacy and duration of protection of the RTS, S/AS01 vaccine.
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“There are no other vaccines available at this time for the prevention of malaria in pregnancy, apart from RTS, S, which is used in malaria-endemic regions, particularly during the second or third trimester of pregnancy [218, 219].”
From Current update on malaria in pregnancy: a systematic review (2025) · cites this paper as [219]
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“Currently, RTS, S/AS01 (RTS, S) is the only malaria vaccine specifically recommended for use in pregnant women.”
From Current update on malaria in pregnancy: a systematic review (2025) · cites this paper as [219]
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Cites
The effect of malaria control on Plasmodium falciparum in Africa between 2000 and 2015
Bhatt, S., Weiss, D. J., Cameron, E., Bisanzio, D., Mappin, B., Dalrymple, U., Battle, K. E., Moyes, C. L., Henry, A., Eckhoff, P. A., et al. (2015) · Nature · doi:10.1038/nature15535 · Cited by 3,225
RTS,S/AS01 vaccine (Mosquirix™): an overview
Laurens, M. B. (2019) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2019.1669415 · Cited by 498
The 2023 WHO World malaria report
Venkatesan, P. (2024) · The Lancet Microbe · doi:10.1016/s2666-5247(24)00016-8 · Cited by 477
Efficacy of RTS,S/AS01E Vaccine against Malaria in Children 5 to 17 Months of Age
Bejon, P., Lusingu, J., Olotu, A., Leach, A. J., Lievens, M., Vekemans, J., Mshamu, S., Lang, T. A., Gould, J. H. M., Dubois, M., et al. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa0807381 · Cited by 448
The intolerable burden of malaria: a new look at the numbers
Jg, B., Egan, A. F., & Keusch, G. T. (2001) · American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.2001.64.iv · Cited by 357
Unmet needs in modern vaccinology
Leroux-Roels, G. G. (2010) · Vaccine · doi:10.1016/j.vaccine.2010.07.021 · Cited by 304
Malaria Vaccines: Recent Advances and New Horizons
Draper, S., Sack, B., King, C., Nielsen, C., Rayner, J., Higgins, M., Long, C. A., & Seder, R. (2018) · Cell Host and Microbe · doi:10.1016/j.chom.2018.06.008 · Cited by 299
Four-Year Efficacy of RTS,S/AS01E and Its Interaction with Malaria Exposure
Olotu, A., Fegan, G., Wambua, J., Nyangweso, G. M., Awuondo, K. O., Leach, A. J., Lievens, M., Leboulleux, D., Njuguna, P., Peshu, N. M., et al. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1207564 · Cited by 281
Insecticide-treated nets for preventing malaria
Pryce, J., Richardson, M., & Lengeler, C. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000363.pub3 · Cited by 250
Malaria chemoprevention and drug resistance: a review of the literature and policy implications
Plowe, C. V. (2022) · Malaria Journal · doi:10.1186/s12936-022-04115-8 · Cited by 195
Oladipo, H. J., Tajudeen, Y. A., Oladunjoye, I. O., Yusuff, S. I., Yusuf, R. O., Egbewande, O. M., Muili, A. O., Adebisi, Y. A., & El‐Sherbini, M. S. (2022) · Annals of Medicine and Surgery · doi:10.1016/j.amsu.2022.104366 · Cited by 184
The emergence of artemisinin partial resistance in Africa: how do we respond?
Rosenthal, P. J., Asua, V., Bailey, J. A., Conrad, M. D., Ishengoma, D. S., Kamya, M. R., Rasmussen, C., Tadesse, F. G., Uwimana, A., & Fidock, D. A. (2024) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(24)00141-5 · Cited by 184
Li, J., Docile, H. J., Fisher, D. P., Pronyuk, K., & Zhao, L. (2024) · Journal of Epidemiology and Global Health · doi:10.1007/s44197-024-00228-2 · Cited by 180
Evaluation of RTS,S/AS02A and RTS,S/AS01B in Adults in a High Malaria Transmission Area
Polhemus, M. E., Remich, S. A., Ogutu, B. R., Waitumbi, J. N., Otieno, L., Apollo, S., Cummings, J. F., Kester, K. E., Ockenhouse, C. F., Stewart, A., et al. (2009) · PLoS ONE · doi:10.1371/journal.pone.0006465 · Cited by 143
RTS,S: the first malaria vaccine
Zavala, F. (2022) · Journal of Clinical Investigation · doi:10.1172/jci156588 · Cited by 119
Malaria Vaccines: Progress to Date
Stanisic, D. I., & Good, M. F. (2023) · BioDrugs · doi:10.1007/s40259-023-00623-4 · Cited by 83
Dicko, A., Ouédraogo, J., Zongo, I., Sagara, I., Cairns, M. E., Yerbanga, R. S., Issiaka, D., Zoungrana, C., Sidibé, Y., Tapily, A., et al. (2023) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(23)00368-7 · Cited by 70
Sulaiman, S. K., Musa, M. S., Tsiga-Ahmed, F. I., Dayyab, F. M., Sulaiman, A. K., & Bako, A. T. (2022) · PLoS ONE · doi:10.1371/journal.pone.0278224 · Cited by 62
Vreden, S., Verhave, J. P., Oettinger, T., Sauerwein, R. W., & Meuwissen, J. H. E. T. (1991) · American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.1991.45.533 · Cited by 58
Osoro, C. B., Ochodo, E., Kwambai, T. K., Otieno, J. A., Were, L. M., Sagam, C. K., Owino, E. J., Kariuki, S., ter Kuile, F. O., & Hill, J. (2024) · BMJ Global Health · doi:10.1136/bmjgh-2023-014719 · Cited by 53
Isiko, I., Nyegenye, S., Bett, D. K., Asingwire, J. M., Okoro, L. N., Emeribe, N. A., Koech, C. C., Ahgu, O., Bulus, N. G., Taremwa, K., et al. (2024) · Malaria Journal · doi:10.1186/s12936-024-04939-6 · Cited by 40
Praet, N., Asante, K. P., Bozonnat, M., Akité, E. J., Ansah, P. B., Baril, L., Boahen, O., Mendoza, Y. G., Haine, V., Kariuki, S., et al. (2022) · Malaria Journal · doi:10.1186/s12936-022-04144-3 · Cited by 39
Adamu, A. A., Essoh, T.-A., Adeyanju, G. C., Jalo, R. I., Saleh, Y., Aplogan, A., & Wiysonge, C. S. (2021) · Expert Review of Vaccines · doi:10.1080/14760584.2021.1899819 · Cited by 38
Hoyt, J., Okello, G. R., Bange, T., Kariuki, S., Jalloh, M. F., Webster, J., & Hill, J. (2023) · BMC Public Health · doi:10.1186/s12889-023-17194-2 · Cited by 32
Sulfadoxine/Pyrimethamine Intermittent Preventive Treatment for Malaria during Pregnancy
Deloron, P., Bertin, G. I., Briand, V., Massougbodji, A., & Cot, M. (2010) · Emerging infectious diseases · doi:10.3201/eid1611.101064 · Cited by 31
Hill, J., Bange, T., Hoyt, J., Kariuki, S., Jalloh, M. F., Webster, J., & Okello, G. R. (2024) · The Lancet Global Health · doi:10.1016/s2214-109x(24)00013-5 · Cited by 27
World-Wide Malaria Distribution, Prevalence, and Control
Russell, P. F. (1956) · American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.1956.5.937 · Cited by 23
Saaka, S. A., Mohammed, K., Pienaah, C. K. A., & Luginaah, I. (2024) · PLoS ONE · doi:10.1371/journal.pone.0296934 · Cited by 22
Nigeria End Malaria Council: What to expect
Sokunbi, T. O., Omojuyigbe, J. O., Bakenne, H. A., & Adebisi, Y. A. (2022) · Annals of Medicine and Surgery · doi:10.1016/j.amsu.2022.104690 · Cited by 21
Factors associated with malaria vaccine uptake in Nsanje district, Malawi
Simbeye, A. J., Kumwenda, S., Cohee, L. M., Omondi, D., Masibo, P. K., Wao, H., & Awandu, S. S. (2024) · Malaria Journal · doi:10.1186/s12936-024-04938-7 · Cited by 21
Malaria vaccination in Africa: A mini-review of challenges and opportunities
Olawade, D. B., Wada, O. Z., Ezeagu, C. N., Aderinto, N., BALOGUN, M. A., Asaolu, F. T., & David-Olawade, A. C. (2024) · Medicine · doi:10.1097/md.0000000000038565 · Cited by 20
Doe, P. F., Druye, A. A., Azu, T. D., Boso, C. M., Commey, I. T., Agyare, D. F., Agyeiwaa, J., Berchie, G. O., Opoku-Danso, R., Owusu, G., et al. (2024) · Malaria Journal · doi:10.1186/s12936-024-05072-0 · Cited by 20
A review of combination adjuvants for malaria vaccines: a promising approach for vaccine development
Pirahmadi, S., Zakeri, S., Djadid, N. D., & Mehrizi, A. A. (2021) · International Journal for Parasitology · doi:10.1016/j.ijpara.2021.01.006 · Cited by 18
Merle, C. S., RTSS-SMC working group, Badiane, N. A., Affoukou, C. D., Affo, S. Y., Djogbénou, L., Hounto, A. O., Kompaore, S. C. B., Ouedraogo, I., Ateba, J. M., et al. (2023) · Malaria Journal · doi:10.1186/s12936-023-04657-5 · Cited by 18
Moturi, A. K., Jalango, R. E., Cherono, A., Muchiri, S. K., Snow, R. W., & Okiro, E. A. (2023) · Malaria Journal · doi:10.1186/s12936-023-04721-0 · Cited by 18
Asante, K. P., Ansong, D., Kaali, S., Adjei, S., Lievens, M., Badu, L. N., Agyapong, P. D., Buabeng, P. B. Y., Boahen, O., Rettig, T., et al. (2020) · Vaccine · doi:10.1016/j.vaccine.2020.03.014 · Cited by 16
Bridging the gap to malaria vaccination in Africa: Challenges and opportunities
Okesanya, O. J., Atewologun, F. A., Lucero‐Prisno, D. E., Adigun, O. A., Oso, T. A., Manirambona, E., Olaleke, N. O., Eshun, G., Agboola, A. O., & Okon, I. I. (2024) · Journal of Medicine Surgery and Public Health · doi:10.1016/j.glmedi.2024.100059 · Cited by 13
Morter, R., Tiono, A. B., Nébié, I., Hague, O., Ouédraogo, A., Diarra, A., Viebig, N. K., Hill, A. V. S., Ewer, K., & Sirima, S. B. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.1058227 · Cited by 10
Developing a human malaria sporozoite vaccine
Young, J. F., Ballou, W. R., & Hockmeyer, W. T. (1987) · Microbial Pathogenesis · doi:10.1016/0882-4010(87)90121-5 · Cited by 8
Tukwasibwe, S., Mboowa, G., Sserwadda, I., Nankabirwa, J. I., Arinaitwe, E., Ssewanyana, I., Taremwa, Y., Tumusiime, G., Kamya, M. R., Jagannathan, P., et al. (2023) · Immunogenetics · doi:10.1007/s00251-023-01306-8 · Cited by 8
Kabera, M., Mangala, J.-L. N., Soebiyanto, R. P., Mukarugwiro, B., Munguti, K., Mbituyumuremyi, A., Lucchi, N. W., & Hakizimana, E. (2023) · American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.23-0317 · Cited by 8
Routine malaria vaccinations start in Africa
Venkatesan, P. (2024) · The Lancet Microbe · doi:10.1016/s2666-5247(24)00073-9 · Cited by 8
Prevention of Malaria in Pregnancy: What Do the Pregnant Women of Nigeria Know and Do about It?
Kalu, S. O., Cleenewerck, L., Gulma, K. A., & Bhalla, D. (2022) · Infectious Diseases in Obstetrics and Gynecology · doi:10.1155/2022/7061548 · Cited by 5
Brugada syndrome following febrile episode caused by malarial infection: a case report
Aryal, E., Mainali, A., & Aryal, S. (2024) · Annals of Medicine and Surgery · doi:10.1097/ms9.0000000000002286 · Cited by 1
Research works printed but not linked: 5
- WHO guidelines for malaria [Internet]. Geneva: World Health Organization: https://www.ncbi.nlm.nih.gov/books/NBK588130/. Accessed 16 Feb 2021
- Ndeketa L, Mategula D, Terlouw DJ, Bar-Zeev N, Sauboin CJ, Biernaux S. Cost-effectiveness and public health impact of RTS, S/AS01 E malaria vaccine in Malawi, using a Markov static model. Welcome Open Res. 2021. https://doi.org/10.1268/wellcomeopenres.16224.2. · DOI
- Mutombo AM, Mukuku O, Tshibanda KN, et al. Severe malaria and death risk factors among children under 5 years at Jason Sendwe hospital in democratic republic of Congo. Pan Afr Med J. 2018. https://doi.org/10.1160/pamj.2018.29.184.15235. · DOI
- Hotez PJ. Vaccine preventable disease and vaccine hesitancy. Med Clin North Am. 2023;107(6):979–87. https://doi.org/10.1016/j.mcna.2023.05.01. · DOI
- World Health Organization. Seasonal malaria chemoprevention with sulfadoxine–pyrimethamine plus amodiaquine in children: a field guide. Geneva: World Health Organization; 2023.
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Current update on malaria in pregnancy: a systematic review
Minwuyelet, A., Yewhalaw, D., Siferih, M., & Atenafu, G. (2025) · Tropical Diseases, Travel Medicine and Vaccines · doi:10.1186/s40794-025-00248-1 · Cited by 49
The burden of malaria in East Africa: prevalence, risk factors, and control strategies
Bashir, S., Ahmed, N. I., Abdullahi, Y. B., Abdi, Y. H., Abdi, M. S., & Musa, M. K. (2025) · Malaria Journal · doi:10.1186/s12936-025-05492-6 · Cited by 19
Alharbi, B. F., & Ahmed, M. (2026) · Biology · doi:10.3390/biology15070575 · Cited by 14
Experimental plasmonic sensing of malaria using an aluminum metasurface
Kiyumbi, A. S., & Tame, M. (2026) · Nanoscale Advances · doi:10.1039/d5na01083g · Cited by 7
Bindzi, J. B. A. Z., Linjouom, R.-M. N., Ndongo, M. N., & Nkeck, J. R. (2025) · PLOS Global Public Health · doi:10.1371/journal.pgph.0004387 · Cited by 5
Metadata
- Authors
- Ogieuhi, I. J., Ajekiigbe, V. O., Kolo-Manma, K., Akingbola, A., Odeniyi, T. A., Soyemi, T. S., Ayomide, J. H., Thiyagarajan, B., & Awolola, B. D.
- Affiliations
- Siberian State Medical University (RU)
- Ladoke Akintola University of Technology (NG)
- University of Cambridge (GB)
- Far Eastern Federal University (RU)
- Bowen University (NG)
- Corresponding author
- Ogieuhi, Ikponmwosa Jude
- Venue
- Discover Public Health
- Published
- 2024-10-25
- Volume
- 21
- Issue
- 1
- ISSN
- 3005-0774 (ISSN-L)
- OpenAlex
- W4403770875
- Cited by
- 13
- References
- 45
- Citations by year
- 2026: 7 · 2025: 6
- FWCI
- 1.15
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Discover Public Health (publishedVersion, cc-by-nc-nd)
- Apollo (University of Cambridge) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Travel-related health issues
- Keywords
- RTS,S/AS01 vaccine, malaria vaccine, vaccine implementation, vaccine effectiveness, vaccine uptake, vaccine financing, insecticide-treated nets, antimalarial drugs, pilot project, malaria eradication
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