• Photo of Suriname's Amazonia region
    Rafael Jantz
    Credit

    The path to malaria elimination in Suriname

    June 2025


    “Ensuring that diagnosis and treatment is available for all is key to reach and maintain zero malaria,” said Dr. Marthelise Eersel, who leads Suriname’s Malaria Program. This year, Suriname became the first country in the Amazon region to receive malaria-free certification from the World Health Organization (WHO).

    For Dr. Eersel, training local community members was essential to this success. This approach enable the identification, treatment, and reporting of suspected cases, even in the most remote areas, and helped prevent the disease’s resurgence. “Everywhere where there is a community, you can train people to diagnose and treat malaria and report back to you,” she added.

    Suriname, nestled on the northeastern coast of South America, shares borders with Guyana, French Guiana, and Brazil. More than 90% of the country is covered by the rainforest. Its economy largely depends on natural resource extraction, particularly gold mining, which often involves the movement of people between malaria-endemic areas. This makes it a key driver of transmission. Additionally, the Amerindian and Maroon indigenous populations, also residing in the Amazon, frequently travel to connect with relatives, conduct business, or participate in cultural and religious events.

     

     

    Community-embedded healthcare: A critical strategy

    Given these factors, embedding healthcare workers directly within communities is crucial. Dijon Jullien, a healthcare assistant on Gakaba Island, a small community bordering Suriname and French Guiana, has witnessed the positive impact of the country’s primary healthcare service on local malaria reduction. “When individuals visit the clinic, they feel reassured that they will receive proper care. The health assistants are like sisters to the community, making it easy for everyone to discuss their health concerns openly,” she shared.

    From 2000 to 2005, Suriname faced a high malaria incidence, with about 160 reported cases per 1000 people. However, thanks to the country’s dedicated efforts – including universal access to diagnosis and treatment, an extensive network of community health workers, and nationwide malaria screening at border crossings – Suriname has successfully eliminated the disease.

    Clinic staff
    Photo credit: Rafael Jantz

    “Being malaria-free means that our population is no longer at risk from malaria and will also have positive effects on our healthcare sector, the economy and tourism,” said Dr. Amar Ramadhin, Suriname’s Minister of Health. “We are the first Amazonian country to be malaria-free, setting an example for other nations in the region that are still struggling with this disease.”

    PAHO has continued to collaborate with Suriname throughout the elimination process on the development of policies and programs to strengthen prevention, surveillance, and treatment.  With support from the US Government, PAHO has provided cooperation for the country’s anti-malaria campaign. In addition to support provide by the Global Fund since 2005, Suriname has also benefited from financing provided by the Inter-American Development Bank to tackle infectious diseases, including malaria.

    Communication materials on malaria prevention and treatment
    Photo credit: Coco Duivenvoorde

    Malaria is one of the diseases targeted by PAHO’s Disease Elimination Initiative, which aims to eliminate over 30 communicable diseases, including malaria, across the Americas by 2030. 

    Health workers reaching remote communities
    PAHO staff and Suriname health workers reaching remote communities