In areas with high, moderate, low, and very low transmission alike, use and uptake of malaria interventions rely heavily on community awareness, demand, and acceptance of essential commodities and services. While the WHO has recently developed a malaria elimination
framework and has a number of established policies, manuals, and recommendations, detailed guidance does not yet exist for social and behavior change (SBC) in different transmission settings. While the Roll Back Malaria Strategic Framework for Malaria Social and Behavior
Change Communication provides standard approaches, best practices, and indicators, it does not do so in malaria elimination contexts. This document describes the landscape of current SBC programming in such contexts and provides a number of considerations for future inquiry
and research.

This document describes ways in which program planners and implementers might tailor their efforts to specific malaria transmission strata and suggests a number of operational research questions. Three case studies exemplify considerations raised and describe the role of SBC in
strengthening the fight against malaria:

• The first case study from Zambia describes a successful interpersonal communication (IPC) approach paired with community-owned surveillance.
• The second case study from the Greater Mekong sub-Region describes multi-channel, cross-border initiatives.
• The third case study from South America describes the Amazon Malaria Initiative’s regional coordination.

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