Malaria is a major public health issue in Burkina Faso, with over 5 million cases and 9,000 deaths reported in 2010. It accounts for nearly half of health center consultations and hospitalizations, as well as almost half of all deaths. Prevention efforts led by organizations like MCHIP, Jhpiego, and the Peace Corps focus on increasing access to and proper use of mosquito nets, intermittent preventive treatment for pregnant women and children, indoor residual spraying, and anti-larval activities. Local production of neem cream and awareness campaigns also aim to reduce malaria transmission. The national strategic plan's goals are to reduce malaria morbidity and mortality through improved testing, treatment, prevention and community education by 2015.