District-level approach for tailoring and targeting interventions: a new path for malaria control and elimination
Abstract Despite huge investments and implementation of effective interventions for malaria, progress has stalled, with transmission being increasingly localized among difficult-to-reach populations and outdoor-biting vectors. Targeting difficult pockets of transmission will require the development...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2020
|
Subjects: | |
Online Access: | https://doi.org/10.1186/s12936-020-03185-w https://doaj.org/article/2b58a996b16546178a3e524a704a83f3 |
id |
ftdoajarticles:oai:doaj.org/article:2b58a996b16546178a3e524a704a83f3 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:2b58a996b16546178a3e524a704a83f3 2023-05-15T15:10:12+02:00 District-level approach for tailoring and targeting interventions: a new path for malaria control and elimination Roly Gosling John Chimumbwa Petrina Uusiku Sara Rossi Henry Ntuku Kelly Harvard Chris White Allison Tatarsky Daniel Chandramohan Ingrid Chen 2020-03-01T00:00:00Z https://doi.org/10.1186/s12936-020-03185-w https://doaj.org/article/2b58a996b16546178a3e524a704a83f3 EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03185-w https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03185-w 1475-2875 https://doaj.org/article/2b58a996b16546178a3e524a704a83f3 Malaria Journal, Vol 19, Iss 1, Pp 1-7 (2020) Malaria Control Elimination Policy Community engagement Surveillance Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03185-w 2022-12-31T02:40:11Z Abstract Despite huge investments and implementation of effective interventions for malaria, progress has stalled, with transmission being increasingly localized among difficult-to-reach populations and outdoor-biting vectors. Targeting difficult pockets of transmission will require the development of tailored and targeted approaches suited to local context, drawing from insights close to the frontlines. Districts are best placed to develop tailored, locally appropriate approaches. We propose a reorganization of how malaria services are delivered. Firstly, enabling district health officers to serve as conduits between technical experts in national malaria control programmes and local community leaders with knowledge specific to local, at-risk populations; secondly, empowering district health teams to make malaria control decisions. This is a radical shift that requires the national programme to cede some control. Shifting towards a district or provincial level approach will necessitate deliberate planning, and repeated, careful assessment, starting with piloting and learning through experience. Donors will need to alter current practice, allowing for flexible funding to be controlled at sub-national levels, and to mix finances between case management, vector control and surveillance, monitoring and evaluation. System-wide changes proposed are challenging but may be necessary to overcome stalled progress in malaria control and elimination and introduce targeted interventions tailored to the needs of diverse malaria affected populations. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Control Elimination Policy Community engagement Surveillance Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Control Elimination Policy Community engagement Surveillance Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Roly Gosling John Chimumbwa Petrina Uusiku Sara Rossi Henry Ntuku Kelly Harvard Chris White Allison Tatarsky Daniel Chandramohan Ingrid Chen District-level approach for tailoring and targeting interventions: a new path for malaria control and elimination |
topic_facet |
Malaria Control Elimination Policy Community engagement Surveillance Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Despite huge investments and implementation of effective interventions for malaria, progress has stalled, with transmission being increasingly localized among difficult-to-reach populations and outdoor-biting vectors. Targeting difficult pockets of transmission will require the development of tailored and targeted approaches suited to local context, drawing from insights close to the frontlines. Districts are best placed to develop tailored, locally appropriate approaches. We propose a reorganization of how malaria services are delivered. Firstly, enabling district health officers to serve as conduits between technical experts in national malaria control programmes and local community leaders with knowledge specific to local, at-risk populations; secondly, empowering district health teams to make malaria control decisions. This is a radical shift that requires the national programme to cede some control. Shifting towards a district or provincial level approach will necessitate deliberate planning, and repeated, careful assessment, starting with piloting and learning through experience. Donors will need to alter current practice, allowing for flexible funding to be controlled at sub-national levels, and to mix finances between case management, vector control and surveillance, monitoring and evaluation. System-wide changes proposed are challenging but may be necessary to overcome stalled progress in malaria control and elimination and introduce targeted interventions tailored to the needs of diverse malaria affected populations. |
format |
Article in Journal/Newspaper |
author |
Roly Gosling John Chimumbwa Petrina Uusiku Sara Rossi Henry Ntuku Kelly Harvard Chris White Allison Tatarsky Daniel Chandramohan Ingrid Chen |
author_facet |
Roly Gosling John Chimumbwa Petrina Uusiku Sara Rossi Henry Ntuku Kelly Harvard Chris White Allison Tatarsky Daniel Chandramohan Ingrid Chen |
author_sort |
Roly Gosling |
title |
District-level approach for tailoring and targeting interventions: a new path for malaria control and elimination |
title_short |
District-level approach for tailoring and targeting interventions: a new path for malaria control and elimination |
title_full |
District-level approach for tailoring and targeting interventions: a new path for malaria control and elimination |
title_fullStr |
District-level approach for tailoring and targeting interventions: a new path for malaria control and elimination |
title_full_unstemmed |
District-level approach for tailoring and targeting interventions: a new path for malaria control and elimination |
title_sort |
district-level approach for tailoring and targeting interventions: a new path for malaria control and elimination |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03185-w https://doaj.org/article/2b58a996b16546178a3e524a704a83f3 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-7 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03185-w https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03185-w 1475-2875 https://doaj.org/article/2b58a996b16546178a3e524a704a83f3 |
op_doi |
https://doi.org/10.1186/s12936-020-03185-w |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
_version_ |
1766341239831003136 |