Sub-national stratification of malaria risk in mainland Tanzania: a simplified assembly of survey and routine data
Abstract Background Recent malaria control efforts in mainland Tanzania have led to progressive changes in the prevalence of malaria infection in children, from 18.1% (2008) to 7.3% (2017). As the landscape of malaria transmission changes, a sub-national stratification becomes crucial for optimized...
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ftdoajarticles:oai:doaj.org/article:8beb382ac3e04b19b5e5a15e9d508a01 2023-05-15T15:18:39+02:00 Sub-national stratification of malaria risk in mainland Tanzania: a simplified assembly of survey and routine data Sumaiyya G. Thawer Frank Chacky Manuela Runge Erik Reaves Renata Mandike Samwel Lazaro Sigsbert Mkude Susan F. Rumisha Claud Kumalija Christian Lengeler Ally Mohamed Emilie Pothin Robert W. Snow Fabrizio Molteni 2020-05-01T00:00:00Z https://doi.org/10.1186/s12936-020-03250-4 https://doaj.org/article/8beb382ac3e04b19b5e5a15e9d508a01 EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03250-4 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03250-4 1475-2875 https://doaj.org/article/8beb382ac3e04b19b5e5a15e9d508a01 Malaria Journal, Vol 19, Iss 1, Pp 1-12 (2020) Malaria Epidemiological stratification Routine data School surveys Tanzania Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03250-4 2022-12-31T10:12:57Z Abstract Background Recent malaria control efforts in mainland Tanzania have led to progressive changes in the prevalence of malaria infection in children, from 18.1% (2008) to 7.3% (2017). As the landscape of malaria transmission changes, a sub-national stratification becomes crucial for optimized cost-effective implementation of interventions. This paper describes the processes, data and outputs of the approach used to produce a simplified, pragmatic malaria risk stratification of 184 councils in mainland Tanzania. Methods Assemblies of annual parasite incidence and fever test positivity rate for the period 2016–2017 as well as confirmed malaria incidence and malaria positivity in pregnant women for the period 2015–2017 were obtained from routine district health information software. In addition, parasite prevalence in school children (PfPR5to16) were obtained from the two latest biennial council representative school malaria parasitaemia surveys, 2014–2015 and 2017. The PfPR5to16 served as a guide to set appropriate cut-offs for the other indicators. For each indicator, the maximum value from the past 3 years was used to allocate councils to one of four risk groups: very low (< 1%PfPR5to16), low (1− < 5%PfPR5to16), moderate (5− < 30%PfPR5to16) and high (≥ 30%PfPR5to16). Scores were assigned to each risk group per indicator per council and the total score was used to determine the overall risk strata of all councils. Results Out of 184 councils, 28 were in the very low stratum (12% of the population), 34 in the low stratum (28% of population), 49 in the moderate stratum (23% of population) and 73 in the high stratum (37% of population). Geographically, most of the councils in the low and very low strata were situated in the central corridor running from the north-east to south-west parts of the country, whilst the areas in the moderate to high strata were situated in the north-west and south-east regions. Conclusion A stratification approach based on multiple routine and survey malaria information was ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1 |
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Malaria Epidemiological stratification Routine data School surveys Tanzania Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Malaria Epidemiological stratification Routine data School surveys Tanzania Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Sumaiyya G. Thawer Frank Chacky Manuela Runge Erik Reaves Renata Mandike Samwel Lazaro Sigsbert Mkude Susan F. Rumisha Claud Kumalija Christian Lengeler Ally Mohamed Emilie Pothin Robert W. Snow Fabrizio Molteni Sub-national stratification of malaria risk in mainland Tanzania: a simplified assembly of survey and routine data |
topic_facet |
Malaria Epidemiological stratification Routine data School surveys Tanzania Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Recent malaria control efforts in mainland Tanzania have led to progressive changes in the prevalence of malaria infection in children, from 18.1% (2008) to 7.3% (2017). As the landscape of malaria transmission changes, a sub-national stratification becomes crucial for optimized cost-effective implementation of interventions. This paper describes the processes, data and outputs of the approach used to produce a simplified, pragmatic malaria risk stratification of 184 councils in mainland Tanzania. Methods Assemblies of annual parasite incidence and fever test positivity rate for the period 2016–2017 as well as confirmed malaria incidence and malaria positivity in pregnant women for the period 2015–2017 were obtained from routine district health information software. In addition, parasite prevalence in school children (PfPR5to16) were obtained from the two latest biennial council representative school malaria parasitaemia surveys, 2014–2015 and 2017. The PfPR5to16 served as a guide to set appropriate cut-offs for the other indicators. For each indicator, the maximum value from the past 3 years was used to allocate councils to one of four risk groups: very low (< 1%PfPR5to16), low (1− < 5%PfPR5to16), moderate (5− < 30%PfPR5to16) and high (≥ 30%PfPR5to16). Scores were assigned to each risk group per indicator per council and the total score was used to determine the overall risk strata of all councils. Results Out of 184 councils, 28 were in the very low stratum (12% of the population), 34 in the low stratum (28% of population), 49 in the moderate stratum (23% of population) and 73 in the high stratum (37% of population). Geographically, most of the councils in the low and very low strata were situated in the central corridor running from the north-east to south-west parts of the country, whilst the areas in the moderate to high strata were situated in the north-west and south-east regions. Conclusion A stratification approach based on multiple routine and survey malaria information was ... |
format |
Article in Journal/Newspaper |
author |
Sumaiyya G. Thawer Frank Chacky Manuela Runge Erik Reaves Renata Mandike Samwel Lazaro Sigsbert Mkude Susan F. Rumisha Claud Kumalija Christian Lengeler Ally Mohamed Emilie Pothin Robert W. Snow Fabrizio Molteni |
author_facet |
Sumaiyya G. Thawer Frank Chacky Manuela Runge Erik Reaves Renata Mandike Samwel Lazaro Sigsbert Mkude Susan F. Rumisha Claud Kumalija Christian Lengeler Ally Mohamed Emilie Pothin Robert W. Snow Fabrizio Molteni |
author_sort |
Sumaiyya G. Thawer |
title |
Sub-national stratification of malaria risk in mainland Tanzania: a simplified assembly of survey and routine data |
title_short |
Sub-national stratification of malaria risk in mainland Tanzania: a simplified assembly of survey and routine data |
title_full |
Sub-national stratification of malaria risk in mainland Tanzania: a simplified assembly of survey and routine data |
title_fullStr |
Sub-national stratification of malaria risk in mainland Tanzania: a simplified assembly of survey and routine data |
title_full_unstemmed |
Sub-national stratification of malaria risk in mainland Tanzania: a simplified assembly of survey and routine data |
title_sort |
sub-national stratification of malaria risk in mainland tanzania: a simplified assembly of survey and routine data |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03250-4 https://doaj.org/article/8beb382ac3e04b19b5e5a15e9d508a01 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-12 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03250-4 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03250-4 1475-2875 https://doaj.org/article/8beb382ac3e04b19b5e5a15e9d508a01 |
op_doi |
https://doi.org/10.1186/s12936-020-03250-4 |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
_version_ |
1766348850912559104 |