Malaria Burden Stratification in Malawi- A report of a consultative workshop to inform the 2023-2030 Malawi Malaria Strategic Plan.

Autor:	Mategula D; School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi.; Malawi-Liverpool Wellcome Programme,, Blantyre, Malawi.; Liverpool School of Tropical Medicine, Liverpool, L3 5QA, UK., Mitambo C; Research Unit, Ministry of Health, Lilongwe, Malawi., Sheahan W; PATH, Seatle, Washington, USA., Masingi Mbeye N; School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi.; PATH, Seatle, Washington, USA., Gumbo A; National Malaria Control Programme, Ministry of Health, Lilongwe, Malawi., Kwizombe C; U.S. President's Malaria Initiative, United States Agency for International Development (USAID), Lilongwe, Malawi., Kawonga J; Country Health Information Systems and Data Use (CHISU) Program, Lilongwe, Malawi., Banda B; Country Health Information Systems and Data Use (CHISU) Program, Lilongwe, Malawi., Hamuza G; National Malaria Control Programme, Ministry of Health, Lilongwe, Malawi., Kalanga A; Mulanje District Council, Mulanje, Malawi., Kamowa D; School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi., Kafulafula J; Nkhotakota District Council, Nkhotakota, Malawi., Banda A; National Malaria Control Programme, Ministry of Health, Lilongwe, Malawi., Twaibi H; Department of Mathematical Sciences, School of Natural and Applied Sciences,, University of Malawi, Zomba, Malawi., Musa E; School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi., Kapito-Tembo A; School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi., Ntwere T; School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi., Chirombo J; Malawi-Liverpool Wellcome Programme,, Blantyre, Malawi., Kalonde PK; Malawi-Liverpool Wellcome Programme,, Blantyre, Malawi.; Liverpool School of Tropical Medicine, Liverpool, L3 5QA, UK., Masambuka M; Kasungu District Council, Kasungu, Malawi., Munthali L; National Malaria Control Programme, Ministry of Health, Lilongwe, Malawi., Sakala M; Malawi-Liverpool Wellcome Programme,, Blantyre, Malawi., Bangoura A; PMI VectorLink Project, Abt Associates, Lilongwe, Malawi., Gichuki J; Strathmore University, Institute of Healthcare Management, Nairobi, Malawi., Chipeta MG; African Institute for Development Policy (AFIDEP), Lilongwe, Malawi., Galatas Adrade B; World Health Organisation, Geneva, Switzerland., Kayange M; National Malaria Control Programme, Ministry of Health, Lilongwe, Malawi., Terlouw DJ; Malawi-Liverpool Wellcome Programme,, Blantyre, Malawi.; Liverpool School of Tropical Medicine, Liverpool, L3 5QA, UK.
Jazyk:	angličtina
Zdroj:	Wellcome open research [Wellcome Open Res] 2023 Apr 19; Vol. 8, pp. 178. Date of Electronic Publication: 2023 Apr 19 (Print Publication: 2023).
DOI:	10.12688/wellcomeopenres.19110.1
Abstrakt:	Background: Malawi's National Malaria Control Programme (NMCP) is developing a new strategic plan for 2023-2030 to combat malaria and recognizes that a blanket approach to malaria interventions is no longer feasible. To inform this new strategy, the NMCP set up a task force comprising 18 members from various sectors, which convened a meeting to stratify the malaria burden in Malawi and recommend interventions for each stratum. Methods: The burden stratification workshop took place from November 29 to December 2, 2022, in Blantyre, Malawi, and collated essential data on malaria burden indicators, such as incidence, prevalence, and mortality. Workshop participants reviewed the malaria burden and intervention coverage data to describe the current status and identified the districts as a appropriate administrative level for stratification and action. Two scenarios were developed for the stratification, based on composites of three variables. Scenario 1 included incidence, prevalence, and under-five all-cause mortality, while Scenario 2 included total malaria cases, prevalence, and under-five all-cause mortality counts. The task force developed four burden strata (highest, high, moderate, and low) for each scenario, resulting in a final list of districts assigned to each stratum. Results: The task force concluded with 10 districts in the highest-burden stratum (Nkhotakota, Salima, Mchinji, Dowa, Ntchisi, Mwanza, Likoma, Lilongwe, Kasungu and Mangochi) 11 districts in the high burden stratum (Chitipa, Rumphi, Nkhata Bay, Dedza, Ntcheu, Neno, Thyolo, Nsanje, Zomba, Mzimba and Mulanje) and seven districts in the moderate burden stratum (Karonga, Chikwawa, Balaka, Machinga, Phalombe, Blantyre, and Chiradzulu). There were no districts in the low-burden stratum. Conclusion: The next steps for the NMCP are to review context-specific issues driving malaria transmission and recommend interventions for each stratum. Overall, this burden stratification workshop provides a critical foundation for developing a successful malaria strategic plan for Malawi. Competing Interests: No competing interests were disclosed. (Copyright: © 2023 Mategula D et al.)
Databáze:	MEDLINE
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