Evidence map›Paper›PMID 32228595›Full record

ArticleMalaria journal2020

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

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Malaria journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 3 countries.

Roly GoslingMalaria Elimination Initiative, Global Health Group, University of California, San Francisco, CA, 94158, USA. Roly.Gosling@ucsf.edu.ORCID http://orcid.org/0000-0001-6291-0024
John ChimumbwaElimination 8, Channel Life Towers 1st Floor 39 Post Street Mall, Windhoek, Namibia.
Petrina UusikuNational Vectorborne Disease Control Programme, Ministry of Health and Social Services, Private Bag 13198, Windhoek, Namibia.
Sara RossiMalaria Elimination Initiative, Global Health Group, University of California, San Francisco, CA, 94158, USA.
Henry NtukuMalaria Elimination Initiative, Global Health Group, University of California, San Francisco, CA, 94158, USA.
Kelly HarvardMalaria Elimination Initiative, Global Health Group, University of California, San Francisco, CA, 94158, USA.
Chris WhiteMalaria Elimination Initiative, Global Health Group, University of California, San Francisco, CA, 94158, USA.
Allison TatarskyMalaria Elimination Initiative, Global Health Group, University of California, San Francisco, CA, 94158, USA.
Daniel ChandramohanLondon School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Ingrid ChenMalaria Elimination Initiative, Global Health Group, University of California, San Francisco, CA, 94158, USA.
University of California, San Francisco · USMinistry of Health and Social Services · NAUniversity of London · GB

Funding

Bill and Melinda Gates Foundation OPP1160129
6 · The paper itself

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.

Indexed as

Case ManagementCommunicable Disease ControlDisease EradicationHumansMalariaRisk FactorsCommunity engagementControlDistrict health management teamEliminationHigh risk populationsMalariaPolicyResidual transmissionSurveillance

Identifiers

PMID32228595
PMCPMC7106871
OpenAlexW3013264855

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.