ArticleMalaria journal2020
Sub-national stratification of malaria risk in mainland Tanzania: a simplified assembly of survey and routine data.
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 74 papers, 1 of them a synthesis that pooled it.
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Who cites it
74 citing papers in PubMed, 1 synthesis or guideline pooled it, 131 citations in OpenAlex.
- Spatial and spatio-temporal methods for mapping malaria risk: a systematic review.BMJ global health · 2020Pooled it
- Safety and protective efficacy of PfSPZ Vaccine administered to HIV-negative and -positive Tanzanian adults.The Journal of clinical investigation · 2024Trial
- Trial
- Beyond national household surveys: routine and alternative approaches to sustain robust evidence-based decision making.Malaria journal · 2026Review
- Trends in prevalence and predictors of anemia among school-aged children in Tanzania: analysis of 2019-2023 cross-sectional surveys using a multilevel logistic regression model.BMC public health · 2026Article
- Socio-demographic predictors of insecticide-treated bed net ownership and utilization for protection against malaria by rural community members across five regions of Mainland Tanzania.Malaria journal · 2026Article
- Nationally representative programmatic surveillance of mosquito and human behaviours that influence human exposure to malaria transmission and the impact of vector control across Tanzania.Malaria journal · 2026Article
- The impact of intermittent preventive treatment for malaria on school absenteeism among primary school-aged children in Handeni District Council, Tanzania: quasi-experimental study.Malaria journal · 2026Article
- Assessing the effectiveness of seasonal malaria chemoprevention on malaria burden among children under 5 in northern Benin: a statistical modelling approach.BMJ public health · 2026Article
- Genetic metrics decodeFrontiers in genetics · 2026Article
- Malaria test positivity, Plasmodium species distribution, and risk factors in Ho Municipality, Ghana: a retrospective analysis of seasonal and demographic trends (2020-2022).Malaria journal · 2025Article
- Fabric integrity, net type and risk index predict attrition of insecticide-treated nets: evidence from a community durability trial of pyrethroid-piperonyl butoxide (PBO) nets in Tanzania.Malaria journal · 2025Review
- Epidemiological and entomological analysis of imported malaria in Pemba Island, Zanzibar: a study from 2020-2022.Malaria journal · 2025Article
- Implementation of the intermittent preventive treatment of malaria in school-aged children (IPTsc) in moderate and high endemic areas in Tanzania: a policy brief.EClinicalMedicine · 2025Review
- Article
- Large-scale intermittent larviciding intervention and associations with key malaria epidemiological parameters in Tanga Region, Tanzania.Malaria journal · 2025Article
- Prevalence and risk factors associated with infections caused by Plasmodium parasites at micro-geographic level in three villages of Muheza district in Tanga region, north-eastern Tanzania.Malaria journal · 2025Article
- Artemisinin and partner drug resistance markers in Plasmodium falciparum from Tanzanian paediatric malaria patients, 2016-2022.Malaria journal · 2025Article
- Persistence of Untreated Bed Nets in the Retail Market in Tanzania: A Cross-Sectional Survey.Tropical medicine and infectious disease · 2025Article
- Heterogeneous malaria transmission patterns in southeastern Tanzania driven by socio-economic and environmental factors.Malaria journal · 2025Article
14 more citing papers are in PubMed but not listed here.
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Authors and funding
14 authors at 5 institutions in 5 countries.
Funding
Abstract
backgroundRecent 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.
methodsAssemblies 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 (PfPR
resultsOut 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.
conclusionA stratification approach based on multiple routine and survey malaria information was developed. This pragmatic approach can be rapidly reproduced without the use of sophisticated statistical methods, hence, lies within the scope of national malaria programmes across Africa.
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