Subnational tailoring of malaria interventions for strategic planning and prioritization: Experience and perspectives of five malaria programs.

In the context of high malaria burden and insufficient resources, several national malaria programs (NMPs) used subnational tailoring (SNT) as a tool for evidence-informed decision-making on their national malaria strategic plans and funding requests. SNT is a data-informed method of developing inte...

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Main Authors: Letitia Onyango, Ghislaine Ouédraogo-Ametchie, Ifeoma Ozodiegwu, Beatriz Galatas, Jaline Gerardin
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0003811
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author Letitia Onyango
Ghislaine Ouédraogo-Ametchie
Ifeoma Ozodiegwu
Beatriz Galatas
Jaline Gerardin
author_facet Letitia Onyango
Ghislaine Ouédraogo-Ametchie
Ifeoma Ozodiegwu
Beatriz Galatas
Jaline Gerardin
author_sort Letitia Onyango
collection DOAJ
description In the context of high malaria burden and insufficient resources, several national malaria programs (NMPs) used subnational tailoring (SNT) as a tool for evidence-informed decision-making on their national malaria strategic plans and funding requests. SNT is a data-informed method of developing intervention plans that maximize health impact under limited resources across heterogenous areas and populations. The SNT process included the formation of an SNT team, determination of criteria for targeting interventions, data assembly and review, stratification, application of targeting criteria to determine preliminary plans, mathematical modeling, finalization of intervention plans, and monitoring and evaluation of the eventual implemented plan, all under the leadership of the NMP. Analysis steps of SNT were supported by the World Health Organization (WHO) and other partners. As SNT was a new approach, this study used semi-structured interviews to understand the perspectives and experiences of personnel from five NMPs (Burkina Faso, Ghana, Guinea, Nigeria, and Togo) that undertook SNT between 2019 and 2023. Participants reported that SNT outputs were used to inform national strategic plans and prioritized plans, that the process incentivized improvements in data collection and data quality, and that NMPs were strongly motivated to grow their capacity to conduct more steps of the SNT analysis process internally. Major challenges included the lack of resources available to implement the full strategic plans as well as challenges with data quality and alignment of stakeholders. Participants reported a moderate to strong sense of ownership over the process and were eager to extend, adapt, and reuse the SNT process in the future. Among countries supported by WHO, SNT was well-accepted and allowed NMPs to successfully use evidence to inform their decision-making, advocate for themselves, and mobilize resources.
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spelling doaj-art-73a61d53be46499283c033581cc89fa72025-08-20T03:50:12ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752025-01-0155e000381110.1371/journal.pgph.0003811Subnational tailoring of malaria interventions for strategic planning and prioritization: Experience and perspectives of five malaria programs.Letitia OnyangoGhislaine Ouédraogo-AmetchieIfeoma OzodiegwuBeatriz GalatasJaline GerardinIn the context of high malaria burden and insufficient resources, several national malaria programs (NMPs) used subnational tailoring (SNT) as a tool for evidence-informed decision-making on their national malaria strategic plans and funding requests. SNT is a data-informed method of developing intervention plans that maximize health impact under limited resources across heterogenous areas and populations. The SNT process included the formation of an SNT team, determination of criteria for targeting interventions, data assembly and review, stratification, application of targeting criteria to determine preliminary plans, mathematical modeling, finalization of intervention plans, and monitoring and evaluation of the eventual implemented plan, all under the leadership of the NMP. Analysis steps of SNT were supported by the World Health Organization (WHO) and other partners. As SNT was a new approach, this study used semi-structured interviews to understand the perspectives and experiences of personnel from five NMPs (Burkina Faso, Ghana, Guinea, Nigeria, and Togo) that undertook SNT between 2019 and 2023. Participants reported that SNT outputs were used to inform national strategic plans and prioritized plans, that the process incentivized improvements in data collection and data quality, and that NMPs were strongly motivated to grow their capacity to conduct more steps of the SNT analysis process internally. Major challenges included the lack of resources available to implement the full strategic plans as well as challenges with data quality and alignment of stakeholders. Participants reported a moderate to strong sense of ownership over the process and were eager to extend, adapt, and reuse the SNT process in the future. Among countries supported by WHO, SNT was well-accepted and allowed NMPs to successfully use evidence to inform their decision-making, advocate for themselves, and mobilize resources.https://doi.org/10.1371/journal.pgph.0003811
spellingShingle Letitia Onyango
Ghislaine Ouédraogo-Ametchie
Ifeoma Ozodiegwu
Beatriz Galatas
Jaline Gerardin
Subnational tailoring of malaria interventions for strategic planning and prioritization: Experience and perspectives of five malaria programs.
PLOS Global Public Health
title Subnational tailoring of malaria interventions for strategic planning and prioritization: Experience and perspectives of five malaria programs.
title_full Subnational tailoring of malaria interventions for strategic planning and prioritization: Experience and perspectives of five malaria programs.
title_fullStr Subnational tailoring of malaria interventions for strategic planning and prioritization: Experience and perspectives of five malaria programs.
title_full_unstemmed Subnational tailoring of malaria interventions for strategic planning and prioritization: Experience and perspectives of five malaria programs.
title_short Subnational tailoring of malaria interventions for strategic planning and prioritization: Experience and perspectives of five malaria programs.
title_sort subnational tailoring of malaria interventions for strategic planning and prioritization experience and perspectives of five malaria programs
url https://doi.org/10.1371/journal.pgph.0003811
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