Subnational tailoring of malaria interventions to prioritize the malaria response in Guinea
Abstract Background In the context of high malaria burden yet limited resources, Guinea’s national malaria programme adopted an innovative subnational tailoring (SNT) approach, including engagement of stakeholders, data review, and data analytics, to update their malaria operational plan for 2024–20...
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BMC
2025-02-01
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| Series: | Malaria Journal |
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| Online Access: | https://doi.org/10.1186/s12936-025-05302-z |
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| author | Ousmane Oumou Diallo Abdourahamane Diallo Kok Ben Toh Nouman Diakité Mohamed Dioubaté Manuela Runge Tasmin Symons Elhadj Marouf Diallo Jaline Gerardin Beatriz Galatas Alioune Camara |
| author_facet | Ousmane Oumou Diallo Abdourahamane Diallo Kok Ben Toh Nouman Diakité Mohamed Dioubaté Manuela Runge Tasmin Symons Elhadj Marouf Diallo Jaline Gerardin Beatriz Galatas Alioune Camara |
| author_sort | Ousmane Oumou Diallo |
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| description | Abstract Background In the context of high malaria burden yet limited resources, Guinea’s national malaria programme adopted an innovative subnational tailoring (SNT) approach, including engagement of stakeholders, data review, and data analytics, to update their malaria operational plan for 2024–2026 and identify the most appropriate interventions for each district considering the resources available. Methods Guinea’s malaria programme triggered the SNT exercise with a list of decisions that could be informed with local data. The programme established an SNT team, which determined intervention targeting criteria; identified, assembled, and reviewed relevant data sources; stratified malaria risk and its determinants to inform geographical targeting for each intervention; and used mathematical modelling to predict the impact of different intervention mix scenarios. The SNT analysis was performed at the district level, excluding the urban area of Conakry. Results Malaria incidence, malaria prevalence, and all-cause under-5 mortality were used for the epidemiological stratification of Guinea. Additional indicators relevant for decision-making including seasonality patterns, insecticide resistance, historical malaria interventions and vaccine coverage were also stratified. Stratified layers were used to inform the targeting criteria for each intervention to identify districts to prioritize for indoor residual spray, dual-action insecticide-treated nets, seasonal malaria chemoprevention (SMC), including number of cycles for each eligible district, malaria vaccine, and perennial malaria chemoprevention. Results of the SNT analysis were used to mobilize funding from the Global Fund for scale-up of dual-action nets and expansion of SMC. Conclusions SNT allowed Guinea’s national malaria programme to adapt their intervention strategy at the health district level, an unprecedented approach in the country. The use of local data to inform eligibility and prioritization allowed the programme to identify the optimal mix of interventions for each district and to successfully mobilize resources to support their plans. |
| format | Article |
| id | doaj-art-c9d5efa96c794533adf19ade7dab8163 |
| institution | OA Journals |
| issn | 1475-2875 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Malaria Journal |
| spelling | doaj-art-c9d5efa96c794533adf19ade7dab81632025-08-20T02:16:44ZengBMCMalaria Journal1475-28752025-02-0124111810.1186/s12936-025-05302-zSubnational tailoring of malaria interventions to prioritize the malaria response in GuineaOusmane Oumou Diallo0Abdourahamane Diallo1Kok Ben Toh2Nouman Diakité3Mohamed Dioubaté4Manuela Runge5Tasmin Symons6Elhadj Marouf Diallo7Jaline Gerardin8Beatriz Galatas9Alioune Camara10Department of Preventive Medicine and Institute for Global Health, Northwestern University Feinberg School of MedicineProgramme National de Lutte contre le PaludismeDepartment of Preventive Medicine and Institute for Global Health, Northwestern University Feinberg School of MedicineProgramme National de Lutte contre le PaludismeProgramme National de Lutte contre le PaludismeDepartment of Preventive Medicine and Institute for Global Health, Northwestern University Feinberg School of MedicineMalaria Atlas Project, The Kids Research Institute AustraliaProgramme National de Lutte contre le PaludismeDepartment of Preventive Medicine and Institute for Global Health, Northwestern University Feinberg School of MedicineGlobal Malaria Programme, World Health OrganizationProgramme National de Lutte contre le PaludismeAbstract Background In the context of high malaria burden yet limited resources, Guinea’s national malaria programme adopted an innovative subnational tailoring (SNT) approach, including engagement of stakeholders, data review, and data analytics, to update their malaria operational plan for 2024–2026 and identify the most appropriate interventions for each district considering the resources available. Methods Guinea’s malaria programme triggered the SNT exercise with a list of decisions that could be informed with local data. The programme established an SNT team, which determined intervention targeting criteria; identified, assembled, and reviewed relevant data sources; stratified malaria risk and its determinants to inform geographical targeting for each intervention; and used mathematical modelling to predict the impact of different intervention mix scenarios. The SNT analysis was performed at the district level, excluding the urban area of Conakry. Results Malaria incidence, malaria prevalence, and all-cause under-5 mortality were used for the epidemiological stratification of Guinea. Additional indicators relevant for decision-making including seasonality patterns, insecticide resistance, historical malaria interventions and vaccine coverage were also stratified. Stratified layers were used to inform the targeting criteria for each intervention to identify districts to prioritize for indoor residual spray, dual-action insecticide-treated nets, seasonal malaria chemoprevention (SMC), including number of cycles for each eligible district, malaria vaccine, and perennial malaria chemoprevention. Results of the SNT analysis were used to mobilize funding from the Global Fund for scale-up of dual-action nets and expansion of SMC. Conclusions SNT allowed Guinea’s national malaria programme to adapt their intervention strategy at the health district level, an unprecedented approach in the country. The use of local data to inform eligibility and prioritization allowed the programme to identify the optimal mix of interventions for each district and to successfully mobilize resources to support their plans.https://doi.org/10.1186/s12936-025-05302-zSubnational tailoringMalariaGuineaStratificationInterventionsPrioritization |
| spellingShingle | Ousmane Oumou Diallo Abdourahamane Diallo Kok Ben Toh Nouman Diakité Mohamed Dioubaté Manuela Runge Tasmin Symons Elhadj Marouf Diallo Jaline Gerardin Beatriz Galatas Alioune Camara Subnational tailoring of malaria interventions to prioritize the malaria response in Guinea Malaria Journal Subnational tailoring Malaria Guinea Stratification Interventions Prioritization |
| title | Subnational tailoring of malaria interventions to prioritize the malaria response in Guinea |
| title_full | Subnational tailoring of malaria interventions to prioritize the malaria response in Guinea |
| title_fullStr | Subnational tailoring of malaria interventions to prioritize the malaria response in Guinea |
| title_full_unstemmed | Subnational tailoring of malaria interventions to prioritize the malaria response in Guinea |
| title_short | Subnational tailoring of malaria interventions to prioritize the malaria response in Guinea |
| title_sort | subnational tailoring of malaria interventions to prioritize the malaria response in guinea |
| topic | Subnational tailoring Malaria Guinea Stratification Interventions Prioritization |
| url | https://doi.org/10.1186/s12936-025-05302-z |
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