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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Framework for evaluating the health impact of the scale-up of malaria control interventions on all-cause child mortality in Sub-Saharan Africa
American Journal of Tropical Medicine and Hygiene, Volume 97, Year 2017
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Description
Concerted efforts from national and international partners have scaled up malaria control interventions, including insecticide-treated nets, indoor residual spraying, diagnostics, prompt and effective treatment of malaria cases, and intermittent preventive treatment during pregnancy in sub-Saharan Africa (SSA). This scale-up warrants an assessment of its health impact to guide future efforts and investments; however, measuring malaria-specific mortality and the overall impact of malaria control interventions remains challenging. In 2007, Roll Back Malaria's Monitoring and Evaluation Reference Group proposed a theoretical framework for evaluating the impact of full-coverage malaria control interventions on morbidity and mortality in high-burden SSA countries. Recently, several evaluations have contributed new ideas and lessons to strengthen this plausibility design. This paper harnesses that new evaluation experience to expand the framework, with additional features, such as stratification, to examine subgroups most likely to experience improvement if control programs are working; the use of a national platform framework; and analysis of complete birth histories from national household surveys. The refined framework has shown that, despite persisting data challenges, combining multiple sources of data, considering potential contributions from both fundamental and proximate contextual factors, and conducting subnational analyses allows identification of the plausible contributions of malaria control interventions on malaria morbidity and mortality. © 2017 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Yé, Yazoume
United States, Fairfax
Icf International Inc.
Eisele, Thomas P.
United States, New Orleans
Tulane University
Eckert, Erin L.
United States, Washington, D.c.
United States Agency for International Development
Korenromp, Eline L.
United States, Glastonbury
Avenir Health
Netherlands, Rotterdam
Erasmus Mc
Shah, Jui A.
United States, Fairfax
Icf International Inc.
Hershey, Christine L.
United States, Washington, D.c.
United States Agency for International Development
Ivanovich, Elizabeth
United States, Washington
United Nations Foundation
Newby, Holly
Unknown Affiliation
Carvajal-Vélez, Liliana
United States, New York
United Nations
Lynch, Michael F.
United States, Atlanta
Centers for Disease Control and Prevention
Komatsu, Ryuichi
Switzerland, Geneva
Fonds Mondial de Lutte Contre le Sida, la Tuberculose et le Paludisme
Cibulskis, Richard E.
Switzerland, Geneva
Organisation Mondiale de la Santé
Bhattarai, Achuyt
United States, Atlanta
Centers for Disease Control and Prevention
Statistics
Citations: 22
Authors: 13
Affiliations: 10
Identifiers
Doi:
10.4269/ajtmh.15-0363
ISSN:
00029637
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study