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Subnational tailoring of malaria interventions for strategic planning and prioritization

Experience and perspectives of five malaria programs

Bibliographic Data

ID19590787
AuthorsLetitia Onyango (0000-0001-7698-8818, Northwestern University, corresponding author), Ghislaine Ouédraogo-Ametchie (Northwestern University, corresponding author), Ifeoma D Ozodiegwu (0000-0001-7810-414X, Northwestern University, corresponding author), Ifeoma Ozodiegwu, Beatriz Galatas (0000-0002-9546-6385, World Health Organization, corresponding author), Jaline Gerardin (0000-0001-8071-9928, Northwestern University, corresponding author)
EditorsRuth Ashton (0000-0001-6282-0352)
Year2025
Volume5
Issue5
Pagese0003811
Publication date2025-05-28
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0003811
PMID40435171
OpenAlexW4410810616
LanguageEN
Citations received1
References cited23

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

Business · Geography · Malaria · Political science · Prioritization · Process management · Psychological intervention · Public relations · Strategic planning · Computer Science · Malaria Research and Control · Medicine · Mosquito-borne diseases and control · Nursing · Viral Infections and Outbreaks Research · Marketing

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1
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