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马拉维的疟疾负担分层——为2023 - 2030年马拉维疟疾战略计划提供信息的协商研讨会报告

Malaria Burden Stratification in Malawi- A report of a consultative workshop to inform the 2023-2030 Malawi Malaria Strategic Plan.

作者信息

Mategula Donnie, Mitambo Collins, Sheahan William, Masingi Mbeye Nyanyiwe, Gumbo Austin, Kwizombe Collins, Kawonga Jacob, Banda Benard, Hamuza Gracious, Kalanga Alinafe, Kamowa Dina, Kafulafula Jacob, Banda Akuzike, Twaibi Halima, Musa Esloyn, Kapito-Tembo Atupele, Ntwere Tapiwa, Chirombo James, Kalonde Patrick Ken, Masambuka Maclear, Munthali Lumbani, Sakala Melody, Bangoura Abdoulaye, Gichuki Judy, Chipeta Michael Give, Galatas Adrade Beatriz, Kayange Michael, Terlouw Dianne J

机构信息

School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi.

Malawi-Liverpool Wellcome Programme,, Blantyre, Malawi.

出版信息

Wellcome Open Res. 2023 Apr 19;8:178. doi: 10.12688/wellcomeopenres.19110.1. eCollection 2023.

Abstract

Malawi's National Malaria Control Programme (NMCP) is developing a new strategic plan for 2023-2030 to combat malaria and recognizes that a blanket approach to malaria interventions is no longer feasible. To inform this new strategy, the NMCP set up a task force comprising 18 members from various sectors, which convened a meeting to stratify the malaria burden in Malawi and recommend interventions for each stratum. The burden stratification workshop took place from November 29 to December 2, 2022, in Blantyre, Malawi, and collated essential data on malaria burden indicators, such as incidence, prevalence, and mortality. Workshop participants reviewed the malaria burden and intervention coverage data to describe the current status and identified the districts as a appropriate administrative level for stratification and action. Two scenarios were developed for the stratification, based on composites of three variables. Scenario 1 included incidence, prevalence, and under-five all-cause mortality, while Scenario 2 included total malaria cases, prevalence, and under-five all-cause mortality counts. The task force developed four burden strata (highest, high, moderate, and low) for each scenario, resulting in a final list of districts assigned to each stratum. The task force concluded with 10 districts in the highest-burden stratum (Nkhotakota, Salima, Mchinji, Dowa, Ntchisi, Mwanza, Likoma, Lilongwe, Kasungu and Mangochi) 11 districts in the high burden stratum (Chitipa, Rumphi, Nkhata Bay, Dedza, Ntcheu, Neno, Thyolo, Nsanje, Zomba, Mzimba and Mulanje) and seven districts in the moderate burden stratum (Karonga, Chikwawa, Balaka, Machinga, Phalombe, Blantyre, and Chiradzulu). There were no districts in the low-burden stratum. The next steps for the NMCP are to review context-specific issues driving malaria transmission and recommend interventions for each stratum. Overall, this burden stratification workshop provides a critical foundation for developing a successful malaria strategic plan for Malawi.

摘要

马拉维国家疟疾控制规划(NMCP)正在制定2023年至2030年的新战略计划以抗击疟疾,并认识到采用一刀切的疟疾干预方法已不再可行。为了为这一新战略提供信息,NMCP成立了一个由来自不同部门的18名成员组成的特别工作组,该工作组召开了一次会议,对马拉维的疟疾负担进行分层,并为每个层级推荐干预措施。负担分层研讨会于2022年11月29日至12月2日在马拉维布兰太尔举行,收集了有关疟疾负担指标的基本数据,如发病率、流行率和死亡率。研讨会参与者审查了疟疾负担和干预措施覆盖数据,以描述当前状况,并确定将各地区作为分层和采取行动的合适行政级别。基于三个变量的综合情况,为分层制定了两种方案。方案1包括发病率、流行率和五岁以下儿童全死因死亡率,而方案2包括疟疾病例总数、流行率和五岁以下儿童全死因死亡数。特别工作组为每个方案制定了四个负担层级(最高、高、中、低),得出了分配到每个层级的最终地区名单。特别工作组得出结论,最高负担层级有10个地区(恩科塔科塔、萨利马、姆钦吉、多瓦、恩奇西、姆万扎、利科马、利隆圭、卡松古和曼戈奇),高负担层级有11个地区(奇蒂帕、伦菲、恩卡塔湾、代扎、恩彻乌、内诺、蒂约洛、恩桑杰、宗巴、姆津巴和穆兰杰),中等负担层级有7个地区(卡龙加、奇夸瓦、巴拉卡、马钦加、法隆贝、布兰太尔和奇拉德祖卢)。没有低负担层级的地区。NMCP的下一步是审查推动疟疾传播的具体情况问题,并为每个层级推荐干预措施。总体而言,这次负担分层研讨会为制定一项成功的马拉维疟疾战略计划提供了关键基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d92e/10432890/899eb33c3535/wellcomeopenres-8-21186-g0000.jpg

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