How well are malaria maps used to design and finance malaria control in Africa?
How well are malaria maps used to design and finance malaria control in Africa?
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DOI：
10.1371/journal.pone.0053198
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Snow RW
中科院分区：
文献类型：
--
作者：
Omumbo JA;Noor AM;Fall IS;Snow RW
合理的疟疾控制决策取决于对流行病学风险和控制措施的了解。非洲各地的国家疟疾控制规划可以获得一系列最先进的疟疾风险测绘产品，这些产品可能满足其决策需要。在规划疟疾控制方面使用制图从未得到系统审查。通过审查最新的国家疟疾战略、监测和评价计划、疟疾规划审查和向全球基金提交的申请，对非洲47个疟疾流行国家的国家疟疾管理方案使用的风险图进行了审计。研究了所提出的地图类型以及如何使用它们来确定投资和控制的优先次序。非洲91%的流行国家在次国家一级使用至少一张风险图确定了疟疾风险。风险图的范围不同于根据气候适宜性绘制的地图；预测疟疾季节和温度/海拔限制，表示临床数据和模拟寄生虫流行。地图的选择受信息来源的影响。通过国内研究伙伴关系利用国家数据开发的地图比在没有国家控制规划投入的情况下开发的更容易获取的基于网络的选择更有用。虽然几乎所有国家都有分层图，但只有少数国家使用分层图来指导关于选择干预措施和分配疟疾控制资源的决定。需要解决疟疾流行病学信息的呈现和使用方式问题，以确保在规划控制中以证据为基础增加价值。必须将干预措施的模拟影响的科学纳入新的制图产品，以便将风险转化为疟疾控制的合理决策。随着海外和国内资金的减少，将有必要进行战略规划，以指导为疟疾控制提供适当资金。
Rational decision making on malaria control depends on an understanding of the epidemiological risks and control measures. National Malaria Control Programmes across Africa have access to a range of state-of-the-art malaria risk mapping products that might serve their decision-making needs. The use of cartography in planning malaria control has never been methodically reviewed. An audit of the risk maps used by NMCPs in 47 malaria endemic countries in Africa was undertaken by examining the most recent national malaria strategies, monitoring and evaluation plans, malaria programme reviews and applications submitted to the Global Fund. The types of maps presented and how they have been used to define priorities for investment and control was investigated. 91% of endemic countries in Africa have defined malaria risk at sub-national levels using at least one risk map. The range of risk maps varies from maps based on suitability of climate for transmission; predicted malaria seasons and temperature/altitude limitations, to representations of clinical data and modelled parasite prevalence. The choice of maps is influenced by the source of the information. Maps developed using national data through in-country research partnerships have greater utility than more readily accessible web-based options developed without inputs from national control programmes. Although almost all countries have stratification maps, only a few use them to guide decisions on the selection of interventions allocation of resources for malaria control. The way information on the epidemiology of malaria is presented and used needs to be addressed to ensure evidence-based added value in planning control. The science on modelled impact of interventions must be integrated into new mapping products to allow a translation of risk into rational decision making for malaria control. As overseas and domestic funding diminishes, strategic planning will be necessary to guide appropriate financing for malaria control.
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影响因子：
56.3
作者：
Hay, Simon I.;Smith, David L.;Snow, Robert W.
通讯作者：
Snow, Robert W.
影响因子：
3.7
作者：
Noor AM;Gething PW;Alegana VA;Patil AP;Hay SI;Muchiri E;Juma E;Snow RW
通讯作者：
Snow RW
影响因子：
4.9
作者：
Kazembe, Lawrence N;Kleinschmidt, Immo;Holtz, Timothy H;Sharp, Brian L
通讯作者：
Sharp, Brian L
影响因子：
168.9
作者：
Noor, Abdisalan M.;Mutheu, Juliette J.;Tatem, Andrew J.;Hay, Simon I.;Snow, Robert W.
通讯作者：
Snow, Robert W.
影响因子：
3
作者：
Riedel N;Vounatsou P;Miller JM;Gosoniu L;Chizema-Kawesha E;Mukonka V;Steketee RW
通讯作者：
Steketee RW