STRENGTHENING NATIONAL CAPACITY IN MALARIA

描述（由申请人提供）：尽管马拉维采取了各种疟疾控制措施，但疟疾的发病率和死亡率仍然高得令人无法接受。这种高负担可能是由于以下问题造成的：1)计划实施；2)干预措施的吸收和利用；3)缺乏适当的计划监测和评估；可能是4)缺乏相关研究来支持该计划。疟疾警报中心代表医学院提出申请；马拉维大学将与美国疾病控制和预防中心签订一项合作协议，以支持马拉维卫生部减少与疟疾有关的发病率和死亡率的努力。这项合作协议提案有六个主要目标。目标1包括在马拉维开展疟疾业务研究以及监测和评价活动。卫生部已将昆虫学指标的收集确定为本提案中高度重视的关键监测和评价活动之一。目标2将

DESCRIPTION (provided by the applicant): Morbidity and mortality from malaria remains unacceptably high in Malawi, despite the scale up of various malaria control interventions. This high burden could be as a result of problems in 1) program implementation, 2) uptake and utilization of interventions, 3) absence of a proper program monitoring and evaluation and possibly 4) lack of relevant research to support the program. The Malaria Alert Centre is applying on behalf of the College of Medicine; University of Malawi to undertake a cooperative agreement with the Centers for Disease Control and Prevention, USA to support the Malawi Ministry of Health's efforts to reduce malaria related morbidity and mortality. This cooperative agreement proposal has six main objectives. Objective 1 consists of the conduct of malaria operational research and monitoring and evaluation activities in Malawi. The Ministry of Health has identified collection of entomological indicators as one of the key monitoring and evaluation activities featured highly in this proposal. Objective 2 will develop and validate the impact of revised, enhanced or novel Interventions that will contribute to effective malaria control in Malawi. Since there is a lot of co-morbidities in Malawi, objective 3 will assess strategies to reduce the burden of other infectious diseases. Objective 4 consists of supporting the Ministry of Health in translating the many operational research findings into policy whilst objective 4 and 5 will improve malaria surveillance systems and build capacity for these in the ministry. In order to achieve these, a number of field and laboratory studies have been suggested. The center will also establish a knowledge hub to facilitate communication between researchers and policy makers to support the translation of knowledge into policy. A number of monitoring and evaluation activities have also been proposed, including efforts to build capacity to evaluate the program. Most of the proposed activities are unique and relevant to the national and global malaria control agenda. The activities will be conducted in collaboration with the National Malaria Control Program, with technical support from the Centers for Disease Control and Prevention (USA) and other centers of excellence. This cooperation will build reasonable local capacity to undertake future malaria research on behalf of the Ministry of Health. Data and lessons learnt will be shared with the Ministry of Health, President Malaria Initiative (PMI), USAID and other malaria implementing partners for wider dissemination, to promote the implementation of evidence based malaria interventions.