A framework for assessing the feasibility of malaria elimination

Area of Science:

• Global Health
• Infectious Disease Epidemiology
• Public Health Policy

Background:

• Increased malaria interventions have reduced disease burden, prompting consideration of malaria elimination.
• Countries need evidence-based guidance to transition from control to elimination strategies.
• Long-term strategic planning requires a comprehensive feasibility assessment.

Purpose of the Study:

• To propose a framework for assessing malaria elimination feasibility.
• To guide countries in weighing strategic options for malaria control and eradication.
• To provide a rational methodology for data-driven strategic planning.

Main Methods:

• Developed a quantitative feasibility assessment framework based on the Zanzibar experience.
• The framework evaluates technical requirements, operational capacity, and funding feasibility.
• Identified key quantitative and qualitative metrics for data collection and interpretation.

Main Results:

• A flexible, rational methodology for malaria elimination feasibility assessment was proposed.
• The framework balances epidemiological situation, public health system strength, and resource constraints.
• The assessment considers malaria control status in neighboring areas.

Conclusions:

• The proposed framework offers a data-driven approach to strategic planning for malaria elimination.
• Further field testing and validation are needed for broader applicability across diverse epidemiological settings.
• This methodology supports informed decision-making for sustainable malaria control and potential eradication.