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Challenges and the Path Forward on Malaria Elimination Intervention: A Systematic Review
Khandan Shahandeh1, Hamid Reza Basseri2
1Deputy of Research and Technology, Tehran University of Medical Sciences, Tehran, Iran.
Iranian Journal of Public Health
|July 26, 2019
Summary
This systematic review highlights challenges and next steps for malaria elimination interventions. Strong health systems, leadership, and surveillance are crucial for successful malaria eradication efforts.
Area of Science:
- Public Health
- Tropical Medicine
- Epidemiology
Background:
- Systematic review focused on malaria elimination interventions and associated challenges.
- Identified key obstacles and outlined future directions to enhance malaria control strategies.
Purpose of the Study:
- To systematically review malaria elimination interventions.
- To highlight critical challenges and propose next steps for maximizing intervention potential.
Main Methods:
- Searched six databases (1995-2018) for studies on malaria elimination.
- Included 35 studies (14 experimental, 21 observational) after applying inclusion/exclusion criteria.
- Data extraction involved expert consultation to resolve disagreements.
Main Results:
- Examined 4039 records, with 35 studies meeting inclusion criteria for the review.
- Included studies utilized diverse malaria elimination interventions, encompassing educational, preventive, and treatment strategies.
- Highlighted a range of challenges in malaria elimination across countries with varying endemicity levels.
Conclusions:
- Effective malaria elimination requires robust health systems, strong leadership, and adequate incentives.
- An efficient surveillance system and regional cooperation are vital components for successful eradication.
- Specific areas for elimination-focused interventions need greater attention in research and reporting.
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