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Health systems and global progress towards malaria elimination, 2000-2016
Maitreyi Sahu1,2, Fabrizio Tediosi3, Abdisalan M Noor4
1Swiss Tropical and Public Health Institute and University of Basel, Basel, Switzerland. msahu@uw.edu.
Malaria Journal
|April 10, 2020
Summary
Strengthening health systems, particularly routine service delivery and hospital capacity, is crucial for reducing malaria cases globally. This is especially true for high-burden countries aiming for malaria control and elimination.
Area of Science:
- Global Health
- Health Systems Research
- Malaria Control
Background:
- Understanding critical health system features is vital for malaria control and elimination efforts.
- Progress towards malaria elimination necessitates robust health system support.
Purpose of the Study:
- To identify key health system predictors of progress in malaria control.
- To analyze health system performance measures related to malaria reduction.
Main Methods:
- Collated health systems data from 23 online repositories.
- Utilized principal component analysis and multivariable regression models.
- Analyzed data from 105 countries between 2000-2016, stratified by malaria burden.
Main Results:
- Significant heterogeneity in malaria control progress observed globally.
- Routine service delivery and hospital capacity strongly predicted reduced malaria cases, particularly in high-burden nations.
- In low-burden countries, primary health center density showed a negative association, while hospital capacity remained a positive predictor for malaria elimination.
Conclusions:
- Strengthening health systems is an effective strategy for reducing malaria cases, especially in high-burden countries.
- Investments in service delivery show high potential returns for malaria control.
- Tailoring health system strengthening strategies based on country malaria burden is recommended.
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