Population impact of malaria control interventions in the health district of Kati, Mali.

<h4>Background</h4>WHO and its partners have adopted alternative control interventions since the failure to eradicate malaria worldwide in the 1960s and 1970s. The aim of these interventions has been to redesign the control interventions to make them more effective and more efficient. Th...

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Main Authors: Abdoulaye Katile, Issaka Sagara, Mady Cissoko, Cédric Stéphane Bationo, Mathias Dolo, Pascal Dembélé, Bourama Kamate, Ismaila Simaga, Mahamadou Soumana Sissoko, Jordi Landier, Jean Gaudart
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0289451
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author Abdoulaye Katile
Issaka Sagara
Mady Cissoko
Cédric Stéphane Bationo
Mathias Dolo
Pascal Dembélé
Bourama Kamate
Ismaila Simaga
Mahamadou Soumana Sissoko
Jordi Landier
Jean Gaudart
author_facet Abdoulaye Katile
Issaka Sagara
Mady Cissoko
Cédric Stéphane Bationo
Mathias Dolo
Pascal Dembélé
Bourama Kamate
Ismaila Simaga
Mahamadou Soumana Sissoko
Jordi Landier
Jean Gaudart
author_sort Abdoulaye Katile
collection DOAJ
description <h4>Background</h4>WHO and its partners have adopted alternative control interventions since the failure to eradicate malaria worldwide in the 1960s and 1970s. The aim of these interventions has been to redesign the control interventions to make them more effective and more efficient. The purpose of this study is to assess the population impact of control interventions implemented at the community health area level.<h4>Methods</h4>The analysis used data from the health information system on malaria cases and interventions (distribution of long-lasting insecticide-treated nets (LLINs), seasonal malaria chemoprevention (SMC), access to rapid diagnostic tests (RDT), intermittent preventive treatment for pregnant women (IPTp)) collected in the Kati health district from 2017 to 2020. And the contextual parameters (temperature, normal difference vegetation index (NDVI) and rainfall) were obtained by remote sensing. A generalized additive model was used to assess the impact of malaria control interventions on malaria cases as a function of meteorological factors.<h4>Results</h4>The incidence of malaria varies from year to year and from health area to health area, as do meteorological factors in the study area. The distribution of long-lasting insecticide-treated nets, chemoprevention of seasonal malaria in children and access to rapid diagnostic tests for malaria were found to have a significant impact on the incidence of malaria in the population. Seasonal malaria chemoprevention was effective in reducing the incidence of malaria, while distribution of long-lasting insecticide-treated nets and access to rapid diagnostic tests increased with the number of malaria cases, reflecting efforts to distribute and use bed nets and to diagnose malaria cases among the population in the study area.<h4>Conclusion</h4>The study showed the impact of SMC on reducing malaria cases in the population and the significant efforts in LLIN distribution and malaria case diagnosis. To further reduce the burden of malaria, sustained efforts and new interventions are needed, including improving access to rapid diagnosis and treatment in communities by developing community health workers and locally tailored mass drug administration.
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spelling doaj-art-cebfb460236f43dbbb681a62c373991c2025-01-08T05:32:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e028945110.1371/journal.pone.0289451Population impact of malaria control interventions in the health district of Kati, Mali.Abdoulaye KatileIssaka SagaraMady CissokoCédric Stéphane BationoMathias DoloPascal DembéléBourama KamateIsmaila SimagaMahamadou Soumana SissokoJordi LandierJean Gaudart<h4>Background</h4>WHO and its partners have adopted alternative control interventions since the failure to eradicate malaria worldwide in the 1960s and 1970s. The aim of these interventions has been to redesign the control interventions to make them more effective and more efficient. The purpose of this study is to assess the population impact of control interventions implemented at the community health area level.<h4>Methods</h4>The analysis used data from the health information system on malaria cases and interventions (distribution of long-lasting insecticide-treated nets (LLINs), seasonal malaria chemoprevention (SMC), access to rapid diagnostic tests (RDT), intermittent preventive treatment for pregnant women (IPTp)) collected in the Kati health district from 2017 to 2020. And the contextual parameters (temperature, normal difference vegetation index (NDVI) and rainfall) were obtained by remote sensing. A generalized additive model was used to assess the impact of malaria control interventions on malaria cases as a function of meteorological factors.<h4>Results</h4>The incidence of malaria varies from year to year and from health area to health area, as do meteorological factors in the study area. The distribution of long-lasting insecticide-treated nets, chemoprevention of seasonal malaria in children and access to rapid diagnostic tests for malaria were found to have a significant impact on the incidence of malaria in the population. Seasonal malaria chemoprevention was effective in reducing the incidence of malaria, while distribution of long-lasting insecticide-treated nets and access to rapid diagnostic tests increased with the number of malaria cases, reflecting efforts to distribute and use bed nets and to diagnose malaria cases among the population in the study area.<h4>Conclusion</h4>The study showed the impact of SMC on reducing malaria cases in the population and the significant efforts in LLIN distribution and malaria case diagnosis. To further reduce the burden of malaria, sustained efforts and new interventions are needed, including improving access to rapid diagnosis and treatment in communities by developing community health workers and locally tailored mass drug administration.https://doi.org/10.1371/journal.pone.0289451
spellingShingle Abdoulaye Katile
Issaka Sagara
Mady Cissoko
Cédric Stéphane Bationo
Mathias Dolo
Pascal Dembélé
Bourama Kamate
Ismaila Simaga
Mahamadou Soumana Sissoko
Jordi Landier
Jean Gaudart
Population impact of malaria control interventions in the health district of Kati, Mali.
PLoS ONE
title Population impact of malaria control interventions in the health district of Kati, Mali.
title_full Population impact of malaria control interventions in the health district of Kati, Mali.
title_fullStr Population impact of malaria control interventions in the health district of Kati, Mali.
title_full_unstemmed Population impact of malaria control interventions in the health district of Kati, Mali.
title_short Population impact of malaria control interventions in the health district of Kati, Mali.
title_sort population impact of malaria control interventions in the health district of kati mali
url https://doi.org/10.1371/journal.pone.0289451
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