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Review
. 2011 Jan 25;8(1):e1000397.
doi: 10.1371/journal.pmed.1000397.

A research agenda for malaria eradication: health systems and operational research

malERA Consultative Group on Health Systems and Operational Research
Collaborators
Review

A research agenda for malaria eradication: health systems and operational research

malERA Consultative Group on Health Systems and Operational Research. PLoS Med. .

Abstract

Health systems research and development is needed to support the global malaria eradication agenda. In this paper, we (the malERA Consultative Group on Health Systems and Operational Research) focus on the health systems needs of the elimination phase of malaria eradication and consider groupings of countries at different stages along the pathway to elimination. We examine the difference between the last attempt at eradication of malaria and more recent initiatives, and consider the changing health system challenges as countries make progress towards elimination. We review recent technological and theoretical developments related to health systems and the renewed commitment to strengthening health systems for universal access and greater equity. Finally, we identify a number of needs for research and development, including tools for analyzing and improving effective coverage and strengthening decision making and discuss the relevance of these needs at all levels of the health system from the community to the international level.

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Conflict of interest statement

The authors have declared that they have no competing interests.

Figures

Figure 1
Figure 1. Health system building blocks .
Image credit: Fusión Creativa.
Figure 2
Figure 2. Graphical representation of the systems effectiveness framework.
How interventions lose traction in health systems: example of artemisinin-based combination therapy (ACT) antimalarial treatment in Rufiji Demographic Surveillance Area Tanzania in 2006. Source: INDEPTH INESS Project. Systems Effectiveness Module, Swiss Tropical and Public Health Institute with data from Ifakara Health Institute and US Centers for Disease Control and Prevention based on –. Image credit: Fusión Creativa.
See this image and copyright information in PMC

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