Using rich experimental data on household treatment- seeking behavior in Kenya, this study explores the implications of the over-treatment vs. under-treatment trade-off for subsidizing life-saving antimalarials sold over-the-counter at retail drug outlets. The results of this study show that a very high subsidy (such as the one under consideration by the international community) dramatically increases access, but nearly one-half of subsidized pills go to patients without malaria.
A study to evaluate the impact – on diagnosis and treatment of malaria – of introducing rapid diagnostic tests to drug shops in eastern Uganda, which found that testing for malaria was increased by training drug shop vendors in the use of rapid tests and providing them access to such tests at a subsidized price.
In many parts of the world, malaria elimination—defined by the World Health Organization (WHO) as the absence of locally acquired malaria cases in the country—is being considered as a target because of recent successes in reducing disease burden. Rigorous evaluation of malaria elimination programs is essential for financial and political support to be maintained. Yet such evaluation remains challenging, and appropriate metrics to ascertain “success” are needed.
A paper analyzing the feasibility of sustaining malaria elimination once achieved, based on the tendency for malaria elimination to reinforce its own stability through a combination of post-elimination improvements in case detection and treatment, changing travel patterns and potentially economic development.
A report on the lessons learned from the Global Malaria Eradication Programme, identifying changes in the epidemiology of malaria when elimination is reached that could explain its stability and discussing how this calls for a reassessment of strategies for eradication.
A paper describing a framework for assessing the feasibility of elimination in a given region, based on literature accumulated during the GMEP and updated by the experience of conducting the first contemporary malaria elimination feasibility assessment in Zanzibar.