Recap: June 7 Webinar on WHO’s Malaria Elimination Framework
On Wednesday, June 7th, a group of CoP members joined a virtual discussion of WHO’s updated framework for malaria elimination and its implications for malaria economic research. Dr. Gawrie Loku Galappaththy from the WHO began with a brief overview of the framework, followed by remarks by Dr. Eve Worrall of the Liverpool School of Tropical Medicine. Dr. Elaine Baruwa moderated the discussion that followed. Comments and questions that arose included:
– Costing elimination likely includes elements of “art”. Does elimination include elements in addition to what is required for control? What is “in” and what is “out”?
– How do we accurately determine the cost of malaria elimination — what do we compare it to, what is the baseline? Prior to scale up? Year 2000?
– How can we define what is “cost-effective” for malaria elimination, that is, what cost-effectiveness thresholds should we use (if any)? Do these apply in elimination context? In the context of exogenous financing? Or to inform global-level priority setting?
– The applications of cost-effectiveness analyses (CEA) and cost-benefit analyses to control vs. elimination scenarios was a key point that was discussed. It is not a matter of choosing one type of analysis over the other, but rather understanding the focus and limitations of each.
– The group also talked about the need to frame surveillance differently – posing the question: what does a “good” surveillance plan look like?
– Costing of national strategic plans (NSPs) was also discussed. How many NSPs have been costed? What learnings came from those that could be applied elsewhere?
The new elimination framework, which was released in March 2017, supersedes the 2007 field manual for malaria elimination in low and moderate endemic countries and provides guidance on the tools, activities, and strategies required to achieve malaria elimination and prevent re-establishment of transmission. It is intended to inform national malaria elimination strategic plans and to be adapted to local contexts.
Malaria Economic Research Symposium at ASTMH 2016
On Tuesday, November 15, 2016, the symposium session entitled, “Malaria Economic Research Priorities: Are We Supporting Program Scale Up Effectively?” was held at the 65th Annual Meeting of the American Society of Tropical Medicine and Hygiene in Atlanta, GA. The symposium was sponsored by the HFG Project and PMI.
Malaria economics research (MER) provides critical information on the efficiency and multisectoral impact of malaria interventions. MER typically takes one of two approaches: (1) broad and generalizable results (e.g. multi-country meta-analyses of interventions); and (2) local and specific results (e.g. a single country/setting study of a single malaria intervention). Whatever the approach, MER must inform users’ programmatic, resource allocation, and funding decisions for malaria. Given limited resources, funders and researchers must prioritize these economic analyses, ensuring that research funds are allocated effectively to answer the most pressing questions facing policymakers and programmers.
The session generated a lively discussion about the utility of different types of MER, and began with presentations of two recent economic research studies:
–A Roll Back Malaria-funded multi-country cost-benefit analysis to quantify the potential returns of investing to achieve the 2030 malaria goals, presented by Dr. Amadou Bah of Swiss TPH;
–A PMI-funded country-level analysis of the cost-effectiveness of malaria prevention and control intervention packages in Senegal, presented by Dr. Alioune Badara Gueye of Senegal’s National Malaria Control Program.
Presentations highlighted key findings, and how they address policymakers’ and programmers’ needs.
A moderated discussion followed, focusing on the questions:
-How do different audiences for MER react to different types of research?
-What types of decisions does each research type impact?
-How are country ownership and use impacted by type of research?
-How do the results of different types of research impact efficiency within malaria programs?
-How are research study costs affected by choice of type of MER study?
-Is effective resource mobilization for malaria control/elimination impacted by the MER approach?
Dr. Ibrahima Seck of the Institute for Health and Development (ISED) at Cheikh Anta Diop University (UCAD) in Dakar, Senegal and Dr. Ben Johns of the HFG Project joined as panel discussants.
Materials & Recording:
Part 1 Slides & Recording (Introduction by Dr. Sophie Faye. HFG Project):
Part 2 Recording (Remarks by Dr. Martin Alilio, PMI):
Part 3 Slides & Recording (Presentation by Dr. Bah, Swiss TPH):
Dr. Bah’s Presentation
Part 4 Slides & Recording (Presentation by Dr. Gueye, Senegal NMCP):
Dr. Gueye’s Presentation
Part 5 Slides & Recording (Remarks by Dr. Seck, ISED/UCAD):
Dr. Seck’s Slide
Part 6 Slides & Recording (Remarks by Dr. Johns, HFG Project):
Dr. Johns’ Slide
Part 7 Recording (Discussion):
Join your CoP colleagues in Vancouver!
Are you planning to attend the Health Systems Research Conference in Vancouver this November? If so, please consider attending this one-day side event on November 14 hosted by CoP members Catherine Goodman and Heather Lanthorn. The session will provide an opportunity to reflect on the Affordable Medicines Facility-malaria (AMFm) experience, and to discuss new evidence now available on its implementation and impact. See flyer below for more information and for the link to register.
Thank you to all who joined us for a discussion of the draft research framework on Tuesday, September 6. Please see the slides in the list of files below.
Next Steps & Action Items
• Please feel free to send specific comments on the draft framework, including questions which should be added, to Kelley and Elaine by September 16.
• Please let us know of any forums that we should plan to disseminate this framework/results. This year’s ASTMH in Atlanta is already one platform we have in mind. Please complete the survey below to let us know if you will be in attendance and would be interested in a get-together to discuss this and other CoP-related items.
• Elaine and I will be reaching out to some of you to discuss the framework in more detail to ensure that the end product is useful to all types of practitioners. Please let us know if you are interested in having a one-on-one conversation.
Thank you to all who joined us for the CoP Launch Meeting on Wednesday, July 20!
Next Steps & Action Items:
- Please review and comment on Draft Research Framework by Wednesday, July 27. By clicking on the title of the document, you can either post a comment or attach a file with tracked changes. You can also email comments to Elaine and Kelley and we will collate. We will likely have further discussion on this – stay tuned!
- Please provide any additional comments on the ToR via the website or email by Monday, Aug 1. We will post a final version shortly thereafter.
- Please post via the discussion forum or send via email your malaria economic research-related lit reviews, which we will collate and which will feed into the “review of reviews” of MER and your ideas for topics for webinar presentations or other CoP activities! *Please note that you must be registered and logged into the website in order to use the discussion forum.*
In the list of files below, please find a draft introductory email you can use to share the CoP with colleagues in your networks who may be interested in joining!
Don’t forget to register for the website, if you haven’t done so already.
For those who missed it, here is a recording of the meeting:
|19 downloads||1.0||Kelley Ambrose||10-02-2017 17:35||Download|