Using decision analysis to improve malaria control policy making.

Abstract

Malaria and other vector-borne diseases represent a significant and growing burden in many tropical countries. Successfully addressing these threats will require policies that expand access to and use of existing control methods, such as insecticide-treated bed nets (ITNs) and artemesinin combination therapies (ACTs) for malaria, while weighing the costs and benefits of alternative approaches over time. This paper argues that decision analysis provides a valuable framework for formulating such policies and combating the emergence and re-emergence of malaria and other diseases. We outline five challenges that policy makers and practitioners face in the struggle against malaria, and demonstrate how decision analysis can help to address and overcome these challenges. A prototype decision analysis framework for malaria control in Tanzania is presented, highlighting the key components that a decision support tool should include. Developing and applying such a framework can promote stronger and more effective linkages between research and policy, ultimately helping to reduce the burden of malaria and other vector-borne diseases.

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Description

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Citation

Published Version (Please cite this version)

10.1016/j.healthpol.2009.02.011

Publication Info

Kramer, R, K Dickinson, R Anderson, VG Fowler, ML Miranda, CB Mutero, K Saterson, J Wiener, et al. (2009). Using decision analysis to improve malaria control policy making. Health Policy, 92(2-3). pp. 133–140. 10.1016/j.healthpol.2009.02.011 Retrieved from https://hdl.handle.net/10161/6741.

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Scholars@Duke

Kramer

Randall Kramer

Juli Plant Grainger Professor Emeritus of Global Environmental Health

Before coming to Duke in 1988, he was on the faculty at Virginia Polytechnic Institute and State University. He has held visiting positions at IUCN--The World Conservation Union, the Economic Growth Center at Yale University, and the Indonesian Ministry of Forestry. He has served as a consultant to the World Bank, World Health Organization and other international organizations. He was named Duke University's Scholar Teacher of the Year in 2004.

Kramer's research is focused on the economics of ecosystem services and on global environmental health. He is currently conducting a study on the effects of human land use decisions on biodiversity, infectious disease transmission and human health in rural Madagascar. Recent research projects have used decision analysis and implementation science to evaluate the health, social and environmental impacts of alternative malaria control strategies in East Africa. He has also conducted research on health systems strengthening, economic valuation of lives saved from air pollution reduction. and the role of ecosystems services in protecting human health.

Wiener

Jonathan B. Wiener

William R. Perkins Distinguished Professor of Law

Jonathan B. Wiener is the William R. Perkins Professor of Law at Duke Law School, Professor of Environmental Policy at the Nicholas School of the Environment, and Professor of Public Policy at the Sanford School of Public Policy, at Duke University.  He is the Co-Director of the Duke Center on Risk in the Science & Society Initiative. 

He served as President of the Society for Risk Analysis (SRA) in 2008, and he co-chaired the SRA's World Congress on Risk in Sydney Australia in 2012.  In 2003 he received SRA’s Chauncey Starr Young Risk Analyst Award, and in 2014 he received SRA’s Richard J. Burk Outstanding Service Award.  From 2015-19 he co-directed the Rethinking Regulation program at Duke, and from 2007-15 he directed the JD-LLM Program in International and Comparative Law at Duke Law School.  From 2000-05 he was the founding Faculty Director of the Duke Center for Environmental Solutions, which was then expanded into the Nicholas Institute for Environmental Policy Solutions, for which he served as chair of the faculty advisory committee from 2007-10.

He is a University Fellow of Resources for the Future (RFF); a Public Member of the Administrative Conference of the United States (ACUS); a past board member of the Society for Benefit-Cost Analysis (SBCA); and an affiliated faculty member of the environment program at Duke Kunshan University (DKU) and of the Harvard Center for Risk Analysis (HCRA).  He is a member of advisory committees at the NYU Institute for Policy Integrity, the International Risk Governance Council (IRGC), the Chaire Economie du Climat (CEC), and the Cambridge Centre for the Study of Existential Risk (CSER).  He has been a member of the Intergovernmental Panel on Climate Change (IPCC) 5th Assessment Report (Working Group III) (2014), and the study team on “Environmental Risk Management” for the China Council for International Cooperation on Environment and Development (CCICED) (2015). 

His publications include the books Policy Shock: Recalibrating Risk and Regulation after Oil Spills, Nuclear Accidents, and Financial Crises (Cambridge University Press, 2017 [paperback 2020], with Ed Balleisen, Lori Bennear, and Kim Krawiec); The Reality of Precaution: Comparing Risk Regulation in the United States and Europe (RFF/Routledge, 2011, with Michael Rogers, Jim Hammitt, and Peter Sand), Reconstructing Climate Policy (AEI Press 2003, with Richard Stewart) and Risk vs. Risk (Harvard University Press 1995, with John Graham [Chinese translation, 2018]), and more than 100 articles in journals in law, policy, economics, risk and science.  He has been a visiting professor at Harvard Law School, the University of Chicago Law School, NYU Law School, Université Paris Ouest Nanterre La Défense, Université Paris-Dauphine, Sciences Po, and EHESS and CIRED in Paris.

Before coming to Duke, he served at the White House Council of Economic Advisers (CEA), at the Office of Science and Technology Policy (OSTP), and at the US Department of Justice (DOJ/ENRD), in the first Bush and Clinton administrations. He helped negotiate the Framework Convention on Climate Change, attended the Rio Earth Summit in 1992, and helped draft Executive Order 12866 (1993).  He also helped organize the Americorps National Service program in 1993, the annual City Year servathon in Boston in 1989, and the D.C. Cares servathon in Washington D.C. in 1991; served on the North Carolina State Commission on National and Community Service from 1994-98; and founded the "Dedicated to Durham" community service day held at Duke Law School since 1995.

He clerked for Judge (now U.S. Supreme Court Justice) Stephen G. Breyer on the U.S. Court of Appeals in Boston in 1988-89, and for Chief Judge Jack B. Weinstein on the U.S. District Court in New York in 1987-88. He received his A.B. in economics (1984) and J.D. (1987) from Harvard University, where he was a research assistant at the NBER, assistant coach of the 1985 college debate champions, and an editor of the Harvard Law Review.


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