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.
Type
Journal articleSubject
AnimalsDecision Support Techniques
Humans
Insect Vectors
Malaria
Mosquito Control
Policy Making
Tanzania
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https://hdl.handle.net/10161/6741Published Version (Please cite this version)
10.1016/j.healthpol.2009.02.011Publication Info
Kramer, R; Dickinson, K; Anderson, R; Fowler, VG; Miranda, ML; Mutero, CB; ... Wiener,
J (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.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Vance Garrison Fowler Jr.
Florence McAlister Distinguished Professor of Medicine
Determinants of Outcome in Patients with Staphylococcus aureus Bacteremia Antibacterial
ResistancePathogenesis of Bacterial Infections Tropical medicine/International Health
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 econ
Marie Lynn Miranda
Adjunct Professor in the Division of Environmental Sciences and Policy
Dr. Miranda serves as the Director of the Children’s Environmental Health Initiative
(CEHI) within the Nicholas School of the Environment, and is a faculty member in Duke’s
Integrated Toxicology Program. With an educational background rooted in economic and
mathematical modeling, her professional experiences integrate environmental health
sciences with sound social policies. Dr. Miranda has extensive experience managing
research projects using geographic information systems (GIS) bas
Jonathan B. Wiener
William R. and Thomas L. Perkins Distinguished Professor of Law
Jonathan B. Wiener is the William R. and Thomas L. 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 P
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