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Malaria Decision Analysis Support Tool: Evaluating Health, Social and Environmental Impacts and Policy Tradeoffs

Malaria Decision Analysis Support Tool

Project Objectives

The goal of this project is to promote evidence-based, multisectoral malaria control policy making in Kenya, Tanzania and Uganda through the development of a comprehensive framework for assessing the full range of health, social and environmental risks and benefits associated with alternative malaria control strategies. Collaborators on this project include a number of African universities and Ministries of Health, as well as Duke faculty from the schools of law, medicine and environment. It is the hope that this work will result in decision-support tools for malaria control and will lead to more informed and evidence-based policy making.

Project Outcomes

The project has conducted in-country workshops and expert consultations in each of the three project countries to elicit input and generate interest and understanding of the tool among key stakeholders. In-country partnering institutions have played a key role in organizing the workshops and consultations and generating a sense of in-country ownership of the tool. Participants in the workshops and consultations have been key stakeholders including policy-makers and their technical support staff.

The following publications are outcomes of the project:

D. Kim, Z. Brown, R. Anderson, C. Mutero, M.L. Miranda, J. Wiener, and R. Kramer, %u201CThe Value of Information in Decision-Analytic Modeling for Malaria Vector Control in East Africa,%u201D Risk Analysis (2016).

C.J. Paul, R.A. Kramer, A. Lesser, C.M. Mutero, M.L. Miranda, and K. Dickinson, Identifying barriers in the malaria control policymaking process in East Africa: Insights from stakeholders and a structured literature review, BMC Public Health 15:862 (2015).

C. Mutero, R. Kramer, C. Paul, A. Lesser, M.L. Miranda, L.E.G. Mboera, and B. Ameneshewa, "Factors influencing malaria control policy-making in Kenya, Uganda and Tanzania," Malaria Journal 13 (2014).

C.M. Mutero, D Schlodder, N. Kabatereine, and R. Kramer, Integrated vector management for malaria control in Uganda: knowledge, perceptions and policy development., Malaria Journal 2012 11:21. http://www.malariajournal.com/content/pdf/1475-2875-11-21.pdf

Project Policy Impact Description

This project's aim is to promote evidence-based, multi-sectoral malaria control policymaking in three African countries through the use of a comprehensive framework for assessing the full range of health, social, and environmental risks and benefits associated with alternative malaria control strategies. The project is developing a decision support tool for malaria control in Kenya, Tanzania, and Uganda and building capacity for evidence-based policy making.


Department & School

Environmental Sciences and Policy
Nicholas School of the Environment



  • WHO-World Health Organization


  • School of Health Systems and Public Health, University of Pretoria
  • University of Michigan
  • Division of Malaria Control, Ministry of Public Health and Hygiene
  • National Institute for Medical Research
  • Vector Control Division, Ministry of Health
  • Battelle Memorial Institute
  • NC Central University

Project Status


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