@article{fdi:010092917,
  title = {{I}mpact of control interventions on malaria incidence in the general population of {M}ali},
  author = {{C}issoko, {M}. and {S}agara, {I}. and {G}uindo, {A}bdoulaye and {M}aiga, {M}. and {D}emb{\'e}l{\'e}, {P}. and {B}ationo, {C}. {S}. and {D}ieng, {S}. and {D}iarra, {I}. and {K}atil{\'e}, {A}. and {T}raor{\'e}, {D}. and {D}essay, {N}adine and {G}audart, {J}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {T}he increase in malaria incidence and the reduction of funding for malaria control have highlighted the need to step up efforts in the fight against malaria in {M}ali. {T}o further refine the malaria control strategy implemented in the country, this study aimed to evaluate the impact of control interventions at the health district level on malaria incidence in the general population. {M}ethod {M}alaria, rainfall, and intervention data were collected for the 75 health districts of {M}ali for the period from {A}pril 2017 to {M}arch 2022. {T}he impact of the different control interventions on malaria incidence in the general population was assessed at the health district level with a {G}eneralized {A}dditive {M}ixed {M}odel considering rainfall. {R}esults {A}lthough coverage rates varied widely between health districts, most interventions showed an improvement in coverage over the study period. {T}wo interventions had a small impact on incidence: long-lasting insecticidal net mass distribution ({LLIN}), with a reduction rate of 2.2 parts per thousand for an adjusted coverage rate from 30.0 to 79.0% (odds ratio ({OR}): 0.998; 95% confidence interval ({CI}) 0.997-0.999), and seasonal malaria chemoprevention ({SMC}), with a reduction rate of 1.9 parts per thousand for an adjusted coverage rate from 30.0 to 80.0% ({OR}: 0.9979; 95% {CI} 0.996-0.998).{C}onclusion{T}he analysis found a small impact of {LLIN} and {SMC} on malaria incidence at the district level. {M}alaria control should be reinforced by improving coverage and utilization rates in the general population and in the most vulnerable groups and by deploying larger numbers of community health workers where needed.},
  keywords = {{I}mpact ; {M}alaria ; {E}valuation of interventions ; {G}eo-epidemiology ; {M}ali ; {MALI}},
  booktitle = {},
  journal = {{J}ournal of {E}pidemiology and {G}lobal {H}ealth},
  volume = {15},
  numero = {1},
  pages = {40 [19 p.]},
  ISSN = {2210-6006},
  year = {2025},
  DOI = {10.1007/s44197-025-00381-2},
  URL = {https://www.documentation.ird.fr/hor/fdi:010092917},
}