2015-05-30-世界卫生组织-Malaria_Typology_and_Steering_Committee_Meeting,_Geneva,_Switzerland,_14–16_October_2013_19页_716kb

Summary of WHO's Malaria Typology Groups Meeting (2013) for GTS Development

Context:
Organized by the WHO Global Malaria Programme (GMP) in Geneva on 14-15 October 2013, this meeting was the first in a series of consultations for developing the Global Technical Strategy for Malaria Control and Elimination: 2016-2025 (GTS). Held in response to a request from the Malaria Policy Advisory Committee (MPAC) and World Health Assembly (WHA) support for a unified global strategy, the meeting gathered technical experts from 16 endemic countries and key partners (WHO Regional Offices, GTS Steering Committee, RBM Secretariat).

Primary Objectives:

1. Solicit country inputs on challenges and priorities for accelerating malaria control/elimination.
2. Obtain feedback on key documents:
   • Strategy at a Glance: A one-page overview summarizing GTS vision and goals.
   • Pathway to Elimination: A framework for transitioning from control to elimination.
   • Malaria Typologies: A classification system for grouping countries by context and challenges.
3. Inform the GTS development process through country-led break-out sessions.

Key Outcomes and Feedback:

1. Country Goals and Challenges (2025):

   • Diverse country aspirations, but few specific targets.
   • Major barriers included: weak surveillance, drug/vector resistance, inadequate health systems, cross-border issues (migration, importation), funding uncertainties, and political instability.

2. Pathway to Elimination:

   • The revised "Accelerate/Intensify" framework was well-received but criticized for unclear definitions and lack of sub-national detail.
   • Emphasis on health system strengthening, surveillance, and addressing cross-cutting issues (e.g., P. vivax, asymptomatic carriers).

3. Malaria Typologies:

   • Useful for sharing experiences within similar contexts (e.g., border regions, islands, large heterogeneous countries).
   • Critique: Over-reliance on transmission intensity; need to incorporate socioeconomic, health system, and geopolitical factors; ensure 99 endemic countries are adequately represented.

4. GTS Design Elements:

   • Structure and Wording: Incorporate wider sustainable development goals; avoid the term "eradication" in the 5-year timeframe.
   • Content: Upgrade technical guidance (e.g., diagnostics, drug resistance management) and clarify WHO's role versus GMAP2's advocacy function.
   • Practical Tools: Develop implementation guides, training modules, and M&E tools tailored to national contexts.

Next Steps:

• The GTS Steering Committee will finalize a draft by January 2014.
• Regional consultations (Feb-May 2014) and web-based feedback periods will follow.
• The GTS and GMAP2 will be jointly launched post-WHA 2015 consideration.

Conclusion:
The meeting underscored the need for a flexible, inclusive strategy addressing both technical gaps (e.g., diagnostics, surveillance) and systemic issues (e.g., funding, political commitment). Country insights emphasized that success depends on localized implementation, strengthened health systems, and integrated action across sectors.