Spatial Health Metrics

Africa is witnessing an overall decline in the risk of malaria infection that appears to have started before the massive scale up of interventions since the launch of the Roll Back Malaria Partnership. However, this epidemiological transition has not been the same across countries or even within national borders. The reasons for the transition are complex and require careful investigation, but the resultant changes in risk that populations are exposed to, have important implications for the future control of malaria in the region.

The Spatial Health Metrics group research uses novel epidemiological and geostatistical tools to understand the complex disease patterns in space and time; evaluate the impacts of current scaled malaria interventions; and test improved applications of interventions within different service provider platforms and different malaria ecologies. In order to ensure effective malaria control such evidence control must be available at sub-national level to support national planning. Our work can be broadly categorised into nice inter-related research areas:

Mapping the spatial extents, intensity, seasonality and determinants of malaria transmission in Africa since 1900 Modelling access to malaria interventions at sub-national, national and regional scales
Defining the climate, human settlement and social vulnerabilities relevant to human health in Africa Evaluating the short and long term impact of malaria control on transmission and severe disease phenotypes
Understanding urbanization, climate, malnutrition and other vulnerabilities in the context of changing malaria Mapping health decision making units and health facilities in Africa to improve service delivery and use of routine health information
Mapping the distribution of dominant and secondary vectors of malaria in Africa Providing a long-term historical context to malaria and its control in Africa
Synthesizing the epidemiological evidence to inform investment prioritization for malaria control in partnership with regional ministries of health

We have researchers from many backgrounds including epidemiology, applied statistics, geostatistics and geographic information systems.
Our researchers are based in Nairobi in Kenya but work in over 20 countries in Africa and the Middle East, particularly with national malaria control programmes.
We collaborate with several academic and research institutions in Africa and Europe.
We contribute to various expert groups of the World Health Organization and the Roll Back Malaria partnership.
We contribute to policy and practice through sharing our research findings in local, national, and international level committees and meetings.

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Investigators : Investigators: Abdisalan M Noor, Bob Snow, Oscar Ngesa, Victor Alegana, Caroline Kabaria, Damaris Kinyoki, Eliud Kibuchi, Francis Oloo, John Muriuki, Bernard Mitto, David Kyalo, Gilbert Sang, Fridah Karimi, Stella Kasura