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Impactful maps and associated visualisations on antimalarial drug resistance for malaria programmes and policymakers

The spread of antimalarial drug resistance threatens global, regional and national malaria elimination efforts. Despite being preventable and treatable, malaria still claims over half a million lives globally, with over 95% of malaria cases and deaths occurring in Africa. Antimalarial drug resistanc...

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Main Author: Kagoro, Frank
Other Authors: Barnes, Karen
Format: Thesis
Language:English
English
Published: Department of Medicine 2025
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access_status_str Open Access
author Kagoro, Frank
author2 Barnes, Karen
author_browse Barnes, Karen
Kagoro, Frank
author_facet Barnes, Karen
Kagoro, Frank
author_sort Kagoro, Frank
collection Thesis
description The spread of antimalarial drug resistance threatens global, regional and national malaria elimination efforts. Despite being preventable and treatable, malaria still claims over half a million lives globally, with over 95% of malaria cases and deaths occurring in Africa. Antimalarial drug resistance threatens progress in malaria control and elimination, especially in less-resourced health systems in developing countries. Malaria control and elimination efforts are facing stagnation of funding and competing resources with other potential pandemic pathogens like COVID-19, HIV, tuberculosis and non-communicable diseases. Regrettably, the malaria programmes and policymakers who are at the forefront of confronting antimalarial drug resistance often lack timely monitoring tools for evidence-based decision-making. This thesis used an iterative, sequential, explanatory, mixed-methods design to strengthen evidence on Plasmodium falciparum antimalarial drug resistance in Asia and South Africa. Through four thesis chapters of peer-reviewed manuscripts, the thesis presents innovative approaches to developing impactful policymaker-friendly tools for detection, reporting and responding to antimalarial drug resistance. Through co-design techniques, the thesis addresses major data challenges and developed guidelines and tools to support near-real-time antimalarial resistance monitoring. The thesis also highlights important processes and pinch points in rolling out an early warning system for antimalarial drug resistance in a pre- elimination setting in South Africa. This research contributes to best practices in summarising evidence for antimalarial drug resistance for policymakers and decision-makers. Furthermore, this thesis provides insights on the process of establishing an early warning system in a pre-elimination malaria setting, a context reflective of where several Southern African countries and Island states are heading in this decade.
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provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2025
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spelling oai:open.uct.ac.za:11427/41654 Impactful maps and associated visualisations on antimalarial drug resistance for malaria programmes and policymakers Kagoro, Frank Barnes, Karen Antimalarial Drug Malaria Policymakers The spread of antimalarial drug resistance threatens global, regional and national malaria elimination efforts. Despite being preventable and treatable, malaria still claims over half a million lives globally, with over 95% of malaria cases and deaths occurring in Africa. Antimalarial drug resistance threatens progress in malaria control and elimination, especially in less-resourced health systems in developing countries. Malaria control and elimination efforts are facing stagnation of funding and competing resources with other potential pandemic pathogens like COVID-19, HIV, tuberculosis and non-communicable diseases. Regrettably, the malaria programmes and policymakers who are at the forefront of confronting antimalarial drug resistance often lack timely monitoring tools for evidence-based decision-making. This thesis used an iterative, sequential, explanatory, mixed-methods design to strengthen evidence on Plasmodium falciparum antimalarial drug resistance in Asia and South Africa. Through four thesis chapters of peer-reviewed manuscripts, the thesis presents innovative approaches to developing impactful policymaker-friendly tools for detection, reporting and responding to antimalarial drug resistance. Through co-design techniques, the thesis addresses major data challenges and developed guidelines and tools to support near-real-time antimalarial resistance monitoring. The thesis also highlights important processes and pinch points in rolling out an early warning system for antimalarial drug resistance in a pre- elimination setting in South Africa. This research contributes to best practices in summarising evidence for antimalarial drug resistance for policymakers and decision-makers. Furthermore, this thesis provides insights on the process of establishing an early warning system in a pre-elimination malaria setting, a context reflective of where several Southern African countries and Island states are heading in this decade. 2025-09-01T07:13:05Z 2025-09-01T07:13:05Z 2025 2025-09-01T07:09:27Z Thesis / Dissertation Doctoral PhD http://hdl.handle.net/11427/41654 en eng application/pdf Department of Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Antimalarial Drug
Malaria
Policymakers
Kagoro, Frank
Impactful maps and associated visualisations on antimalarial drug resistance for malaria programmes and policymakers
thesis_degree_str Doctoral
title Impactful maps and associated visualisations on antimalarial drug resistance for malaria programmes and policymakers
title_full Impactful maps and associated visualisations on antimalarial drug resistance for malaria programmes and policymakers
title_fullStr Impactful maps and associated visualisations on antimalarial drug resistance for malaria programmes and policymakers
title_full_unstemmed Impactful maps and associated visualisations on antimalarial drug resistance for malaria programmes and policymakers
title_short Impactful maps and associated visualisations on antimalarial drug resistance for malaria programmes and policymakers
title_sort impactful maps and associated visualisations on antimalarial drug resistance for malaria programmes and policymakers
topic Antimalarial Drug
Malaria
Policymakers
url http://hdl.handle.net/11427/41654
work_keys_str_mv AT kagorofrank impactfulmapsandassociatedvisualisationsonantimalarialdrugresistanceformalariaprogrammesandpolicymakers