Subnational tailoring of malaria strategies and interventions

Overview

This manual provides structured guidance on subnational tailoring (SNT) of malaria interventions and strategies, supporting countries to use local data and contextual information to determine the appropriate packages of interventions and strategies and best allocation of resources, for a given area, for maximum impact on transmission and burden of disease. It presents SNT as an inclusive process through which national malaria programmes and partners apply WHO recommendations in locally relevant contexts, enabling evidence-informed, country-owned strategic and operational costed plans.

The manual outlines steps for using subnational data through analytical approaches such as stratification, mathematical modelling and cost-effectiveness analysis to address locally defined priority questions and guide planning and implementation. It stresses alignment with broader health strategies to ensure coherence, sustainability and national ownership. Practical criteria and illustrative case examples are provided to support implementation and strengthen capacity. Ultimately, the manual aims to help countries enhance the impact, equity and efficiency of malaria control and elimination efforts by tailoring interventions to subnational contexts and adapting strategies over time.