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Table 2 Key learnings from implementation of malaria elimination programmes

From: The central role of national programme management for the achievement of malaria elimination: a cross case-study analysis of nine malaria programmes

• Most programmes operated in a decentralized health system, which in some cases led to greater engagement in malaria elimination by subnational health offices and communities

• Most programmes were integrated, where malaria programme services were delivered through the system of general health services. Integration was overall a negative experience for most malaria programmes because staff were often given too many roles and responsibilities that were not clearly defined

• During the early period of transition to decentralized and/or integrated programs, challenges were faced in maintaining quality and execution of interventions

• Accountability for programme impact was not clear for most programmes

• Motivation is important to maintain quality of interventions and different groups are and can be incentivized in different ways

• Sustained capacity building and strong supervision are key to successful elimination

• Working with other sectors to share information and develop and implement interventions has led to greater effectiveness in surveillance, prevention and targeting