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Special Initiatives

Clinton Health Access Initiative (CHAI), Cell Phone Hot Spot Work

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The JC Flowers Foundation, in partnership with Malaria No More UK, is supporting a pilot project in target districts in northern Namibia that will identify “source” communities (hotspots with higher malaria transmission) that exhibit high levels of connectivity to surrounding lower transmission communities. CHAI will target these communities, which likely catalyze malaria transmission elsewhere in the country, and provide them with community-based surveillance and response. These malaria hotspots will be identified through a combination of the weekly surveillance data, health facility out-patient registries, prevalence surveys, and high resolution spatial population maps, as well as their links to surrounding communities through models built on mobile phone call data records, and phone/household survey analyses.


The goal of the pilot project will be to further reduce malaria transmission by targeting high risk areas with a community-based surveillance and response system that rapidly detects, treats and prevents cases. Identifying hotspots and source communities is an innovative and cost-effective way to accelerate the fight to eliminate malaria. 

Harvard School of Public Health cost effectiveness evaluation

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The JC Flowers Foundation, in partnership with Exxon Mobil, is supporting the Harvard School of Public Health to evaluate the cost-effectiveness of the Trans Kunene Malaria Initiative (TKMI) on the Angolan and Namibian border (part of the The Isdell:Flowers Cross Border Malaria Initiative). TKMI has been extremely successful to-date and is about to expand to new districts. 

There is a general lack of hard economic- and in some cases even epidemiological- data on malaria.  The expansion of TKMI provides a unique opportunity to measure and assess from a cost-effectiveness perspective program strategies that we know work well in the region. This research is designed to support health authorities, governments, and donors in their decision-making with respect to malaria control strategies, and to assess the relative effectiveness of various intervention strategies. Seizing the opportunity to measure the expansion of the TKMI program to new districts at baseline and at follow-up will allow us and the larger global health community to understand both the impact and relative cost of cross border work compared to other malaria initiatives. It will bridge a gap in the academic literature and will have immediate practical implications.

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  • Home
  • About Us
    • Our Story
    • Global Leadership Team
    • African Regional Team
    • Harlem Team
    • Malaria Partners
    • Harlem Partners
  • Malaria Elimination
    • Isdell: Flowers Cross Border Malaria Initiative
  • Harlem Re-Entry Initiative
    • Circles of Support
    • Network in the Community
    • Harvard Kennedy School
  • News