{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:12:01Z","timestamp":1782173521771,"version":"3.54.5"},"reference-count":13,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T00:00:00Z","timestamp":1759536000000},"content-version":"unspecified","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100032626","name":"Unitaid","doi-asserted-by":"crossref","award":["2021-45-IPTI+"],"award-info":[{"award-number":["2021-45-IPTI+"]}],"id":[{"id":"10.13039\/100032626","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Glob Health"],"accepted":{"date-parts":[[2025,7,8]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>With global malaria cases on the rise, the WHO has placed increased emphasis on National Malaria Programmes to tailor interventions to country and programmatic needs. This paper presents the Plus Project\u2019s experience of applying a codesign approach to design country-specific models of perennial malaria chemoprevention (PMC), a chemoprevention intervention aimed at reducing morbidity and mortality due to malaria and anaemia in children. Codesign workshops were held in each of the project\u2019s focus countries (Benin, Cameroon, C\u00f4te d'Ivoire and Mozambique) with the primary objective of designing the country-specific PMC model. The three-and-a-half-day workshops were adapted to each country\u2019s context and included stakeholders from national and subnational malaria, immunisation and child health programmes, as well as national and international development partners and research institutions. The meetings were iterative and collaborative, harnessing a variety of participatory methods including journey mapping and surveys to reach group consensus on the PMC models best suited to each country\u2019s specific context. The Plus Project\u2019s codesign approach resulted in four different PMC strategies, with a range from four to eight contact points and different codelivery interventions, each taking advantage of country-specific health system delivery platforms, operational logistics and political contexts. This collaborative, codesign process also helped gather additional programmatic insights to aid PMC implementation while providing an opportunity to increase stakeholder buy-in. With an emphasis on collaborative decision-making, the learnings collected through these workshops can be applied to a variety of programmatic applications, extending beyond malaria.<\/jats:p>","DOI":"10.1136\/bmjgh-2024-015207","type":"journal-article","created":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T06:25:12Z","timestamp":1759731912000},"page":"e015207","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Tailoring malaria control interventions to suit local context: codesign of perennial malaria chemoprevention (PMC) programmes through the Plus Project"],"prefix":"10.1136","volume":"10","author":[{"given":"Meredith","family":"Center","sequence":"first","affiliation":[{"name":"Population Services International, Washington, District of Columbia, USA"},{"name":"PATH, Washington, District of Columbia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3293-111X","authenticated-orcid":false,"given":"Alba Luna","family":"McGirr","sequence":"additional","affiliation":[{"name":"ITD, London School of Hygiene & Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malia","family":"Skjefte","sequence":"additional","affiliation":[{"name":"Population Services International, Washington, District of Columbia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilly Claire","family":"Ekobika","sequence":"additional","affiliation":[{"name":"Population Services International, Yaounde, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Bahibo","sequence":"additional","affiliation":[{"name":"Population Services International, Abidjan, C\u00f4te d\u2019Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsa","family":"Nhantumbo","sequence":"additional","affiliation":[{"name":"Population Services International, Maputo, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bienvenu","family":"Wakpo","sequence":"additional","affiliation":[{"name":"Population Services International, Cotonou, Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aurore","family":"Ogouyemi Hounto","sequence":"additional","affiliation":[{"name":"NMCP of Benin, Coutonou, Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colette","family":"Yah Kokrasset","sequence":"additional","affiliation":[{"name":"Programme National de Lutte Contre le Paludisme, Abidjan, C\u00f4te d\u2019Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baltazar","family":"Candrinho","sequence":"additional","affiliation":[{"name":"National Malaria Control Programme, Mozambique Minister of Health, Maputo, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Population Services International, Washington, District of Columbia, USA"},{"name":"Bill & Melinda Gates Foundation, Seattle, Washington, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3829-9584","authenticated-orcid":false,"given":"Sian E","family":"Clarke","sequence":"additional","affiliation":[{"name":"Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6291-0024","authenticated-orcid":false,"given":"Roly Daniel","family":"Gosling","sequence":"additional","affiliation":[{"name":"Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK"},{"name":"Malaria Elimination Initiative, University of California San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Kouakou","sequence":"additional","affiliation":[{"name":"Population Services International, Washington, District of Columbia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,10,5]]},"reference":[{"key":"2025120102352068000_10.10.e015207.1","unstructured":"World Health Organization . 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