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Despite its critical importance, there is currently no systematic and comprehensive approach for assessing health system readiness for malaria elimination. This paper highlights the consequences of unprepared health systems and the urgent need for standardised, structured, comprehensive readiness assessments that would enable policymakers and programme managers to systematically evaluate health system readiness for malaria elimination at national and subnational levels, identify and address critical gaps, and strengthen the health systems. These efforts will support sustained elimination and achieve WHO-certified malaria elimination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12936-026-06059-9","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T15:53:10Z","timestamp":1784821990000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Health system readiness\u2014the neglected catalyst in Malaria elimination"],"prefix":"10.1186","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2820-477X","authenticated-orcid":false,"given":"Win","family":"Htike","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Win Han","family":"Oo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine M.","family":"Bennett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul A.","family":"Agius","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa E.","family":"Barry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Freya J. 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