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Selection: Alegana:VA [5 articles] 

Publications by author Alegana:VA.

Malaria prevalence metrics in low- and middle-income countries: an assessment of precision in nationally-representative surveys

Malaria Journal, Vol. 16 (21 November 2017), 475,


[Background] One pillar to monitoring progress towards the Sustainable Development Goals is the investment in high quality data to strengthen the scientific basis for decision-making. At present, nationally-representative surveys are the main source of data for establishing a scientific evidence base, monitoring, and evaluation of health metrics. However, little is known about the optimal precisions of various population-level health and development indicators that remains unquantified in nationally-representative household surveys. Here, a retrospective analysis of the precision of prevalence from these surveys was ...


Exploring the high-resolution mapping of gender-disaggregated development indicators

Journal of The Royal Society Interface, Vol. 14, No. 129. (05 April 2017), 20160825,


Improved understanding of geographical variation and inequity in health status, wealth and access to resources within countries is increasingly being recognized as central to meeting development goals. Development and health indicators assessed at national or subnational scale can often conceal important inequities, with the rural poor often least well represented. The ability to target limited resources is fundamental, especially in an international context where funding for health and development comes under pressure. This has recently prompted the exploration of the potential ...


Supplementary Information from Exploring the high-resolution mapping of gender disaggregated development indicators



[Excerpt: Datasets] The Demographic and Health Surveys (DHS) is a program of national household surveys implemented across a large number of LMICs. The DHS Program collects and analyses data on population demographic and health characteristics through more than 300 surveys in over 90 countries. The gender-disaggregated data we investigated in this report come from DHS datasets. [\n] [...] [Models specification] [::Bayesian model specification] The Gaussian Function (GF) in INLA is represented as a Gaussian Markov Random Function (GMRF). Computations in INLA are carried out using the GMRF by approximating a ...


  1. Alegana, V.A., Atkinson, P.M., Pezzulo, C., Sorichetta, A., Weiss, D., Bird, T., ErbachSchoenberg, E., Tatem, A.J., 2015. Fine resolution mapping of population age-structures for health and development applications. Journal of The Royal Society Interface 12 (105), 20150073+. .
  2. Bosco, C., de Rigo, D., Dijkstra, T.A., Sander, G., Wasowski, J., 2013. Multi-scale robust modelling of landslide susceptibility: regional rapid assessment and catchment robust fuzzy ensemble. IFIP Advances in Information and Communication Technology

Equality in maternal and newborn health: modelling geographic disparities in utilisation of care in five East African countries

PLoS ONE, Vol. 11, No. 8. (25 August 2016), e0162006,


Geographic accessibility to health facilities represents a fundamental barrier to utilisation of maternal and newborn health (MNH) services, driving historically hidden spatial pockets of localized inequalities. Here, we examine utilisation of MNH care as an emergent property of accessibility, highlighting high-resolution spatial heterogeneity and sub-national inequalities in receiving care before, during, and after delivery throughout five East African countries. We calculated a geographic inaccessibility score to the nearest health facility at 300 x 300 m using a dataset of 9,314 facilities ...


Advances in mapping malaria for elimination: fine resolution modelling of Plasmodium falciparum incidence

Scientific Reports, Vol. 6 (13 July 2016), 29628,


The long-term goal of the global effort to tackle malaria is national and regional elimination and eventually eradication. Fine scale multi-temporal mapping in low malaria transmission settings remains a challenge and the World Health Organisation propose use of surveillance in elimination settings. Here, we show how malaria incidence can be modelled at a fine spatial and temporal resolution from health facility data to help focus surveillance and control to population not attending health facilities. Using Namibia as a case study, we ...

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