{"title":"气候变化对津巴布韦疟疾传播和管理的影响:文献综述","authors":"Tafadzwa Chivasa, Wilfred Njabulo Nunu, Mlamuli Dhlamini, Auther Maviza, Gabriel Nyasha Ndagurwa","doi":"10.1177/11786329251374245","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Malaria remains a public health priority In Zimbabwe, with approximately half the population at risk.</p><p><strong>Aim: </strong>This study aimed to review the literature to synthesise historical and current evidence regarding the impact of climate change on malaria transmission and management.</p><p><strong>Methods: </strong>Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for a scoping review framework, a systematic search was conducted across multiple databases and websites, and 22 literature sources were included based on topic relevance and alignment to the inclusion criteria.</p><p><strong>Results: </strong>Most reviewed studies have consistently demonstrated that climate change is shifting the geographic distribution, trends, timing, and intensity of malaria transmission in Zimbabwe. However, others have emphasised the key role of non-climatic human, ecological, and health system factors and intervention coverage in shaping malaria transmission dynamics. Overstretched health systems and the uncertain effectiveness of existing interventions in a changing climate pose significant challenges to malaria management. This review identified key gaps, including the lack of longitudinal data, limited use of localised predictive modelling, and a limited focus on climate-parasite dynamics.</p><p><strong>Conclusion: </strong>There is a growing need for climate-informed programming, emphasising the need for improved local funding, multi-sectoral collaboration, community engagement, and building climate-resilient health systems.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"18 ","pages":"11786329251374245"},"PeriodicalIF":2.5000,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446809/pdf/","citationCount":"0","resultStr":"{\"title\":\"Impact of Climate Change on Malaria Transmission and Management in Zimbabwe: A Scoping Review of the Literature.\",\"authors\":\"Tafadzwa Chivasa, Wilfred Njabulo Nunu, Mlamuli Dhlamini, Auther Maviza, Gabriel Nyasha Ndagurwa\",\"doi\":\"10.1177/11786329251374245\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Malaria remains a public health priority In Zimbabwe, with approximately half the population at risk.</p><p><strong>Aim: </strong>This study aimed to review the literature to synthesise historical and current evidence regarding the impact of climate change on malaria transmission and management.</p><p><strong>Methods: </strong>Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for a scoping review framework, a systematic search was conducted across multiple databases and websites, and 22 literature sources were included based on topic relevance and alignment to the inclusion criteria.</p><p><strong>Results: </strong>Most reviewed studies have consistently demonstrated that climate change is shifting the geographic distribution, trends, timing, and intensity of malaria transmission in Zimbabwe. However, others have emphasised the key role of non-climatic human, ecological, and health system factors and intervention coverage in shaping malaria transmission dynamics. Overstretched health systems and the uncertain effectiveness of existing interventions in a changing climate pose significant challenges to malaria management. This review identified key gaps, including the lack of longitudinal data, limited use of localised predictive modelling, and a limited focus on climate-parasite dynamics.</p><p><strong>Conclusion: </strong>There is a growing need for climate-informed programming, emphasising the need for improved local funding, multi-sectoral collaboration, community engagement, and building climate-resilient health systems.</p>\",\"PeriodicalId\":12876,\"journal\":{\"name\":\"Health Services Insights\",\"volume\":\"18 \",\"pages\":\"11786329251374245\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-09-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446809/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Services Insights\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/11786329251374245\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Services Insights","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/11786329251374245","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Impact of Climate Change on Malaria Transmission and Management in Zimbabwe: A Scoping Review of the Literature.
Background: Malaria remains a public health priority In Zimbabwe, with approximately half the population at risk.
Aim: This study aimed to review the literature to synthesise historical and current evidence regarding the impact of climate change on malaria transmission and management.
Methods: Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for a scoping review framework, a systematic search was conducted across multiple databases and websites, and 22 literature sources were included based on topic relevance and alignment to the inclusion criteria.
Results: Most reviewed studies have consistently demonstrated that climate change is shifting the geographic distribution, trends, timing, and intensity of malaria transmission in Zimbabwe. However, others have emphasised the key role of non-climatic human, ecological, and health system factors and intervention coverage in shaping malaria transmission dynamics. Overstretched health systems and the uncertain effectiveness of existing interventions in a changing climate pose significant challenges to malaria management. This review identified key gaps, including the lack of longitudinal data, limited use of localised predictive modelling, and a limited focus on climate-parasite dynamics.
Conclusion: There is a growing need for climate-informed programming, emphasising the need for improved local funding, multi-sectoral collaboration, community engagement, and building climate-resilient health systems.