Integrating Climate Data into Malaria Supply Chain Planning: Adaptive Strategies for Addressing Seasonal Weather Disruptions in Riverine Rural Areas in Kebbi State, Nigeria

Abstract Malaria remains a critical health issue in Nigeria, particularly in regions like Kebbi State, which faces recurrent flooding and related logistical challenges. Flooding poses significant challenges to malaria treatment delivery in Kebbi State, Nigeria, where frequent environmental disruptions coincide with peak malaria transmission periods. This research examines how specialised supply chain strategies can improve the accessibility and quality of antimalarial commodities—namely, artemisinin-based combination therapies (ACTs) and rapid diagnostic test kits (RDTs)—in flood-prone areas. By aligning flood resilience with logistics principles drawn from malaria supply chain guidelines, this study highlights adaptive storage, transportation, and community-based distribution methods to reduce stockouts and ensure effective malaria control. Findings suggest that decentralized storage, climate-adaptive logistics, and community health worker (CHW) involvement are key to maintaining malaria treatment access during flood disruptions. This approach supports effective malaria control in regions where climate and environmental factors present growing health risks.