Fig. 6: Proportion of the most prevalent P. falciparum clusters in each province across three periods.

Left panel: 2017–2019, middle: 2020–2021, right: January–December 2022. Clusters were identified by applying community detection algorithm to a graph of parasites sharing at least 95% genetic barcode identity, identifying 64 clusters with at least 10 members. In 2017–2019, 54 clusters were present, while 14 clusters were present in 2020–2021 and only four clusters were found in 2022. Pie chart size represents the sample size for the province (N). To improve visualization, the top six clusters in each period were assigned colors, while the remaining smaller clusters are shown in gray. White segments represent the proportions of samples that were not assigned to a cluster. In the legend, clusters are arranged in descending order of cluster size for each period. The main kelch13 variant observed in the cluster and a label denoting plasmepsin2/3 amplification (p+) or plasmepsin2/3 wild-type (p−), are shown in brackets following the cluster name. Source data are provided as a Source Data file.