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ABSTRACT
Dramatic progress over the past two decades has averted 1.5 billion malaria infections and saved 7.6 million lives.
Dramatic progress over the past two decades has averted 1.5 billion malaria infections and saved 7.6 million lives. PMI has been a key driver of this progress, providing approximately $ 8 billion in support to countries to expand access to malaria control tools, support frontline and community health workers, and strengthen health systems. in sub-Saharan Africa and Southeast Asia.
But this historic progress is in danger. The World Health Organization (WHO) estimates that there were 229 million malaria infections and 409,000 deaths worldwide in 2019, numbers that have steadily declined since 2015. Efforts to meet targets global efforts to dramatically reduce malaria have failed. . Over the past decade, global funding for malaria has leveled off despite increased investment from the U.S. government, and the shortage of resources is increasing every year. The unmet need for global malaria financing has slowed progress and threatens to reverse gains.
New threats exacerbate these problems. The devastating impacts of COVID-19 on communities, health workers, supply chains and health systems have set back the progress of malaria by several years. Growing resistance to drugs and insecticides, the unpredictable effects of climate change, and rising conflict and violence in communities affected by malaria are major challenges for progress. Reversing progress against malaria will have dire consequences, leading to hundreds of thousands more deaths, increasing the risk of epidemics and drug resistance, undermining economies, increasing poverty and weakening global health security.
Yet unprecedented opportunities offer hope. The world’s first malaria vaccine combined with existing proven interventions could dramatically reduce severe disease and cases and ultimately reduce malaria deaths. Strategic investments in community health systems and surveillance can fight malaria, expand care for unaffected people, and strengthen pandemic preparedness and response. Innovations to tackle insecticide and drug resistance and improvements in data and supply systems mean that optimal interventions can be deployed where they are needed most. Strong global partnerships can ensure a healthy and resilient market for prevention and treatment products that save lives.
We cannot afford to lose the hard-won gains against malaria. PMI’s 2021-2026 strategy, End Malaria Faster, aims to combat these threats and take advantage of the opportunities to end malaria in our lifetime. countries. Building on the progress made to date, PMI will work with national malaria control programs in countries that account for 80 percent of the global malaria burden to achieve global goals of saving more than four million lives and to avoid more than a billion cases by 2025. the strategic objectives are to:
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Reduce malaria mortality by 33 percent from 2015 levels in partner countries with high PMI burden, achieving a reduction of over 80 percent from 2000.
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Reduce malaria morbidity by 40 percent from 2015 levels in PMI partner countries with high and moderate malaria burden.
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Bring at least ten PMI partner countries towards national or subnational elimination and assist at least one country in the Greater Mekong sub-region to eliminate malaria.
To achieve these goals, PMI will take a strategic approach to:
Reach out to the excluded: Achieve, maintain and scale the deployment and adoption of proven high quality interventions with a focus on hard-to-reach populations.
Strengthen community health systems: Transform and expand community and frontline health systems to end malaria.
Maintain the resilience of malaria services: Adapt malaria services to increase resilience to shocks, including COVID-19 and emerging biological threats, conflict and climate change.
Invest locally: Work with countries and communities to lead, implement and fund malaria control programs.
Innovate and lead: Leverage new tools, leverage existing tools, and set global priorities to end malaria faster.
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