Transcript Slide 0

The State of Malaria Control
Global Conference on Health & Lifestyle
Thomas Teuscher, MD
Senior Advisor Policy, Strategy & Governance
Roll Back Malaria Partnership Secretariat
Uni Mail, Geneva, 7 July 2009
Malaria: a disease without borders
3,3 billion people at
risk of malaria in 2006.
Almost 1 million
malaria deaths in
2006
247 million malaria
cases in 2006, of
which 86% were in
Africa. (WHO)
High global deaths
Low global deaths
Elimination
Malaria-free /
prevention of reintroduction
Source: World Malaria Report 2008. Geneva, WHO (2006 data)
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Malaria: a multisectoral impact
Individual: malaria is the leading cause of child mortality in Africa,
accounting for 20% of all child deaths.
Households: malaria absorbs up to 25% of household revenues in
high-burden countries.
National Health Systems: 30% to 40% of all hospital consultations in
high-transmission countries are due to malaria; and the disease
absorbs 40% of these countries' public health budgets.
Education: malaria, a leading cause of illness and absenteeism in
children and teachers, impairs attendance and learning and can
cause lasting neurological damage in children.
Economy: Malaria costs Africa at least $US 12 billion every year; it
also stifles tourism and foreign investment and contracts the
economies of hard-hit countries by 1,3% each year.
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2. Major developments in the fight against malaria: what has changed?
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The Roll Back Malaria Partnership is a public-private
global health initiative for mobilizing resources, forging
consensus and coordinating partner efforts
Donor Countries
Multilaterals
NGOs
Research & Academia
Private Sector
Ex officio members
Foundations
Clinton
Global
Initiative
UN Special Envoy
for Malaria
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Increased awareness : Roll Back Malaria "champions"
Her Royal Highness Princess Astrid of
Belgium
Youssou N'Dour
Yvonne
Chaka Chaka
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Increased funding: rapid & significant growth
(US$ million)
1'200
1'127
x 2.8
900
701
608
600
440
300
249
0
2004
2005
The Global Fund
2006
PMI
World Bank
2007
Other USAID
2008e
Others
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Increased impact: rapid & significant reduction
Rwanda, 2001-2007, 19 health facilities
Ethiopia 2003-2007, 7 in-patient facilities
In-patient malaria and non-malaria cases in children <5 years old.
In-patient malaria and non-malaria cases in children <5 years old
12000
10000
LLINs, ACTs
Sep-Oct 2006
LLINs, ACTs
2,500
ACTs
3,000
9000
10000
8000
2,500
2,000
7000
8000
4000
1,500
1,000
Non-malaria cases
5000
1,500
Malaria cases
Malaria cases
6000
Non-malaria cases
2,000
6000
4000
1,000
3000
2000
Malaria cases
2000
Malaria
500
Non-malaria cases
0
0
2001
2002
2003
2004
Year
2005
2006
2007
500
Non-malaria
1000
0
0
2003
2004
2005
2006
2007
Year
Source: WHO 2008
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Increased alignment & harmonisation: GMAP
1. One plan to eliminate all malaria species
2. Global Plan
3. Built on good practice
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3. The Global Strategy
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The GMAP: a strategy of unprecedented ambition
The Global Malaria Action Plan, or GMAP,
launched in 2008, guides the malaria
community in:
• Providing universal coverage of malaria
control interventions by 2010
• Eliminating the disease where possible
• Paving the way for global eradication
of malaria (which will require the
development of new tools)
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GMAP proposes a 3-part global strategy to achieve targets
1 CONTROL
Scale-up for impact
(SUFI)
2
Sustained
Control
3
ELIMINATIO
N
RESEARCH
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Annual GMAP costs
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The RBM Partnership supports countries in many ways
Humanitarian
crises
Monitoring &
evaluation
Communication &
behavior change
methodologies
Advocacy
Resource
mobilization
Support for 109
malarious countries
Financing
Policy &
regulatory
In-country
Planning
Procurement &
supply chain
management
Support to be strengthened for Resource Mobilization,
Communication / BC and Humanitarian Crises
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4. High-transmission countries
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Goals of high transmission countries
The targets of the GMAP are to:
• Achieve universal coverage, as recently called for by the UN Secretary-General, for
all populations at risk with locally appropriate interventions for prevention and case
management by 2010 and sustain universal coverage until local field research
suggests that coverage can gradually be targeted to high risk areas and seasons only,
without risk of a generalized resurgence;
• Reduce global malaria cases from 2000 levels by 50% in 2010 and by 75% in 2015;
• Reduce global malaria deaths from 2000 levels by 50% in 2010 and to near zero
preventable deaths in 2015;
• Eliminate malaria in 8-10 countries by 2015 and afterwards in all countries in the preelimination phase today; and
• In the long term, eradicate malaria world-wide by reducing the global incidence to
zero through progressive elimination in countries.
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What gaps do these countries currently face?
• Financial gaps
• Need for stronger health systems:
– Human resource gaps
– Reaching remote populations
– Inadequate disease surveillance and M&E systems
• Unaffordable Artemisinin-based Combination Therapy
• Insufficient private sector and community involvement
• Bottlenecks in supply chain management
• And other gaps……
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Country
2010 Targets
LLINs
ACTs
Operational
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
CAR
Chad
Comoros
Congo
RBM Harmonization Working Group, May 2009
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Country
2010 Targets
LLINs
ACTs
Operational
Côte D'Ivoire
Djibouti
DRC
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Ghana
Guinea
Guinea Bissau
Kenya
RBM Harmonization Working Group, May 2009
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Country
2010 Targets
LLINs
ACTs
Operational
Liberia
Madagascar
Malawi
Mali
Mauritania
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tomé
RBM Harmonization Working Group, May 2009
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Country
2010 Targets
LLINs
ACTs
Operational
Senegal
Sierra Leone
Somalia
South Africa
Sudan (North)
Sudan (South)
Swaziland
Tanzania
The Gambia
Togo
Uganda
Zambia
Zanzibar
Zimbabwe
RBM Harmonization Working Group, May 2009
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How to enhance your local successes in malaria control?
1. District level : Participate in District Health Plan design and
implementation e.g. expand delivery capacity to ensure universal
access
2. National level : Participate in GFATM application processes by using
your comparative advantage e.g. commodities for remote populations,
community engagement in malaria control, monitoring & evaluation
3. Subregional level : Participate in identification & resolution of
implementation barriers e.g. through making available institutional
capacity in sharing of good practices across countries in a subregion
4. Global level: Participate in Good Practice Working Groups e.g. Behavior
change communication or participate in Global Governance e.g.
through engaging in Northern NGO delegation
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Together, we can make a difference!
www.rollbackmalaria.org
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