Progress towards malaria control targets in relation to national malaria programme funding

Malaria Journal

Research

Eline L Korenromp¹  Richard E Cibulskis²  Robert D Newman²  Mehran Hosseini³ 

[1]Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands

[2]The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland

[3]Global Malaria Programme, World Health Organization, Geneva, Switzerland

[4]The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland

关键词: Malaria/mortality;    Malaria/prevention and control;    Child health;    Programme impact;    Financing;    Health resources;    Investments;    Millennium Development Goals;    Resource-poor countries;   

DOI  :  10.1186/1475-2875-12-18

 received in 2012-09-23, accepted in 2012-12-20,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundMalaria control has been dramatically scaled up the past decade, mainly thanks to increasing international donor financing since 2003. This study assessed progress up to 2010 towards global malaria impact targets, in relation to Global Fund, other donor and domestic malaria programme financing over 2003 to 2009.MethodsAssessments used domestic malaria financing reported by national programmes, and Global Fund/OECD data on donor financing for 90 endemic low- and middle-income countries, WHO estimates of households owning one or more insecticide-treated mosquito net (ITN) for countries in sub-Saharan Africa, and WHO-estimated malaria case incidence and deaths in countries outside sub-Saharan Africa.ResultsGlobal Fund and other donor funding is concentrated in a subset of the highest endemic African countries. Outside Africa, donor funding is concentrated in those countries with highest malaria mortality and case incidence rates over the years 2000 to 2003. ITN coverage in 2010 in Africa, and declines in case and death rates per person at risk over 2004 to 2010 outside Africa, were greatest in countries with highest donor funding per person at risk, and smallest in countries with lowest donor malaria funding per person at risk. Outside Africa, all-source malaria programme funding over 2003 to 2009 per case averted ($56-5,749) or per death averted ($58,000-3,900,000) over 2004 to 2010 tended to be lower (more favourable) in countries with higher donor malaria funding per person at risk.ConclusionsIncreases in malaria programme funding are associated with accelerated progress towards malaria control targets. Associations between programme funding per person at risk and ITN coverage increases and declines in case and death rates suggest opportunities to maximize the impact of donor funding, by strategic re-allocation to countries with highest continued need.

【 授权许可】

CC BY   
© Korenromp et al.; licensee BioMed Central Ltd. 2013