Funding for malaria control 2006–2010: A comprehensive global assessment

Malaria Journal

Research

Catherine L Moyes¹  Peter W Gething¹  David M Pigott¹  Simon I Hay¹  Rifat Atun² 

[1] Department of Zoology, Spatial Ecology and Epidemiology Group, University of Oxford, South Parks Road, Oxford, UK;Health Management Group, Imperial College Business School, Imperial College London, London, UK;

关键词: Malaria;    Equity;    Funding;    International aid;    Policy;    Population at risk;    Plasmodium falciparum;    Plasmodium vivax;   

DOI  :  10.1186/1475-2875-11-246

 received in 2012-05-22, accepted in 2012-07-13,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThe last decade has seen a dramatic increase in international and domestic funding for malaria control, coupled with important declines in malaria incidence and mortality in some regions of the world. As the ongoing climate of financial uncertainty places strains on investment in global health, there is an increasing need to audit the origin, recipients and geographical distribution of funding for malaria control relative to populations at risk of the disease.MethodsA comprehensive review of malaria control funding from international donors, bilateral sources and national governments was undertaken to reconstruct total funding by country for each year 2006 to 2010. Regions at risk from Plasmodium falciparum and/or Plasmodium vivax transmission were identified using global risk maps for 2010 and funding was assessed relative to populations at risk. Those nations with unequal funding relative to a regional average were identified and potential explanations highlighted, such as differences in national policies, government inaction or donor neglect.ResultsUS$8.9 billion was disbursed for malaria control and elimination programmes over the study period. Africa had the largest levels of funding per capita-at-risk, with most nations supported primarily by international aid. Countries of the Americas, in contrast, were supported typically through national government funding. Disbursements and government funding in Asia were far lower with a large variation in funding patterns. Nations with relatively high and low levels of funding are discussed.ConclusionsGlobal funding for malaria control is substantially less than required. Inequity in funding is pronounced in some regions particularly when considering the distinct goals of malaria control and malaria elimination. Efforts to sustain and increase international investment in malaria control should be informed by evidence-based assessment of funding equity.

【 授权许可】

CC BY   
© Pigott et al.; licensee BioMed Central Ltd. 2012