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Infectious Diseases Q1 2024

Turning the tide against malaria: a call to action

Photo credits - RTI International | A child receiving malaria testing and treatment in Sierra Leone

H.E President Umaro Sissoco Embaló

President of Guinea-Bissau and Chair of ALMA

Over the past two decades, significant strides have been made in improving health outcomes globally, particularly in reducing malaria-related deaths by over one-third. However, challenges remain.


The certification of Cabo Verde as malaria-free by the World Health Organization stands as a beacon of hope, especially for Africa, which carries the heaviest burden of the disease. In 2022, Africa accounted for 94% of global malaria cases and 95% of deaths, with children under five being the most affected.

Overcoming malaria challenges

The battle against malaria is hindered by various challenges, including financial constraints, resistance to drugs and insecticides and the exacerbating effects of the climate crisis. These obstacles have stalled progress since 2015, signalling a need for a renewed effort to meet the African Union’s ambitious malaria reduction and elimination targets.

Integrated approach for malaria solutions

To effectively get back on track, we must address malaria through integrated approaches that utilise both existing and new tools. Our existing tools, including some insecticides and medicines, are becoming less effective. Newer tools work better but cost more. Fortunately, market-shaping efforts by Member States and partners have the potential to reduce some of the costs, making them accessible and creating a greater impact.

Climate crisis exacerbating malaria challenges

The changing climate further complicates the fight against malaria, with warmer conditions expanding the habitats of mosquitoes and accelerating parasite development. Despite Africa’s minimal – only 4% – contribution to global carbon emissions, it is the most affected by the impacts of the climate crisis. Therefore, reducing the health sector’s carbon footprint, strengthening health systems and adopting a multi-sectoral response are critical.

Despite Africa’s minimal – only 4% – contribution
to global carbon emissions, it is the most affected
by the impacts of the climate crisis.

Call for malaria funding and integration

Furthermore, financial and political commitment towards malaria is urgently needed. With current resources being insufficient to fully implement national malaria control programmes, an additional US$1.5 billion is required over the next three years to maintain essential interventions.

Malaria offers a viable pathfinder and pacesetter for a fully integrated approach where every sector contributes to accelerating progress. As such, investing in malaria control is not only a health necessity but also a catalyst for economic development and achieving a prosperous Africa.

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