Improving Health: Ending Malaria and Building Sustainable Systems

Jan 26th, 2009 9:44 AM UTC
By Lisa.Fleisher

President Obama can provide leadership that creates a world where no one has to do die from a mosquito bite. Malaria is the number one killer of young children in Africa – but it doesn’t have to be. Rwanda and Ethiopia have cut deaths due to malaria by 50%, providing positive examples of the potential that exists in Africa and elsewhere to reverse the trajectory of the disease. Ending deaths from malaria in Africa and in other regions is achievable in the short-term and should be acted on now, but the United States should also lead the world in investments for what is needed to ensure the longer term improvement of health. ONE’s briefing to the presidential transition team makes recommendations for how President Obama can lead the United States in doing its fair share to realize both of these goals.

President Obama can start by fulfilling the commitment he made at the Clinton Global Initiative in September 2008 to end all malaria deaths by 2015. The United States will not be alone in this effort, but in Obama’s own words: “The United States must lead.” ONE recommends that President Obama propose $825 million in total funding in FY09, and $1.55 billion in FY10 for malaria. These numbers were not drawn out of thin air; they are the US share of the total amount needed globally to fund the Global Malaria Action Plan (GMAP) – the roadmap to eliminate deaths from malaria.

The GMAP sets an interim goal of 2010 to reduce the burden of malaria by 50%. This would be achieved by providing “universal access” (reaching 80% of those in need) to prevention and treatment services. If these targets are reached, by 2015 the world will have eliminated deaths from malaria and nearly 100% of those in need of prevention methods and treatment will be covered. This ‘quick win’ will help to lay the groundwork for strengthening health systems in developing countries.

Weak health systems are constraining the potential impact of large amounts of funding for specific diseases – including that of the United States. ONE’s briefing to the transition team recommends that the Administration spur discussions at the Italian G8 Summit of a multilateral initiative that would coordinate health system strengthening efforts. To indicate its intent to support this initiative, ONE recommends that the United States should pledge an initial $250 million in FY11. In addition to funding national health system plans in at least 19 countries by 2010, such an initiative would have several positive spillover effects. It would reduce the reporting burden many countries face, would coordinate donor efforts to ensure they are aligned with country plans and priorities, and would use limited aid dollars more efficiently.

Making an initial investment in malaria would set the foundation for a longer-term health system strengthening effort. In turn, investing in health systems would help to ensure that reductions in malaria deaths and increased access to malaria prevention and treatment last through generations, in addition to maximizing the potential of investments in other key areas to significantly reduce morbidity and mortality in developing countries.

-Lisa Fleisher

TAGS: Barack Obama, Clinton Global Initiative, Ethiopia, Malaria, Obama Transition, Obama Transition Pitch, Policy News, Rwanda