Recommendation V: Raise Global Awareness of the Magnitude of the Malaria
Problem in Sub-Saharan Africa
The importance of malaria in terms of morbidity, mortality, economic
costs, needs to be recognized in order to stimulate action by the international
community -- donors, NGOs, and governmental bodies alike. Regional organizations
not typically involved in malaria control, e.g., the African Development
Bank, Organization of African Unity, African Academy of Sciences, should
also be encouraged to play a major role in malaria control by:
Increasing Attention to and Resources for Malaria
- Help to raise awareness among other governments, communities, and
NGOs regarding the seriousness of the disease and its relationship to
development, the environment, and health.
- Place more resources at the disposal of malaria control, perhaps through
the establishment of an endowment fund to support malaria control and
the malaria resource centers for long-term malaria support. USAID and
other donors should allocate funds specifically for malaria control;
the many recommendations contained in this and other reports provide
ample funding opportunities.
- Facilitate training to build local capacity. There is a recognized
need for technical and management training at all levels for Africans
involved in malaria control. Donors should perceive such activities
as a funding priority.
- Ensure that capabilities are in place for sustaining the implementation
of measures for the mitigation of adverse health impacts of development
- Illustrate how malaria relates to development efforts. For example,
the potential loss of long-term productivity resulting from uncontrolled
development and increased malaria transmission could be highlighted.
- Demonstrate that malaria is not an intractable problem throughout
the region. Use case studies where success in malaria control has been
achieved through proper planning and implementation.
Formulating and Implementing a Market Strategy
- For donors, including the World Bank, devote a major document, such
as their annual report, to the theme of malaria and development, demonstrating
its relation to economic well-being in Africa, as a strategy for drawing
attention to the relationship between health and development and to
the uniqueness of the African situation.
- Focus attention on malaria for a "malaria decade," with realistic
goals of control for achievement within a specified period of time.
Take advantage of the experiences of other issue decades or years, such
as the decade for water, and the current decade for disaster prevention.
Capitalize on the current resurgence of interest in malaria as demonstrated
by the "Report to the President" on the Roskens and Sullivan trip to
Africa (1991) and by the series of WHO meetings on malaria beginning
in October 1991 in Africa.
- Develop a coordinated initiative, similar to the African Capacity
Building Initiative (ACBI), a multi-donor capacity-building enterprise
led by the World Bank, to encourage an integrated, cooperative approach
by donors, governments, and NGOs to malaria control, particularly in
the context of development, in Africa. Like the ACBI, a long-term evolving
process would be required, as would flexibility in approaches used across