Intensifying the Fight Against Malaria: The World Bank's Booster Program for Malaria Control in Africa (Document of the World Bank)

An estimated 500 million cases of malaria occur each year, taking the lives of 1 million people, including 3,000 children each day. Ninety percent of these deaths occur in Sub-Saharan Africa, where the disease kills more children than any other. Malaria is not only a major public health issue but also a broader development problem that costs Africa US$12 billion a year, stalling economic and social development. In 2005, the World Bank reaffirmed its commitment to malaria control by launching the Booster Program for Malaria Control in Africa, a 10-year initiative that in its first three years committed over US$470 million to controlling malaria in Africa. By combining disease control interventions and health systems strengthening, Phase I of the program has contributed significantly to the global effort to fight the disease. The Booster Program has begun implementation of its second three-year phase through which the World Bank, as one of the three major financiers of malaria control in Africa, will intensify its efforts to help more African countries to achieve and sustain large-scale impact on malaria. Intensifying the Fight against Malaria: The World Bank s Booster Program for Malaria Control in Africa describes the program, its achievements during the first three years, and the design of Phase two. Whereas Phase I took advantage of relatively facile opportunities to support countries malaria control goals, Phase II is more strategic and builds on the successes of and lessons learned from Phase I. It also capitalizes on the Bank s strengths in facilitating cross-border and multisectoral projects, providing large-scale, flexible funding, and initiating high-level policy dialogue in client countries. Phase II rests on five pillars: 1.Enhancing regional and cross-border prevention and control 2.Intensifying support to two high-burden countries with high unmet need, the Democratic Republic of Congo and Nigeria 3.Providing sustained support for ongoing programs and a targeted approach to new country efforts 4.Facilitating policies and strategies to increase equitable access to effective treatment 5.Strengthening essential health systems to scale up the delivery of malaria interventions. African countries and the global community have seized on the intense energy around malaria by making a commitment to eliminate it as a major public health issue in Africa. Through Phase II of the Booster Program, the World Bank is called to play a crucial role in helping Africa to defeat malaria and to keep moving toward its path of economic growth and social development. Contents......Page 6 Foreword......Page 10 Acknowledgments......Page 12 Abbreviations......Page 14 Background......Page 16 The Booster Program for Malaria Control in Africa......Page 18 Conclusion......Page 26 1 The Burden of Malaria in Africa......Page 28 Figure 1.1 Three Ways in Which Malaria Kills Children......Page 29 The Burden of Malaria on Development in Africa......Page 30 The Malaria Burden as a Drain on Health Systems......Page 32 Prospects and Challenges for Malaria Control in Africa......Page 34 Table 1.1 Characteristics That Make Controlling Malaria in Sub-Saharan Africa Particularly Challenging......Page 36 2 Booster Program for Malaria Control in Africa: Phase I......Page 40 The Booster Program for Malaria Control in Africa......Page 41 Initial Results......Page 44 Figure 2.3 Malaria Control Commitments through December 2008......Page 54 The “New” Elimination Agenda for Malaria Control......Page 62 Figure 3.1 Malaria Control Goals and Deadlines......Page 63 Coordination under the RBM Partnership to Scale Up for Impact......Page 65 Current Challenges......Page 66 A Consultative Process......Page 72 The Design of Phase II......Page 73 Estimated Resource Envelope for Phase II......Page 75 Table 4.2 Draft (Illustrative) Resource Envelope for Phase II Pillars......Page 76 Pillar 2—More Substantial Support to High-Burden Countries with High Unmet Needs (Nigeria and the Democratic Republic of Congo)......Page 79 Pillar 3—Sustained Support for Ongoing Booster Projects and Targeted Support for New Country Efforts......Page 80 Table 4.3 Potential Project Categories......Page 82 Pillar 5—Strengthening of Health Systems in Booster Program Countries to Scale Up the Delivery of Malaria Control......Page 84 Monitoring and Evaluation in Phase II......Page 87 The Cross-Sectoral Agenda......Page 90 How Phase II Can Affect Malaria Control and the Costs of the Bank’s Disengaging from the Fight......Page 92 The Bank’s Potential Contribution in Phase II to the Fight against Malaria......Page 94 Defining the Bank’s Commitment......Page 96 Operational Implications......Page 97 Supporting the Malaria Control Effort during Phase II (2008–11)......Page 98 Implications for Staffing and Budgeting......Page 99 6 Conclusion......Page 102 Appendix 1: Malaria Scorecard......Page 104 Appendix 2: Chronology of Phase II Development......Page 122 Appendix 3: Three Largest Financiers of Malaria Control and Their Comparative Advantages......Page 124 Appendix 4: Phase II Results Framework......Page 126 Appendix 5: Three-Year Action Plan for Phase II......Page 130 Appendix 6: Regional Integration Maps......Page 132 References......Page 134 Index......Page 138 Box 2.1 The Africa Action Plan......Page 42 Box 2.2 The Booster Program’s Approach to Malaria Control......Page 43 Box 2.3 Focus on Results......Page 47 Box 2.4 The Dakar Appeal......Page 48 Figure 1.2 The Burden That Malaria Puts on Health Facilities......Page 33 Figure 1.3 The Distribution of Endemic Malaria in Africa......Page 35 Figure 1.4 The Proportion of Lives Saved by Key Interventions......Page 37 Figure 2.1 Ninefold Increase in Program Lending for Malaria Control in Africa since the Start of the Booster Program, FY 2000–08......Page 45 Figure 2.2 Summary of the Bank’s Malaria Control Portfolio in Africa......Page 52 Figure 2.4 Malaria Control Commodity Disbursements through December 2008......Page 55 Figure 2.5 Funds Available for Malaria Control (2007)......Page 59 Figure 3.2 The Relationship between Malaria Program Coverage Scale-Up and the Reduced Burden of Disease......Page 64 Figure 3.3 The Annual Funding Needed to Control Malaria in Africa......Page 67 Figure 3.4 The Millennium Development Goals and Malaria......Page 68 Table 4.1 Differences between Phase I and Phase II......Page 74 Figure 4.2 Results Achieved by Addressing Systems’ Bottlenecks in Ethiopia and Rwanda......Page 86 Table 2.1 Bank Lending for Malaria Control in Africa, Active and Pipeline Projects, FY 2006–08......Page 46 Table 2.2 Partnerships That Get Results: The Three Largest Malaria Control Donors in Africa......Page 50 Table 4.4 Risks Involved in Implementing Phase II......Page 91 An Estimated 500 Million Cases Of Malaria Occur Each Year, Taking The Lives Of 1 Million People, Including 3,000 Children Each Day. Ninety Percent Of These Deaths Occur In Sub-saharan Africa, Where The Disease Kills More Children Than Any Other. Malaria Is Not Only A Major Public Health Issue But Also A Broader Development Problem That Costs Africa Us$12 Billion A Year, Stalling Economic And Social Development. In 2005, The World Bank Reaffirmed Its Commitment To Malaria Control By Launching The Booster Program For Malaria Control In Africa, A 10-year Initiative That In Its First Three Years Committed Over Us$470 Million To Controlling Malaria In Africa. By Combining Disease Control Interventions And Health Systems Strengthening, Phase I Of The Program Has Contributed Significantly To The Global Effort To Fight The Disease. The Booster Program Has Begun Implementation Of Its Second Three-year Phase Through Which The World Bank, As One Of The Three Major Financiers Of Malaria Control In Africa, Will Intensify Its Efforts To Help More African Countries To Achieve And Sustain Large-scale Impact On Malaria.--book Jacket. The Burden Of Malaria In Africa -- The Booster Program Phase I -- Moving Toward Phase Ii : Context And Challenges -- Phase Ii -- Operational Implications For The Bank. [malaria Implementation Resource Team]. This Document Was Prepared By The Malaria Implementation Resource Team, Africa Region, World Bank ...--p. Xi. Doi: 10.1596/978-0-8213-7758-1--t.p. Verso. Includes Bibliographical References (p. 119-121) And Index. The World Bank approaches malaria not only as a major public health issue but also as a broader development problem that costs Africa US12 billion a year and helps keep families and communities in poverty. In 2005, the World Bank reaffirmed its commitment to malaria control by launching the Booster Program for Malaria Control in Africa, a 10-year initiative that in its first three years committed over US470 million to malaria control on the continent. Focusing on a two-pronged approach of combining disease control interventions and health systems strengthening, the program has contributed sign.