The online version of this article (doi:10.1186/1475-2875-11-246) contains supplementary material, which is available to authorized users.
RA is a former Director of the Strategy, Performance and Evaluation cluster at the Global Fund.
RA, SIH and PWG conceived the analysis. DMP and PWG collated necessary data and led the analysis. DMP and PWG wrote the first draft of the manuscript. All authors contributed to refining the analysis and the final version of the manuscript.
The 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.
A 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.
US$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.
Global 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.
Additional file 1: Funding for malaria by source. (DOCX 41 KB)12936_2012_2173_MOESM1_ESM.docx
Additional file 2: National Funding and Populations-at-Risk. (DOC 136 KB)12936_2012_2173_MOESM2_ESM.doc
Additional file 3: Multi-Country Grants and Their Divisions. (DOC 30 KB)12936_2012_2173_MOESM3_ESM.doc
Additional file 4: Funding patterns in selected DAC donors. (DOC 78 KB)12936_2012_2173_MOESM4_ESM.doc
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- Funding for malaria control 2006–2010: A comprehensive global assessment
David M Pigott
Catherine L Moyes
Simon I Hay
Peter W Gething
- BioMed Central
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