Malaria

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Mother & Child with Malaria Netting in Tanzania
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Photo Credit: Maggie Hallahan
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Over the past 15 years, the global health community has achieved the remarkable feat of reducing the rate of malaria deaths by 57 percent. In sub-Saharan Africa, malaria no longer is the leading cause of mortality in children under the age of 5. Yet this disease still claims the lives of nearly 500,000 children every year (WHO 2015 Malaria Report).

The USAID Global Health Supply Chain Program-Procurement and Supply Management (GHSC-PSM) project strives to reduce the burden of malaria in keeping with the President’s Malaria Initiative (PMI) and USAID’s maternal and child health and infectious disease goals. Strong malaria supply chains ensure that the global community can respond to changing on-the-ground health needs and evolving care guidelines.

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Core Activities
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Building on a decade of work by PMI, USAID, and implementing partners to strengthen local capacity in malaria supply chains, GHSC-PSM works with local partners to provide new approaches to strategic planning, logistics, data visibility and analytics, and capacity building, along with technical leadership to strengthen the global supply, demand, financing, and introduction of existing and future malaria commodities.

The project supports local partners to forecast and quantify their needs in all health areas, and to strengthen their logistics management and distribution systems, including warehousing, transport, and distribution systems.

Currently, USAID missions in 16 countries have requested a mix of technical assistance and commodity procurement support from the project. Current country presence includes: Angola, Burkina Faso, Burma, Burundi, Cambodia, Ghana, Liberia, Madagascar, Malawi, Mozambique, Nigeria, Regional Development Mission for Asia, Rwanda, South Sudan, Zambia, and Zimbabwe.

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Key Commodities
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Key commodities include:
 

  • Artemisinin-based combination therapies (ACTs)
  • Rapid Diagnostic Tests (RDTs)
  • Sulfadoxine-pyrimethamine
  • Severe Malaria medicines
  • Other pharmaceutical products
  • Long lasting insecticidal nets (LLINs)
  • All other non-pharmaceuticals
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Global Goals
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GHSC-PSM supports PMI's and USAID’s implementation of malaria programs through the procurement, management, and delivery of high-quality, safe, and effective malaria commodities. When it was launched in 2005, the PMI goal was to reduce malaria-related mortality by 50 percent across 15 high-burden countries in sub-Saharan Africa through a rapid scale-up of four proven and highly effective malaria prevention and treatment measures: insecticide-treated mosquito nets; indoor residual spraying; accurate diagnosis and prompt treatment with artemisinin-based combination therapies; and intermittent preventive treatment of pregnant women.

Given the program’s success, in 2011 four new countries in sub-Saharan Africa and one regional program in the Greater Mekong Subregion of Southeast Asia were added. PMI subsequently developed a 2015-2020 strategy, which aims to work with PMI-supported countries and partners to further reduce malaria deaths and substantially decrease malaria morbidity toward the long-term goal of elimination.

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Strategic Partnerships
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USAID is committed to sharing data, information, knowledge, and supply chain best practices through GHSC-PSM. The project leads data collection for the Procurement Planning and Monitoring Report for malaria (PPMRm) to address potential supply challenges and reduce stockouts.

To further strengthen malaria supply chains, the project engages with key partners like the Global Fund to Fight AIDS, Tuberculosis, and Malaria; the Roll Back Malaria Partnership; the World Health Organization; the Clinton Health Access Initiative; and the Bill & Melinda Gates Foundation. The project’s market dynamics efforts aim to further shape and strengthen the market for LLINs, RDTs, ACTs, and other key commodities. Based on needs identified through market dynamics analysis, GHSC-PSM advocates for changes in policy and practice.

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Tools & Additional Resources
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News & Highlights

Success Stories
July 7, 2017
In early March 2017, Madagascar battled its most powerful storm in 13 years, which brought 145 mph winds and heavy rainfall. The cyclone affected more than 400,000 people – destroying homes, damaging health centers, and leaving behind large amounts of standing water – breeding grounds for malaria-…
Success Stories
October 12, 2017
Technology can be a game changer in maximizing efficiencies up and down the health supply chain, from estimating procurement needs to ensuring prompt delivery of essential medicines and supplies. Yet even the most cutting-edge tools can be rendered ineffective without trained staff to use and…
Success Stories
November 3, 2017
A somewhat unglamorous but crucial aspect of ensuring access to lifesaving supplies and medicines is having a reliable supply of stock on hand. If estimates of need are too low, then stockouts, shortages, and dangerous interruption of treatments may result. Estimates that are too high can lead to…

Success Stories

November 10, 2017
In just four weeks, 1.4 million school children across nine regions in Ghana found themselves newly protected from malaria. This expedited distribution is the direct result of the USAID Global Health Supply Chain Program-Procurement and Supply Management (GHSC-PSM) project’s updated approach to the…
November 8, 2017
In early April, heavy rain and floods in Malawi’s Karonga district led to three fatalities, three missing persons, many damaged or destroyed homes, and 712 collapsed pit latrines. About 5,500 residents from 828 affected households were moved into temporary camps. With funding from the U.S.…
November 3, 2017
A somewhat unglamorous but crucial aspect of ensuring access to lifesaving supplies and medicines is having a reliable supply of stock on hand. If estimates of need are too low, then stockouts, shortages, and dangerous interruption of treatments may result. Estimates that are too high can lead to…