sign in sign up
<<
Home , Malaria, Malaria Consortium

Intelligence on the ground + Technical leadership = Saving lives

consortium control, better Benoist Carpentier scale-up MalariaActionPlan Millenniumandthe Development Goals. MalariaConsortium isplaying criticala roleglobalin efforts to tacklemalaria andisachieving results lineinwith Globalthe Cover photos taken by William Daniels, Benoist Carpentier, Adam Nadal and . Malaria and Nadal Adam Carpentier, Benoist Daniels, William by taken photos Cover malaria. with pregnant a visiting O’Brien Stephen Chairman page: Facing the during points campaign. distribution many of one to taken be across and truck a onto warehouses loaded be to temporary the Kano of one from nets remove to start Workers page: This annual review 2008-09 | page 3

he past year has seen extraordinary Tprogress in the scale and scope of our programmes. Malaria Consortium is now playing a critical role in global efforts to tackle malaria and is achieving incremental results in line with the Global Malaria Action Plan (GMAP). With 2010 upon us, a key year in terms of targets, I am glad to report such impressive results. Malaria Consortium has risen to the challenge of increasing the scale of malaria control interventions and the stories and figures clearly testify to this. With an uncompromising determination to innovate and increase the scale and impact of its work so that it benefits communities in the poorest, most marginalised and challenging environments, Malaria Consortium has undertaken a key role in a programme of unprecedented scope in the country with the highest malaria burden in the world: . We all know that malaria is one of the leading causes of in and is the world’s most serious parasitic . The disease is not only devastating to life, and therefore to families and communities, but it has a serious adverse impact on economies, reinforcing by diminishing productivity and opportunity. The simple and encouraging reality today, however, is that malaria can be prevented, diagnosed and treated with a combination of available instruments and treatments. Adequate funding and policy environments are the prerequisites along with committed governments and international agencies. I am proud that Malaria Consortium, the world’s leading not-for-profit dedicated to the comprehensive control of this disease, is driving success by reaching greater numbers of people, especially the hardest to reach in their remote communities. Working to improve and save the lives of some of the poorest and most vulnerable people in the world, our organisation improves not only the health of individuals but also contributes to strengthening national health systems which directly results in and aids economic prosperity. It provides comprehensive solutions (diagnosis, treatment and prevention) for malaria control that result in the delivery of programmes that are amongst the most cost effective investments. Above all, these approaches are designed to optimise the chances of malaria control and relief being sustainable, and reinforcing the will of the ‘donor world’ to maintain its support for these programmes and the funding even as the burden and of the disease starts to come down. We see progress, either by elimination of the disease in certain countries and areas as we help to ‘shrink the map of malaria’, or by greater control in the highest persistent transmission countries in sub-Saharan Africa. All the while monitoring and evaluation to ensure maximum effectiveness, accountability and transparency of interventions and resources are crucial to underpin confidence. Similarly, research across the spectrum of tools must be maintained to ward off the threat of resistance and to increase the capacity of interventions to deliver, ultimately, a malaria-free world. None of this would be possible without the skill, experience and commitment of Sunil Mehra, Graham Root and Sylvia Meek and all the Malaria Consortium people at every level in every country. I thank them for another year of outstanding achievement, as I thank too the volunteers who comprise an extraordinarily high calibre Board of Trustees. We look forward to coming years with a relish to rise to the challenge! Stephen O’Brien MP Chairman, Malaria Consortium campaign in Kano state. Kano in campaign coverage universal SuNMaP the of part as LLINs collect to waiting Women Right: Nigeria. state, Kano in village a through way his works mobilizer house to house A Above: contracting malaria people, areatriskof population, some3billion Half theworld’s 4 programmes in countries such as , Southern unifying role in the scale-up efforts. Results from our Malaria Consortium has played an important and antimalarial medicines and other essential supplies. in the availability of, and access to, quality affordable level. A key element of this is a major improvement objective of scaling up interventions at country Malaria Action Plan (GMAP) was launched with the achievement of these targets, in 2008 the Global zero mortality by 2015. To bolster support for the by 2010 and a 75% reduction in morbidity and near targets of 50% mortality and morbidity reduction (RBM) Partnership since 2005. RBM developed them, has been promoted by the Roll Back Malaria services and commodities to those who need Scale-up, the distribution of more and better theglobal malaria burden. benefits have a dramatic impact on curativeinterventions, the resulting scaleup packagea of preventive and populationsat risk. When countries can malaria-specific interventions for all toachieve universal coverage with determinedto eliminate malaria, is Thegreatest challenge for those Scale-up – the universal challenge William Daniels information management work, improvinginformation managementwork, suchashealth interventions, ofmalaria scale-up on healthsystems strengthening to enablethe through Ourstrategic bestpractice. making focus are usedto inform nationalandglobaldecision toolsOur monitoring andmodelsfor delivery ofHealth. Ministries ofhostcountry the efforts and drugs, results, monitoring andsupporting through nets theirleadershipindistributing teams are attheforefront efforts ofscale-up country Consortium Malaria Equally important, drafting teams. and others have also been part of the GMAP of GMAP. Malaria Consortium’s technical director analyses and processes that led to the development RBM, World Health Organization and World Bank Sudan, and Zambia have fed into William Daniels annual review 2008-09 | page 5

service delivery or -based programme the project states of Kano and Anambra. Nigeria is support, testifies to a results-based and high to a quarter of Africa’s malaria cases and Malaria impact approach. Consortium is concentrating huge resources on a project of significant scale and enormous life-saving SuNMaP – scale-up in Nigeria potential. The prime example of Malaria Consortium’s commitment to achieving impact at scale is its Contributing to Over 1.1 million nets have technical and coordinating role in Nigeria, the the global effort been distributed by Malaria Consortium in 2008-09 country with the highest malaria burden in the At the end of 2009, it is estimated that Malaria world. As a part of a global partnership, Malaria Consortium had protected over 18 million people Consortium has engaged in a major project from malaria through the provision of LLINs. With aimed at increasing the scale of coverage in the malaria the leading cause of child mortality in Africa, country. Critical funding from the UK’s Department accounting for 20% of all childhood , scaling for International Development resulted in the up malaria control programmes has significant establishment, in 2008, of the Support to National benefits. The proper use of LLINs has been shown to Malaria Programme (SuNMaP). SuNMaP works reduce under five mortality by up to 25%. The with the National Malaria Control Programme and child health case for greater commitment to to harmonise donor efforts around national malaria control is without parallel. policies and is being implemented by a Malaria Consortium-led partnership, under the leadership Malaria Consortium’s prioritisation of child of the Nigerian government. Planned outputs survival through its community-based include the distribution of four million long lasting approaches and improved case management insecticidal nets (LLINs), the administering of five practices for malaria, diarrhoea and million intermittent preventive treatment doses to means that it is contributing substantially to pregnant women and the provision of reaching greater numbers. to under-fives with in our activities

Our systematic approach that ensures results

Malaria Consortium takes a thorough and systematic approach to the long term control of malaria and other communicable . Our contribution to strengthening national health systems improves access for the poor and provides long-term comprehensive solutions – diagnosis, treatment and prevention – for the control of malaria and other childhood and neglected tropical diseases. This results in the delivery of programmes that are both rooted in technical expertise and among the most effective public health investments.

WilliamDaniels Prevention To ensure widespread use of long-lasting insecticidal nets continues, the aim now is to MalariaConsortium Research ensure that all those at risk of malaria sleep under a treated Operational research A woman displays her free net underpins our work, card in Kano, Nigeria. net every night and are fully providing vital evidence to informed in their use. Our projects include ‘maintenance’ activities so Recording a interview support and strengthen in Southeast . our programme activities. that net use is sustained beyond campaigns. We carry out studies with a We have also contributed to new efforts in range of partners and test new technologies prevention through that support malaria control stratagies. and integrated management. Our research also helps identify the ‘bottlenecks’ to effective implementation. The vital role of operational research at a programme level is that it also feeds into global, national and regional decision WilliamDaniels making. Systems and capacity strengthening Through the development of local human resources we are steadily building capacity to make malaria House to house mobilizers distribute free net cards in Kano. programmes sustainable for the long term. We are working to ensure WilliamDaniels Diagnosis and health systems are responsive to humanitarian treatment emergencies and able to deliver services to We concentrate on supporting populations in challenging settings. Small policies and external quality amounts of investment to protect drug assurance systems, to ensure supplies (from rats or the rain), improved data efficient and effective diagnosis. reporting and support supervision can go a A nurse prepares an injection We are also increasing the use in a hospital in Kano, Nigeria. long way in front line facilities. of rapid diagnostic tests (RDTs) and improving the quality of microscopy. Our technicians have established refresher courses on malaria microscopy and training for community volunteers using RDTs to accurately diagnose malaria before giving treatment.

6 annual review 2008-09 | page 7

Neglected

MalariaConsortium Tropical Diseases (NTDs) Childhood illnesses

WilliamDaniels NTDs kill up to half a million Child mortality remains of many of the poorest unacceptably high in most sub- people each year. Malaria Saharan countries with malaria, grading, Southern Sudan. Consortium aims to deliver acute respiratory and safe and effective drugs to diarrhoea remaining the top three A child with malaria at a health control the main five diseases – river blindness, clinic in Kano, Nigeria. killers of young children. We elephantiasis, bilharzia, intestinal worms and continue to develop programmes trachoma. We use disease mapping to establish such as home-based management to treat where populations need treatment to accurately children affected by these illnesses. Access target the . We also to appropriate drugs and trained community promote more comprehensive prevention. health workers mean that children can get better care and treatment early and before they become so sick that they need hospitalisation.

WilliamDaniels Advocacy and mobilisation Our advocacy strategy has

AdamNadal Monitoring and two pillars: to build the

evaluation Dr Ali Alkali speaking at the capacity of southern civil Monitoring and evaluation are Kano State Flag Off ceremony. society groups working on a critical element of our work. the issue of malaria and to They provide a strong basis bring positive influence to bear on policy Net use monitoring in Panjap for our field work and project and practice among all those involved in the village, Southern Sudan. design, besides supporting fight againt the disease. Policy and practice external and international are influenced through parliamentary decision making in malaria control strategies. engagement, working with partnerships This is particularly true of our work in Southeast such as the Roll Back Malaria Partnership and Asia and efforts to contain resistance to other peer groups and providing field-based malaria drugs. We continue to play a key role in evidence to critical events and processes. evaluating the performance of large scale net distribution campaigns as well as monitoring retention and use. HSS Health Systems Strengthening vital for disease control – includes developing infrastructure with skilled staff, AdamNadal Helping the hard-to-reach reliable information and improving supply and vulnerable management systems. Malaria Consortium responds to LLIN Long Lasting Insecticidal Nets humanitarian emergencies and effective for up to five years, these is increasing delivery of services mosquito nets protect without requiring Hanging an ITN in Leuk Posh to remote and poorly served laborious retreatment needed by traditional nets. village, . populations. We have been working with countries affected by conflict, ACT Artemisinin-based Combination as well as complex post conflict and emergency Therapy malaria treatment using settings for many years. Our work in Southern combination of artemisinin derivative with Sudan has continued to develop through 2008-09. other drugs to provide an effective and delay resistance. programmes BenoistCarpentier Our work in Africa The year has seen a major scale up of our activities in Africa. More vulnerable and hard-to-reach communities have been reached with prevention and treatment programmes through our distribution campaigns and support for local health systems. We are continuing to strengthen our relationships with national governments and other partners to ensure greater long-term sustainability of our activities.

8 photo: William Daniels annual review 2008-09 | page 9

Expanding our work in Mozambique and Uganda

Mozambique role in the review of the management of fever for the adoption of integrated community case 60% of all cases of malaria This year Malaria Consortium has continued management. This includes the three diseases occur in Africa to support the Ministry of Health in planning which contribute the most to childhood for scale-up of malaria prevention and case mortality– malaria, pneumonia and diarrhoea. management. The five-year project supported About 20% of childhood by the UK Department for International Malaria Consortium’s focus on the development deaths in Africa are caused of national strategy, clinical guidelines and tools Development to develop sustainable delivery by malaria systems for long lasting insecticidal nets (LLINs) continues, and the organisation is set to scale up is drawing to a close. As a result, this year the implementation next year. organisation has concentrated on ensuring The Stop Malaria project, funded by USAID, 90% of malaria deaths the smooth handover and integration of all where Malaria Consortium Uganda provides occur in Africa related activities, including monitoring and the technical lead, is one of the largest malaria evaluation to the provincial health authorities in control projects ever to be implemented in the five provinces which have been distributing Uganda, targeting scale-up across 45 districts LLINs through ante-natal clinics with Malaria and covering half the population. Addressing the Consortium’s technical support. This year nearly supply side of commodities such as mosquito nets 550,000 LLINs have been distributed. and treatments, only solves part of the problem. Commercial sector partners supported by Malaria Education in their correct use and training Consortium have suffered the combined effects of throughout the health system is vital. Malaria the global financial crisis and rising food and fuel Consortium is developing strong partnerships with prices. Nonetheless, the expansion of markets from civil society organisations, building on their local urban to rural areas and to additional provinces knowledge to support about has continued. Provision of technical assistance malaria and (TB) at community level. 1.3% to strengthening case management systems and Malaria Consortium established an external quality expertise has translated into work plans, budgets assurance (EQA) scheme for malaria microscopy and comprehensive training materials designed to and developed a clinical audit strategy and Malaria is reach approximately 10,000 clinical staff and 1,500 guidelines. The organisation’s EQA work and training estimated to community health workers. programmes in TB diagnosis have also continued cost Africa £8 Malaria Consortium is providing technical support across disadvantaged areas of the north, including billion a year, to the analysis of a recently completed national Karamoja. We also supported the Ministry of Health in the installation of software for the Health and economists health facility survey, which will provide results for believe that it is National Malaria Control Programme indicators. Management Information System. This increased The organisation is also supporting preparations focus on technology, particularly in relation to tools responsible for for a nationwide laboratory situation analysis. for data collection and submission which also serves reducing GDP in to improve health worker motivation, will continue into the following year. countries Uganda by as much as This year Malaria Consortium completed its The Malaria Consortium Uganda programme has investigation into net retention and usage, 1.3% continued to expand in scope and scale this year. and a related cost effectiveness study which With a portfolio of 10 projects, the organisation compares LLIN distribution mechanisms. is involved in all aspects of malaria and other The organisation disseminated results of communicable disease control from policy an evaluation of outpatient malaria case and strategy development to implementation, management, and compared treatments for monitoring and evaluation, and operational uncomplicated falciparum malaria in Ugandan research. children. A randomised trial looking at fluid Malaria Consortium provided policy support resuscitation strategies in children with severe to the National Malaria Control Programme, febrile illness was also initiated in sites across revising operational guidelines for all key malaria Uganda. interventions. The organisation played a key

Facing page: After waiting in line at one of Kano’s net distribution points, a young woman receives her two free LLINs along with the directions for use. our work in Africa

Focus on Nigeria’s SuNMaP programme

Nigeria has the greatest malaria burden in commitment from partners such as Malaria Nigeria accounts for over sub-Saharan Africa with up to 97% of the Consortium. population at risk. It has been recognised that 25% of all cases of malaria The goals are: for Africa to stand a chance in achieving the in Africa Millennium Development Goals, the malaria To reach 80% of the at risk population with burden must be tackled across Nigeria. long lasting insecticidal nets (LLINs). Malaria causes about 30% of Malaria Consortium is at the heart of these A 50% reduction in malaria-related morbidity childhood deaths in Nigeria scale-up efforts through its Support to the and mortality by 2013 along with a reduction National Malaria Programme (SuNMaP). Launched in the socioeconomic impact of the disease. in 2008 and funded by the UK’s Department for 11% of maternal deaths in International Development, SuNMaP is a £50 Scaling-up mosquito net coverage Nigeria are related to malaria million five-year programme working at the One of the first initiatives that SuNMaP federal level and in six states in Nigeria. undertakes will be the roll out of a massive campaign to distribute two LLINs for every family Nigeria loses at least one across Nigera. SuNMaP will lead the campaign billion dollars each year Ebeneezer in the first two states, Kano and Anambra, where as a direct result of malaria Baba they plan to distribute more than two million infections Public Health Specialist nets. SuNMaP also intends to provide technical Nigeria support to a further four states. This is in addition Ebeneezer Baba is a medical doctor with a to providing technical oversight at the national post graduate degree in public health who level in the remaining 30 states. has a keen interest in health system research Another component of the campaign will and programme management. He used to entail training of field personnel, advocacy work with one of the Global Fund principal and community mobilisation to announce net recipients as programme manager prior to collection points and promote net use. SuNMaP joining Malaria Consortium in September 08. and partners have spent months planning these “It is indeed a privilege to be part of the campaigns and they are expected to be a success, 97 journey with Malaria Consortium as it despite the challenges inherent in a roll out of this strives to make a difference in the lives size. Lessons learned during the experience will of millions around the world. To quote feed into future universal campaigns in Nigeria a famous anthropologist “Anybody who and beyond during 2009-10. % has been seriously engaged in scientific work realises that over the entrance to the Beyond the campaign temple of science are written the words: ‘Ye SuNMaP plans to capitalise on the progress made must have faith’ ” and from my perspective, during the distribution campaigns to improve the belief in the possibility of a determined the national, state and local level capacity for few to change the tide for the better.” policy development, planning and coordination, Up to 97% of Nigerians are ensuring harmonisation of all agencies’ support at risk of malaria for malaria control. SuNMaP will also undertake SuNMaP demonstrates a renewed commitment operational research into the areas of prevention under the Roll Back Malaria partnership to meet and treatment. A crucial element will be a new the Nigerian National Malaria Strategic Plan approach to public-private partnership so that (NMSP) objectives in line with global targets. specific commercial distribution partners can Resources allocated to the implementation of this make essential malaria commodities, such as historic plan have yielded pledges by partners to LLINs and drugs, more accessible to those most the tune of over $1 billion in the next five years. in need. The National Malaria Control Programme has recently reviewed its strategy to scale up its key interventions and has benefited from a renewed

Facing page : Zainab hangs her two new LLINs to air outside 10 under the shade for 24 hours. William Daniels malaria,” sleeping under a net he would not have got was not sleeping under a net. If he was lost one of her two children to malaria. life. It’s my family’s life.” the mid-day sun, her reply is simple, Asked why she is willing to wait for hours in fasting during this Ramadan period. women curving in front of her, most of them will have to wait. There is a line of hundreds of distribution point to see how much longer she Every now and then she glances at the Worth the long wait for free nets she painfully recalls. mosquito nets. evidencecardnet– rightherof toreceive free two Nigeria.rightherIn handshewhiteholds a andblue villagesquare Gezawathedistrictinstate,Kano of ZainabAbdustands patiently crowdedlineina in Zainab has already “It’s my “He childhood deaths in Nigeria. responsible for 11% of maternal and 30% of are particularly vulnerable to malaria, which is women like Zainab and their children who proven and cost-effective measure for Sleeping under a mosquito net is a safe, the malaria burden by 50% at least. period of 18 months, in the hopes of reducing two mosquito nets to every household over a It is part of a massive campaign to distribute nets and run by SuNMaP across Kano state. distribution sites for long-lasting insecticidal Zainab’s village square is one of over 500 Universal netdistribution husband undertheothernet.” willsleep underitwithmy sleep and son.My the bed is aired, tomorrow I’m goingto iton hang mobilisers whovisited herhouse. “After it received information andfliersfrom the While Zainab doesn’t own aradio, she questions. demonstrate how to hangnetsandanswer sites,At netdistribution healtheducators maintain thenetsto lastfor several years. provide information onhow to air, hangand been trainedto gohouseto houseand announcers. Teams of mobilisers have over theradioandshouted outby town onproperMessages usehave beenplayed mobilisation componentto thecampaign. have and developed acrucialadvocacy athome. andpartners correctly SuNMaP challenge isto ensure thatthenetsare used As mosquito netsare distributed, the Using thenetscorrectly annual review 2008-09 | page 11 our work in Africa

Focus on Southern Sudan

setting up three field offices to reach some of the most remote communities in the region, and

AnthonySabasio broadening its activities. These include malaria control and health systems strengthening, as well as related health areas such as key childhood illnesses (pneumonia and diarrhoea) and neglected tropical diseases control, which have clear synergies with malaria control work. Malaria Consortium’s most recent health systems strengthening work in Southern Sudan is focused at state level, where it has built on the policy environment created through earlier organisational support. The MoH and Malaria Consortium identified a crucial gap in the creation of a functioning health system in Southern Sudan – the lack of data to allow informed decision making related to health facilities. Malaria Consortium has now supported the MoH to complete health facility mapping in three states in Southern Sudan. From 1983 to 2005 Southern Sudan 61% of households was engaged in a protracted civil war have no mosquito net in that ended with the signing of the Stephen Moore Southern Sudan Comprehensive Peace Agreement. At Country Director the time it was Africa’s longest running Southern Sudan Almost 100%, or 2.5 civil war, and it has played a large part Before joining Malaria Consortium in July 2007, Stephen had million, of children under in preventing meaningful development five years are at risk of worked on communicable disease control from occurring in Southern Sudan. malaria in Southern programmes in Zimbabwe, , Zambia and Uganda. More recently Stephen worked Sudan It was in the years before the Peace Agreement, with Professor Sir Andrew McMichael’s HIV that Malaria Consortium first became involved in research team at the University of assisting in service delivery and the development Oxford. His post in Southern Sudan offered an of the health system in post-conflict Southern excellent opportunity for Stephen to apply his Sudan. Malaria Consortium’s early work consisted experience to evidence based, high impact of high level technical support to the Secretariat communicable disease control programmes. of Health and subsequently the Ministry of Health “Supporting the Ministry of Health to (MoH). This support resulted in the drafting of develop a health care system from virtually the Southern Sudan Monitoring and Evaluation nothing has been a very rewarding Framework and Operational Plan which forms experience. We have given the Country the basis of the Health Management Information Teams the tools to deliver programming System, the development of the Southern Sudan that is responsive to the country context, Malaria Control Strategic Plan for 2006 to 2011, which is critical in Southern Sudan’s post as well as other key health policies and strategy conflict environment.” development. Malaria Consortium established an office in , the capital of Southern Sudan, in late 2006. Since then the organisation has expanded,

Above: Child taking Praziquantel for the treatment of bilharzia, Northern Bahr El Ghazal, Southern Sudan. 12 Facing page : Beneficiaries leaving the net distribution site in Aweil Centre, Southern Sudan. annual review 2008-09 | page 13

Simple steps to a healthier future

Benson Opothmalo is based in Aweil Centre County in Benson now has a laptop computer and Northern Bahr el Ghazal. He was born in Abul village email access through Malaria Consortium’s satellite internet connection. A motorbike and trained as a community health worker. Benson has allowed him to begin supervision visits worked for Médecins Sans Frontières during the to local health facilities. war and, at the end of the conflict, became county The support of Malaria Consortium is medical officer. helping Benson to plan his budget needs, establish systems to record and report the Before Malaria Consortium was established Malaria Consortium’s support has greatly routine data that is required for evidence there was little support available and Benson improved Benson’s ability to deliver an based health planning. Through in-service was trying to deliver health services with effective health service. training the organisation can build on no budget, no communications equipment, Recently, this improvement was Benson’s health management capacity and no salaries for health workers and only demonstrated in stark and dramatic terms achieve a better drug supply to his county infrequent, irregular supplies of drugs. in Aweil. Abuk Deng had gone into a labour through improved stock management. “When the war ended, there was nothing. which became prolonged and complex. Regular support visits to health workers I had no equipment, no vehicle and no After five long days, both she and her baby in their facilities to help them improve drugs. At local level, I could only do the were in a critical condition – exhausted the quality of their care is critical to an minimum, I couldn’t visit my , and dehydrated. Using the satellite phone, effective health system. Such visits will help even those with serious medical problems. Benson was able to contact Malaria to build a system that is both sustainable Thankfully, the situation has improved Consortium’s office and a vehicle was sent and well-managed, leading to improved since then. But there is so much more to to take Abuk to hospital for an emergency health indicators among the population of be done.” caesarian. and baby were saved and Southern Sudan. both went on to regain full health. KevinColes

The mud brick and thatch roofed Primary Health Care Unit at Bau in Aweil Center County in Southern Sudan our work in Africa

Building our activities across the region

Ghana instrumental in raising the awareness of more than five million people. This has been In 2008 Malaria Consortium joined the USAID accomplished through the distribution of MalariaConsortium funded project, with responsibility to materials such as fliers, posters and T-shirts, provide expertise on both malaria prevention holding competitions centred on health and treatment. The project provides technical topics for school children, and educating the and implementation support to Ghana’s general public through local radio broadcasts, Ministry of Health to scale up malaria at events and in public gathering places. The interventions in the country, reducing under project was evaluated by the Ministry of Health five and maternal mortality. There are three and found to be very successful. Organisations in the community, who would areas of focus. Until now there has not been a tangible normally have little or nothing to do with The first is the distribution of long lasting strategy for ensuring the quality of malaria healthcare, were invited to form a Malaria insecticidal nets (LLINs) to pregnant women diagnosis across the country. In response, Task Force. Institutions as diverse as the and children under five through mass Malaria Consortium established an external national power provider, banks, religious campaigns and antenatal clinic distribution, quality assurance system in 16 health centres organisations, police, small business owners as well as via the expanded programme of and plans to roll out this system to another 16 and other government ministries have come immunisation. The second area of focus is the health facilities in the project areas. together to provide practical support in improvement of case management by scaling malaria prevention. Setting up mobile rapid up the use of artemisinin-based combination The government of recently diagnostic test units, organising parades therapies and increasing the home based initiated massive information systems and and performances to increase awareness management of fever in children under five planning reform in health institutions. have helped to sensitise communities on years. Finally, Malaria Consortium is scaling However, institutional capacity has been preventive action. up the distribution of intermittent preventive identified as a major bottleneck hindering Case management training has also been treatment for pregnant women during their the implementation of these activities. an important activity, with health centre antenatal clinic visits. Malaria Consortium has stepped in to provide comprehensive training on workers being targeted to raise their Ethiopia planning, supervision and monitoring and capacity levels in terms of performing evaluation to 260 health personnel drawn life-saving interventions and transferring In Ethiopia, Malaria Consortium is from health facilities in the project areas. knowledge to those who are responsible successfully working across national, In order to improve the delivery of malaria for the day to day care of patients. Malaria regional and district levels to strengthen and drugs, supplies and commodities, Malaria Consortium played a lead role in the study improve the delivery of healthcare related Consortium conducted an assessment to assess the accuracy and safety of rapid to prevention and control of malaria. In of malaria drugs and related supply diagnostic tests when they are used by 2007 Ethiopia indicated that the utilisation management. This led to the development community health workers, and provided of malaria interventions is generally very of recommendations for a standardised assistance to the Zambian Ministry of Health low. In light of this, Malaria Consortium has system within the government’s framework in establishing a quality assurance system for been implementing a behaviour change of reform. These tools are being used laboratory technicians using microscopy to communications project that has been to collect, organise and report essential test for malaria in Zambia. logistics data that will enable health Additional training has been carried out professionals to avoid malaria drug shortage for nearly 60 district staff on how to work and oversupply. with malaria data to reveal patterns in care, incidence and mortality, with a view

MalariaConsortium Zambia to eventually transferring management Malaria Consortium priorities in Zambia responsiblities to the district level. District over the year have included helping to staff have become aware of gaps in data strengthen the national response by and work to reconcile discrepancies. This has working with non-health related business enabled them to anticipate annual needs and government agencies in the fight for treated nets, rapid diagnostic against malaria. tests and -, along with other malaria commodities.

Above left: Eskinder Goshu, Malaria Consortium’s resource centre manager provides IT training to personnel from district health bureaus in Wolaita zone, Hawassa, Ethiopia. 14 Above right: Malaria Consortium-trained Community Health Worker tests for malaria at the National Health Fair in Lusaka, Zambia. annual review 2009-10 | page 15 AdamNadal Our work in Asia Despite lower malaria incidence compared to African settings, there are significant challenges to maintaining the successes in Asia to date. Supported by key international donors, we are engaged in critical research, monitoring and evaluation activities in the areas most at risk of developing significant resistance to front-line malaria drugs.

Villagers bringing their nets for re-treatment in Kork Mosh, Cambodia. our work in Asia

An epicentre of

Headquartered in Bangkok, , Around 40% of the global Responding to resistance Malaria Consortium is in the ideal population, or 2 billion A critical element in the tracking of malaria people, at risk of malaria live location to help monitor the incidence control, responding rapidly to outbreaks and in Southeast Asia of malaria in the six countries around avoiding the consequences of spreading drug the River in Southeast Asia resistance, is to have ready access to reliable information. In January 2009, Malaria Consortium – Thailand, Cambodia, Lao PDR, 21 million or 9% of global began working on a two-year $22 million , and malaria cases occur in containment project – Strategy to Contain Province of . Artemisinin Resistant Parasites in Southeast Asia – Southeast Asia and Western led by the World Heath Organization (WHO) and Pacific countries It is here that the disease remains a serious funded by the Bill & Melinda Gates Foundation. problem among certain high risk populations. Together with WHO and the National Malaria Resistance to artemisinin Major advances have been made to reduce the Programmes (NMP) of Thailand and Cambodia, derivative malaria drugs has burden of malaria in the region, and it is critical Malaria Consortium is helping to develop a that this progress is not lost. developed in Southeast Asia robust, reliable and recent evidence base, On the Thai-Cambodian border, which tracking and recording information about the historically has been a hotspot for drug-resistant disease and any signs of resistance. The data strains, control of malaria is complicated by will be continuously updated and used by the emergence of resistance to artemisinin countries in the region to refine and improve derivatives, still one of the most effective their NMP strategies and mobilise resources. This treatments for malaria when used in combination is imperative if the consequences of spreading with other drugs. The spread of artemisinin drug resistance are to be avoided. resistant malaria parasites beyond Asia would be Since the start of the project, Malaria a devastating setback for the progress achieved Consortium has played an important role in globally to date. facilitating discussion between the different A key challenge in the region, however, lies in partners, especially the country programmes, 76 organising malaria control programmes where which requires a cross-border strategy vital for malaria is declining and malaria activities are the project’s success. A critical need is to find being integrated with other health programme and help the mobile and migrant populations priorities. affected by malaria. The organisation’s role % focuses on overall monitoring and evaluation of the project, supporting improved surveillance, providing operational research,

Up to 76% of the people of

Southeast Asia are estimated AdamNadal to be at risk of the disease DavidSintasath

Above left: Screening at a mobile malaria clinic in Chantaburi, Thailand. 16 Above right: Sophal Uth, Malaria Consortium field officer, demonstrates how to re-treat mosquito nets in Kork Mosh village, Cambodia. Adam Nadal village to Phnom Reang health post, Pailin province, Cambodia. province, Pailin post, health Reang Phnom to Leu village Krachab from transported being malaria severe with son and mother A development and thecurriculum support activities. The organisation alsocontinuesto ofprogramme andevaluation monitoring and trainingindatamanagement for capacity-building technical support isproviding continuous Consortium Malaria component, 7malaria Round and Malaria Global Fund to Fight AIDS, Tuberculosis and donorsintheregion. Under Thailand’s withstakeholders maintain partnerships to works create Consortium and Malaria Thailand (USAID). Development International andUnited for States Agency (CDC) Centers for DiseaseControl andPrevention Pasteur(MORU), Institut Cambodia (IPC), include theMahidol-Oxford Research Unit oncontainmentintheregion Consortium closelywithMalaria working partners Other advocacy. in engaging and outcomes, and information disseminating Penh andPailin inwestern Cambodia. establishedanofficein Phnom Consortium 9GlobalFund.Round This year, Malaria develop itsproposal for fundingfrom the andhelpingtheprogramme surveys Programme throughnational conducting to theCambodian NationalMalaria support hasalsobeenproviding Consortium Malaria the highestinregion. theyear, During remains dueto malaria oneof mortality and cases,number ofmalaria morbidity a steady trend ofreductioninthetotal in Cambodia. Althoughthere hasbeen remains apublichealthconcern Malaria Cambodia Network for(ACTMalaria). Network Malaria planning for theAsian Collaborative Training “As part of a growing team in the Asia- and evaluation programmes in the and helps Currently David oversees the monitoring Malaria Control Programme in . Malaria Consortium, David served as Pacific region, I am especially excited to develop the strategic and technical malaria epidemiologist with the National about fostering new opportunities and direction for programmes in the region. partnerships in the region.” annual review 2008-09 | page 17 Technical Director Asia Sintasath Regional David Before joining

Advocacy and communications WilliamDaniels

Raising awareness and increasing support

Malaria Consortium, with Advocate and mobilise coalitions themselves. GlaxoSmithKline support from key partners such has extended its support for a further year against malaria and, subject to resource mobilisation, as GlaxoSmithKline and the Bill Malaria Consortium’s advocacy team the coalitions and grant recipients will & Melinda Gates Foundation, highlights the burden of malaria by continue existing activities and expand has for some years provided influencing policy and action both in their parliamentary, media and civil society developed and developing countries. operations. advocacy leadership in the Through support to African Coalitions 2009 was a key malaria community, ensuring against Malaria, UK awareness-raising advocacy opportunity for Malaria and global policy work, Malaria Consortium malaria moved up global and Consortium. A new World Malaria Day civil provides tools, information and training society website was initiated, which is live national agendas in Europe and to assist malaria advocates and deliver 365 days a year, providing an advocacy Africa. In 2008-2009, as a result recommendations for better practice. portal particularly for southern voices. of the continued growth of the The year saw the successful continuation Over 1,000 people signed the “Count Me organisation, Malaria Consortium of Mobilising for Malaria supported by In” petition, and there are also Facebook, decided to complement its GlaxoSmithKline, and the conclusion Twitter and MySpace profiles which have of the European Alliance Against served to further increase awareness advocacy activities by investing Malaria (EAAM). Malaria Consortium of the day. In the week leading up in new communications and led the research of two major reports, to World Malaria Day Malaria fundraising functions. organised another successful Malaria and Consortium organised Human Rights Lecture, and exhibited at the a parliamentary 2008 UK political party conferences. Two discussion, with the awareness-raising trips were organised capacity crowd in 2009, one with UK parliamentarians including private to Uganda and the other with British and voluntary journalists to Asia. sector partners The coalitions in Ethiopia, and peers. and Mozambique are now fully established as united voices on malaria that engage proactively with private and public sector actors. The Malaria Advocacy Innovation Grants have all been extremely successful, with some grant recipients taking the initiative to establish

18 annual review 2008-09 | page 19

The main event was the hosting of a a vital communications platform for the malaria photograph exhibition entitled organisation. Mauvais Air. A strategic relationship was also secured Malaria Consortium’s UK advocacy with the Financial Times in the lead up to work continues to be based around World Malaria Day 2009. This provided collaboration with DFID and other key a key element in the organisation’s groups such as Action for . communications and fundraising objectives, The team made submissions to the as well as helping to promote Malaria International Development Committee Consortium among the wider community. enquiry on the government White Paper Malaria Consortium was also featured in on International Development and the two Guardian newspaper supplements BOND UK election manifesto, as well as as a result of its participation, with remaining engaged in various advocacy GlaxoSmithKline support, in the projects directly with field programmes. Guardian International Development Journalism Competition 2008. As part Getting the of this relationship, the organisation message across was also involved in the development of an advocacy publication providing an Malaria Consortium managed to achieve update on the status of the Millennium several important communications results Development Goals. during 08/09. The most significant was the complete redesign and launch of Malaria Consortium’s corporate website www.malariaconsortium.org. The new site is more accessible, offering up-to-date news, events, programming highlights, global malaria issues, as well as general malaria information. The revamped website provides MalariaConsortium

Sunil Meha, Malaria Consortium’s executive director, gives Professor Awa Coll-Seck, executive director of the Roll Back Malaria Partnership, and Michele Barzach, chair of Friends of the Global Fund, a preview of the Mauvais Air exhibition.

It is on behalf of people affected by malaria, such as this mother and her sick child in Kano, Nigeria, that Malaria Consortium advocates for more dedicated action by national and global policy and decision makers. research, monitoring and evaluation

Monitoring and evaluation

Building a strong team and surveillance systems, which are Scale-up and impact of becoming a crucial element of elimination/ With the continuing rapid growth of Malaria LLINs eradication considerations. Consortium’s portfolio, it became clear that the Malaria Consortium has built on the organisation needed a dedicated core team experience and successes of past years, by of monitoring and evaluation staff, in addition Monitoring containment further consolidating and standardising to those committed to specific projects. The With the successful roll out of activities to its tools for monitoring the success of role of this team would be to capture the contain the spread of artemisinin resistant large scale distributions of LLINs through performance of the organisation at country, malaria parasites at the Thai-Cambodian community-based campaigns, routine regional and international level, providing border, much of Malaria Consortium’s health services or the commercial sector. evidence of impact and ensuring high quality monitoring and evaluation work in the last Surveys to this effect have been undertaken implementation. year has been setting-up the necessary in Mozambique and Uganda and are in monitoring and surveillance systems. Malaria Consortium’s commitment and preparation for Nigeria and Southern Sudan. This included support to the National active participation in the work of the Roll In Uganda the comparison of distributions Malaria Programmes to develop the Back Malaria Monitoring and Evaluation based around campaigns and ante-natal indicator framework, capacity building Reference Group (MERG) has continued care services showed similarly high net and improvement of routine reporting during 2008-2009. In addition to the retention rates of over 95% and high use systems, preparation of baseline surveys of organisation’s contributions to the survey rates of 74-97%, with a delivery cost of under longlasting insecticidal net coverage (LLINs), task force and capacity building, Malaria $1 per net for both systems. and development of new concepts on the Consortium’s focus within MERG is now application of modern communication shifting more towards routine monitoring technologies for malaria surveillance. Operational research

A central theme of Malaria Consortium’s School of Hygiene & and COMDIS research findings have been used work is to improve methods and systems of identified Nigerian research institutions to to define national disease control policy delivery of health care. Cost-effective tools work on each project. and practice at scale in partner countries. and commodities exist for malaria and other In Uganda, Malaria Consortium influenced Our research on neglected tropical common illnesses, but not nearly enough the Malaria Control Programme’s decision diseases (NTDs) has led to a series of peer- people benefit from them. Our research on how to use rapid diagnostic tests to reviewed publications, which not only aims to understand the barriers to access, diagnose malaria, a faster and easier method share new information, but also highlight whether these are behavioural barriers, than previous diagnostic tests. Currently the importance of NTDs and have fed into economic barriers or systems barriers. the Ministry of Health is developing a single development of national strategies. malaria control and prevention policy that Malaria Consortium’s approach includes will include a diagnostic element, which three key elements: high quality design and Research helps to define COMDIS is proactively supporting. implementation of research, developing capacity in the countries where we work national policy In Southern Sudan, an analysis of the and communicating the results to all who Malaria Consortium is a key partner in burden of NTDs in the country by COMDIS can use them. Our malaria work in Nigeria, the Communicable Disease Research through Malaria Consortium has been the for example, includes operational research Programme Consortium (COMDIS). Funded basis for the development of a national on efficacy of drugs for preventive treatment by the UK Department for International strategy for integrated NTD control. Also of pregnant women, assessing delivery Development, this is an operational research in Southern Sudan, a COMDIS project has systems for long lasting insecticidal nets programme that ensures research makes a developed a model to predict the risk of and evaluating the effects of training. We real difference to a huge number of people. trachoma infection, one of the main causes have brought in partners from the London of infectious blindness worldwide.

20 mobilisation and technical support needs. mobilisation andtechnical support in 2008to assistinplanningresource managed needsassessmentsin12countries scaling up. We developed tools and strategies to overcome bottlenecksto role indeveloping andcommunicating targets, andthisgroup couldplay acrucial effective treatment lagsfarbehindthe2010 Management Group.Working Access to we have to revitalise beenasked theCase Advocacy the Malaria Group,Working and the Harmonisation GroupWorking and andEvaluation ReferenceMonitoring Group, of theRBM the Groups,Working inparticular We continueto to actively contribute several ambitious targets ofRBMare due. timeaswecritical approach 2010whenthe ata (RBM)partnership BackMalaria Roll memberontheBoard ofthe constituency Organisation Non-Government Northern Our Executive asthe Director serves countries’needs and challenges. basedon up-to-date experience of soundglobal policies and strategies playsignificanta role in developing MalariaConsortium continues to Global policy and strategy Malaria Consortium best use of malaria treatmentbest useofmalaria intheprivate to grapple withthechallengesofmaking have globalinfluence. We alsocontinue drug resistance containmentstrategies diagnosis andtreatmentIn our inputsto ofLLINs.durability only group to onreal-life gatherevidence systems. delivery We the are alsovirtually have influencedacceptanceofmixed model The analysisandpresentation ofthesedata nets(LLINs)overinsecticidal several years. oflonglasting distribution on supporting into ourintensivedata collection work control staffhaverigorous built longterm andvector andevaluation Our monitoring maximising thereturns onourinvestments. inandtestis thetimeto conceptsof bring resources always to bereadily available; now in recent years, we cannotrely onsufficient for control malaria have grown dramatically resources for . While resources process formaking theoptimaluseof methods, andintroduces arationaldecision- diseases anddifferent controlvector –thiscutsacrossManagement different planforglobal action Integrated Vector thedevelopment ofa have supported diseaseprevention vector borne weIn approachintegrated An Neglected tropical diseasesNeglectedtropical neglect of these diseases. help to publicise the importance of ending has led to a number of publications, which the most under-served populations. Our work integrated mapping and a focus on reaching development of evidence-based strategies, partnership with governments and partners, approach to malaria control. It includes close tropical diseases has grown out of our diseases. Our approach to control of neglected new global networks on neglected tropical Malaria Consortium is an active partner on monitoring, andsurveillance. evaluation focused especiallyontheuseofdiagnosis in towards eradication,andhave malaria project to definethe research agenda groupevaluation we are helpingtheMalERA and ofitsmonitoring to speed. As part are notyetstrategies up andsupport more andmore essential, andyet the transmissiondeclinesthisbecomes malaria diagnosis through parasite As detection. appropriate useofdefinitive malaria we are aregular advocate for increasing FacilityMedicines for(AMFm), Malaria and for framework and evaluation theAffordable Nigeria. We have onthemonitoring worked throughsector inUgandaand ourwork annual review 2008-09 | page 21 support for national malaria programmes. malaria national for support technical planning in assist to assessments needs managed and tools developed has Consortium Malaria Uganda: hospital, Gulu partnerships

Partnering for success

Malaria Consortium’s success is reflected in the capacity and strength of our partnerships on the ground and across the world where we work. Programme for Accessible Health Communication and Education (formerly We take this opportunity to thank all our partners Population Services International-Uganda) who have extended our reach, enhanced our UAE Charity Challenge understanding, increased our delivery capacity and Kenya Disabled Development Society Quality Chemicals Ltd improved our programmes. Kampala Pharmaceutical Industries Cooper Uganda Ltd UGANDA Nettshoppe Uganda Ltd NIGERIA Twiga Uganda Ltd Ministry of Health Federal Ministry of Health A to Z Textiles Ltd Malaria and Childhood Illness Secretariat National Malaria Control Programme X-Tel Uganda Ltd Uganda Malaria Research Centre State Ministries of Health and Primary Health Partnership for Transforming Health Systems Straight Talk Foundation Uganda National Drug Authority Care agencies (where existent) in 6 States Society for Family Health Grameen Bank Foundation Health Reform Foundation of Nigeria Yakubu Gowon Centre MTN Uganda Christian Health Association of Nigeria John Snow Inc Mbarara University of Science and Technology ETHIOPIA CHAN-MediPharm JHPIEGO Kampala International University Federal Ministry of Health Federation of Muslim Women Clinton Foundation United States Agency for International Ethiopian Health and Nutrition Development/ President’s Malaria Initiative Associations of Nigeria Future Health Systems Research Institute UK Department for International Development Center for Communication Programs Nigeria Family Health International Southern Nations, Nationalities, and Centers for Disease Control and Prevention People’s Region Health Bureau University of Nigeria Enugu Campus Christian Aid Irish Aid Oromia Health Bureau Pharmaceutical Manufacturers Group of Nigeria Action Family Foundation Rosies Textiles Canadian International Development Agency United States Agency for International Development/President’s Malaria Initiative Harvestfield Industries Ltd SUDAN Comic Relief Minnesota International Health WHO TETA Pharmaceuticals Southern Sudan Ministry of Health Volunteers Uganda UNICEF GRID Consulting (Central, State level and County Health Departments) Red Cross Uganda Anti Malaria Association Health Partners International Global Fund R7 through Population Uganda Health Marketing Group The Carter Centre Johns Hopkins Bloomberg School of Public Services International Health – Center for Communication Programs Johns Hopkins University/ Centre for BASF UK Department for International Development Communications Programme London School of Hygiene & Tropical Medicine Coalition Against Malaria in Ethiopia Basic services Fund for – Communication for Development Coalition of Media Against Malaria in Ethiopia National Agency for Food and Drug subcontracted through Medair Foundation Uganda Administration & Control Ethiopian Malaria Control Canadian International Development Agency Infectious Diseases Institute Federal MDGs Office Professionals Association UNICEF Makerere University and College Malaria Control and Evaluation UN Special Envoy on Malaria for Health Sciences Global Fund R2 through UNDP Partnership in Africa / Program for WHO Central Public Health Laboratory Appropriate Technology in Health United States Agency for International World Bank Development through RTI UNICEF Uganda Sumitomo Chemical Co. Ltd UNICEF International Rescue Committee WHO Uganda UK Department for International Development Christian Blind Mission CARITAS Angereb Plc United States Agency for International African Programme for Church of Uganda Vesergaard Frandsen Development Nigeria and its projects Control, WHO Kenya Medical Research Institute – Kenya GlaxoSmithKline The Global Fund to fight AIDS, WHO Tuberculosis and Malaria London School of Hygiene Irish Aid Carter Centre and Tropical Medicine Alliance for Malaria Prevention Ethiopian Public Health Association Ugandan Ministry of Health Imperial College London Aklilu Lemma Institute of Pathbilology, Partnership for reviving routine (vector control division) immunization in Northern Nigeria: Maternal Management Sciences for Health, Uganda Addis Ababa University Newborn and Child Health Initiative Save the Children-UK Medicines for Malaria Venture Uganda School of Public Health, Addis Ababa University

22 annual review 2008-09 | page 23

Delivering better health to local communities

ASIA National Malaria Centre, Ministry UK/EUROPE/ MULTILATERAL of Health, Cambodia College of Medicine and Health ORGANISATIONS Sciences, South University Bureau of Vectorborne Disease, Ministry of Public Health, Thailand Green Plc Center for Malariology, , and Woinu Curtain Trade Plc Entomology, Ministry of Health Lao PDR All Party Parliamentary Group on Malaria & Neglected Tropical Diseases ZAMBIA Department of Health, Myanmar Department of Disease Control, China PRC African Medical & Research Foundation UK Zambian Ministry of Health National Institute of Malariology, National Malaria Control Centre British Overseas NGOs for Development Associação Ndyoko Parasitology, and Entomology, Vietnam John Snow Inc Drugs for Neglected Diseases Initiative Movimento Fazer Recuar a Malária Mahidol-Oxford Research Unit Health Communications Partnership Conselho islâmico de Moçambique Institut Pasteur Cambodia European Parliamentary Forum on Researching HIV/AIDS Affected People with União Geral dos Camponeses The Center of Excellence for Biomedical Population and Development Integrated Development and Support and Public Health Informatics Agrifocus German Foundation for World Population UNICEF Faculty of Tropical Medicine, Harvard University Research Team Brandel Mahidol University World Health Organisation Malaria Control and Evaluation Proserv Armed Forces Research Institute Global Malaria Programme Partnership in Africa Malaria Media Network of Medical Science Global Business Coalition on HIV/ WHO IRIS Imaginações University Research Corporation AIDS, Tuberculosis, and Malaria Medical Care Development International DO IT Partners for Development Global Health Advocates Zambikes Health Unlimited (Cambodia) GHANA BBC World Trust (Cambodia) Financial Times MOZAMBIQUE African Media and Malaria Research Network Women’s Media Center (Cambodia) Friends of the Global Fund Europe Ministry of Health United States Agency for University of Health Sciences (Cambodia) International Development London School of Hygiene & Tropical Medicine Ministry of Foreign Affairs Centers for Disease Control and Prevention University Research Co LLC La Coalition française contre le Paludisme Ministry of Education & Culture United States Agency for Maputo Municipal Council Population Council International Development Institut de Recherche et First Lady Office National Malaria Control Centre WHO (HQ, SEARO, WPRO) Développement, France Health Partners International Medicos del Mundo Espanha Bill & Melinda Gates Foundation International Broadcasting Trust UNICEF Kwame Nkrumah University of International Organization for Migration Science and Technology Médecins Sans Frontières NAIMA+ United States Pharmacopeia Medicines for Malaria Venture World Vision SWAZILAND Kenan Institute Asia International Relief and Development Good Shepherd Hospital Population Services International, (Cambodia) Initiative HelpAge International Family Health International, (Cambodia) Nuffield Centre for International Health WHO CAMEROON Program for Appropriate and Development- University of Leeds Nweti – Comunicação para Saúde Cameroon Coalition Against Malaria Technology in Health Clinton Foundation Nigerian Organisation of Women/ UK Department for International Coalition of Media Against Malaria African Women’s Welfare Association Development MEASURE Evaluation Canadian International Development Agency ACTMalaria Red Cross EU Office United States Agency for L’Association SOS/ Jeunesse et Défis Asia-Pacific Malaria Elimination Network RESULTS UK International Development Worldwide Antimalarial Resistance Network Ruder Finn UK Japan International Cooperation Agency DRC Principal Recipient, Global Irish Aid Initiative Locale pour le Fund, Thailand (Round 7) Roll Back Malaria Partnership GlaxoSmithKline Développement Intégré Bangladesh Rural Advancement Committee Spanish Federation of Family Planning Agencia Española de Cooperación Beijing National Central for Spanish Red Cross Internacional para el Desarrollo Disease Control, China Malaria e HIV/AIDS – Vozes de Mocambique Orphan Relief Services Health Research and Social WHO Control of Neglected Tropical Development Forum, Nepal Diseases Programme Southern African Network of CONGO BRAZZAVILLE AIDS Service Organisations National Tuberculosis Control UNICEF, UNDP, World Bank and WHO Réseau SIDA Afrique Programme, Bangladesh Fundação para o Desenvolvimento Special Programme for Research and da Comunidade Azur Développement Association for Social Development, Pakistan Training in Tropical Diseases governance

Our structure

Trustees and organisational structure three European and over 20 African countries. In addition, Independent Auditor’s Report to the the organisation has continued to work with and support The Malaria Consortium was established under a advocacy initiatives in Europe such as European Alliance Members of Malaria Consortium Memorandum of Association which established the against Malaria. We have examined the summary financial statements of objects and powers of the charitable company, and is Malaria Consortium for the year ended 31 March 2009. governed under its Articles of Association. The charity At country level, our partners include National Malaria is governed by a Board of Trustees (Directors), of whom Control Programmes and Ministries of Health; local there shall never be less than 3, and the maximum and regional UN offices; regional organisations in west, Respective Responsibilities of the number shall be 18. The Trustees meet quarterly for the east, and southern Africa, bilateral donors; international Trustees and Auditors Board of Trustees meeting, and for the Annual General foundations; academic institutions; civil society Meeting (AGM), at which the audited accounts for the organisations; development projects, private sector and The Trustees (who are also the directors of Malaria year are formally approved. At the AGM one third of the most importantly communities suffering from malaria and Consortium for the purposes of company law) are Directors/Trustees retire, and are eligible for re-election other communicable diseases. responsible for preparing the summarised financial as long as they have not served for a continuous period statements in accordance with applicable law and exceeding six years. After six years Trustees must retire. Close collaborations are maintained with academic Accounting Standards (United The Board of Trustees has appointed a Finance and Audit institutions including the Nuffield Centre for International Kingdom Generally Accepted Accounting Practice). sub-committee to scrutinise and monitor the finances of Health and Development at Leeds University and the London School of Hygiene & Tropical Medicine in the UK; Johns Our responsibility is to report to you our opinion on the the organisation, which meets at least quarterly, and makes consistency of the summarised financial statements with recommendations to the Board of Trustees. Hopkins University in the USA; Makerere University, Uganda; Centre Muraz, Burkina Faso; Kwame Nkrumah University of the full financial statements and the Trustees Annual New Trustees are recruited for their skills in areas relevant Science and Technology, Ghana; Institut de Recherche et Report. We have read the other information contained in to the governance, aims or the changing nature of strategy Developpement, France; and the University of Nigeria. the Annual Report and have considered the implications and activities of the Malaria Consortium. The Trustees for our report if we become aware of any apparent may at any time select a suitable person as a Trustee, Risk Management misstatements or material inconsistencies with the either to fill a casual vacancy or by way of addition to their summarised financial statements. number. Trustees are sought in a variety of ways involving Responsibility for overseeing the management of risk exploration of the field of potential candidates, including by has been delegated by the Trustees to the Finance and Basis of opinion recommendation from those working for or with the Malaria Audit Committee that report to the Board regularly. The Consortium, or from existing Trustees. Potential Trustees Risk Assessment and Risk Management processes are We conducted our work in accordance with Bulletin are scrutinised by the Officers of the Board of Trustees and regularly reviewed and updated. The major risks, to which 1999/6 “The auditors’ statement on the summary the Board as a whole. All new Trustees receive an induction the charity is exposed, as identified by the Trustees, have financial statements issued by the Auditing Practices to the organisation by their nominator and are invited been reviewed and systems have been established to Board for use in the United Kingdom”. to attend a Board Meeting prior to election. All potential manage those risks. The Finance and Audit Committee candidate Trustees are given an information pack on Trustee has prepared a Risk Assessment Register (RAR) which is Opinion Responsibilities provided by the Charity Commission. updated and reviewed regularly by the Finance and Audit Committee and senior management. In our opinion the summarised financial statements are The Board of Trustees makes the major strategic decisions consistent with the full financial statements and the for the organisation. Every year Trustees are invited to Trustees’ Annual Report of Malaria Consortium for the visit programmes in the field to be fully informed about Our Board of Trustees are: year ended 31 March 2009. Malaria Consortium’s activities at country level to inform Stephen Rothwell O’Brien MP FCIS Chairman Kingston Smith LLP themselves so as to be able to make effective strategic Derek Kenneth Reynolds FCMA Treasurer Chartered Accounts and Registered Auditors decisions. The Board of Trustees delegates day-to-day Patricia Ann Scutt Company Secretary operational decision-making to the Executive Director, who Devonshire House, 60 Goswell Road, Dr Whitney Addington with the Senior Management Team runs the organisation. London EC1M 7AD The Senior Management Team consists of ten senior Tim Armstrong FCA (resigned October 2008) Directors with responsibilities for overseeing and managing Richard Alan Barnett Date: 10 December 2009 the technical, management and finance functions, and Professor Gilbert Bukenya Balibaseka (resigned October 2008, programmes at regional and country level. appointed as patron December 08) Professor Fred Binka (resigned October 2008) Malaria Consortium’s head office is in London, United Roger Cousins OBE FCMI (resigned October 2008) Kingdom. The regional office for Africa, based in Kampala, Dr Geoffrey A Butcher Uganda coordinates and supervises programmes and Dr Edward Brian Doberstyn projects at country level in Africa. Global activities and work Dr Garth Glentworth in other parts of the world are directed through the head Professor Richard John Horton office in the UK. During this reporting period country offices Dr Penelope Key OBE in Africa were operating in Kampala, Uganda; Khartoum, Clive James Lee Nettleton (resigned October 2008) Sudan and Juba for South Sudan; Addis Ababa, Ethiopia; Maputo, Mozambique; Lusaka, Zambia; Abuja, Nigeria and additional provincial or sub-national offices were Trustees statement started in Kotido and Arwa in Uganda, Malakal and Aweil The Statement of Financial Activities and Balance Sheet in southern Sudan and Awassa in Ethiopia. The Uganda are not the full accounts but a summary of the information Malaria Research Centre continues its activities in Kampala that appears in the full accounts but a summary of the and staffing capacity has been strengthened in the project information that appears in the full accounts which have Malaria office in Yaoundé, Cameroon. In Asia offices were opened in been audited and given an unqualified opinion. The full Bangkok, Thailand and Phnom Pehn and Pailin in Cambodia. accounts were approved on 10th December 2009. Copies Consortium of the full accounts have been submitted to the Charity The Malaria Consortium’s partners at the global and Commission and Register of Companies. regional level include: Roll Back Malaria, Global Malaria income Programme of the World Health Organisation, US These summarised accounts may not contain sufficient President’s Malaria Initiative, World Bank’s Booster information to gain complete understanding of the Programme, the Global Fund to fight HIV/AIDS, TB and financial affairs of the charity. For further information the Malaria, WHO’s Tropical Diseases Research, Red Cross at the full accounts, including auditor’s report, which can be 2008-9 £12.5m European level, and in Germany and Spain, Friends of the obtained from the company’s offices, should be consulted. Global Fund in Europe based in France. In the UK, the All 2007-8 £10.2m Party Parliamentary Malaria Group, Trade Union Congress, Stephen O’Brien MP, FCIS, Business Coalition in the UK, among many others. Malaria Trustee and Chairman 2006-7 £5.4m Consortium has strengthened its advocacy programmes such as its own programme ‘Mobilising for Malaria’ covering 2005-6 £3.2m 2004-5 £1.2m 24 finance annual review 2007-08 | page 25

Accounts summary

Statement of Financial Activities Balance Sheet for the year ended 31 March 2009 as at 31 March 2009 2009 2008 2009 2008 £ £ £ £ Incoming resources Fixed Assets Donations in cash 23,798 4,037 Tangible Assets 406,072 185,525 Bank Interest received 23,557 19,470 Other income 18,401 25,336 Current Assets Foreign Exchange Gain 185,560 – Debtors 3,702,498 1,959,487 Grants, contracts & consultancy income 12,220,294 10,178,164 Bank and cash balances 1,606,713 2,360,096 Total Incoming Resources 12,471,610 10,227,007 5,309,211 4,319,583

Resources Expended Creditors Charitable activities 10,550,988 8,562,708 Amounts falling due within one year 272,697 966,548 Governance costs 16,596 11,096 Total Resources Expended 10,567,584 8,573,804 5,442,586 3,353,035

Net income resources 1,904,026 1,653,203 Represented by: Unrestricted funds 2,173,714 1,078,625 Fund balances at 1 April 2008 3,538,560 1,885,357 Restricted funds 3,268,872 2,459,935 Fund balances at 31 March 2009 5,442,586 3,538,560 5,442,586 3,538,560

Expenditure by objective: Expenditure by country: Integrated Prevention & Treatment 50% Nigeria 22% Prevention 19% Mozambique 22% Emergency – Post Conflict 8% Uganda 21% Advocacy & Communications 7% Sudan 17% Research – Monitoring & Evaluation 6% Multi Country (Africa-wide) 15% Other Communicable Diseases 5% UK 2% Treatment 3% Southeast Asia 1% Capacity Development 2% Looking ahead to a world without malaria

n the last few years we have been dreaming Malaria Consortium will contribute to ensuring that the of a world without malaria and the pathways Millennium Development Goals and global targets related I to malaria are met by pursuing the following objectives in to achieving such an enormous milestone. The the next few years: reality on the ground is a long way from that Lead innovation on strategies and approaches in a dream, especially if you are sitting in a remote range of malaria transmission settings, community in Southern Sudan or Somalia, Nigeria develop and implement approaches to integrated or Niger, Burma or Brazil, even though the force delivery of prevention technologies and case management of the current wave of scaling up efforts and for communicable diseases and childhood illness, universal coverage will touch all these corners of address health system capacity issues linked to malaria the world eventually. transmission and childhood illness targeting major gaps in delivery, The challenges of today are how to reach everyone at risk from malaria with existing tools for prevention and spearhead monitoring, evaluation, surveillance and treatment. The challenges of tomorrow will still be reaching operational research through innovation and adaptation those at risk, but they are likely to be minorities, more of methodologies and develop long-term capacity in dispersed, remote or exceptionally poor communities different settings, without access to health services. invest in Malaria Consortium’s institutional strengths Completing one cycle of delivery of nets to meet global to maintain its position as an international high-quality targets will not diminish malaria in the long-term and we technical organisation, and should not measure successes prematurely. advocate and communicate to ensure resources available For the long-term we need to maintain focus on effective for control of malaria and communicable diseases are preventive coverage which will require us to reach remote effectively used. communities over and over again; and to provide effective Change and evolution have been the hallmark of treatment to be available continuously, not episodically, Malaria Consortium over the past year to ensure we are in all corners of the world where the risk from malaria providing an enabling environment for innovation and persists. For this we need unstinting resolve, unwavering creativity. The challenge presented by malaria and other commitment, responsiveness and flexibility to deal with the childhood illnesses and the needs of the people affected diversity of epidemiology and culture as well as a rapidly demand that we ensure our services continue to be of changing malaria landscape. the highest quality. We owe it to them to maintain our We hope new and effective tools will become available technical leadership, to ensure we have the best quality such as a vaccine, new drugs, or innovative personnel and delivery systems, and that our activities are products, and thus the cycle of improving access and use underpinned by robust evidence gathering so that we are will begin again. Malaria Consortium needs to prepare able to address effectively the health issues they face every today for tomorrow. day. They deserve nothing less. Sunil Mehra Executive Director, Malaria Consortium

26 William Daniels A mother in Kano, Nigeria, looks on as her children sit under the new LLIN. new the under sit children her as on looks Nigeria, Kano, in mother A Pleasesupport us canprovide some of the world’s most vulnerable againstmalaria and other childhood illnesses, as Tolearn about the different ways you can support us, peoplewith better health care and futurea free pleasevisit appeared inphotos inthisreport. wellas neglected tropical diseases. Together we work.Help us protect and save lives in the fight with thanksto ourfundersanddonors: UK Registered Charity Number : 1099776 : Number Charity Registered UK frommalaria. Werely on donors and supporters to carry out our We alsothankthosewho have contributed and The GlobalFund to Fight AIDS, Tuberculosis and Sudan Common Fund Humanitarian GlaxoSmithKline (GSK) Centers for DiseaseControl andPrevention (CDC) (DFID) (NORAD) World HealthOrganisation (WHO) World Bank Bayer Gates FoundationBill &Melinda Aid Irish Development (USAID) for InternationalDevelopment UK Department Norwegian Agency for Agency DevelopmentNorwegian Cooperation College ofScience Imperial BASF European Commission (EC) Development Programme (UNDP) United Nations Children Fund (UNICEF) United States for Agency International FIND Minnesota InternationalHealth Minnesota Volunteers NoMore Malaria Malaria ControlMalaria Evaluation Partnership inAfrica for Medicines Malaria Venture inSchools Malaria (GFATM)Malaria MTN www.malariaconsortium.org

William Daniels Zambia – Lusaka – Zambia www.malaria Thailand – Bangkok – Thailand Telephone +66 (0)2 354-5628 +66 Telephone +256 (0)312 300420 Telephone 0210 (0)20 7549 +44 Telephone Southern Sudan – Juba, Aweil, Malakal, Bentiu Malakal, Aweil, Juba, – Sudan Southern Manica Sofala,

Cambodia – Phnom Penh, Pailin Province Pailin Penh, Phnom – Cambodia disease control, better health better control, disease Uganda – Kampala, Gulu, Kotido, Arua, Wakiso, Hoima Wakiso, Arua, Kotido, Gulu, Kampala, – Uganda UK Registered Charity Number : 1099776 : Number Charity Registered UK Mahidol University, 420/6 Rajavidhi Road, Bangkok 10400, Thailand Delgado, Cabo Nampula, Inhambane, Maputo, – Mozambique malaria Malaria Consortium Country Offices – Asia – Offices Country Consortium Malaria Asia Consortium Malaria Africa – Offices Country Consortium Malaria Africa Consortium Malaria International – Consortium Malaria Email Room 805, Multi-purposes Building, Faculty of Tropical Medicine, (Abeokuta) Ogun (Minna), Niger Katsina, (Awka) Anambra Kano, Lagos, Abuja, – Nigeria office Region SNNP Awassa Addis, – Ethiopia Email Uganda Kampala, P.O. 8045, Box Kololo, Road Sturrock 2 Plot 4LT, EC2A London Street, Leonard UK 56-64 House, Development Email Malaria Consortium works with its partners withitspartners works Malaria Consortium across the world tocombattheburdenof across theworld disease inAfricaandAsia consortium

[email protected] [email protected] [email protected] consortium.org

(0)2 354-5629 +66 Fax

+256 (0)312Fax 300425 0211 (0)20 7549 +44 Fax where the nets will be unloaded and distributed. and unloaded be will nets the where Nigeria, Kano, in point distribution a to way its on truck delivery A