Gap analysis shows US$10 billion is required by 2020 to fully implement national malaria plans in 35 countries

The Country and Regional Support Partner Committee (CRSPC) of the RBM Partnership to End Malaria has supported the roll out of the updated programmatic and financial gap analyses as part of the broader support to countries in the development of their Global Fund malaria applications for the period 2018-2020. This moving summary includes the data from 35 countries that have finalised their grant making process, and additional updates will be provided as more final gap analyses become available.

For the 35 countries with finalised gap analyses, countries estimate that almost US$10 billion is required over the next three years to fully implement their national strategic plans. Countries estimate that approximately 48% of the plans are funded, leaving a gap of US$5.2 billion. However, when countries estimate the requirements for the delivery of the essential interventions; vector control (LLINs or IRS), diagnosis and treatment, the estimated need is US$6 billion, of which 76% is funded, with a gap of US$1.5 billion.

The gaps in Nigeria constitute around 46% of the gaps in essential commodities and their delivery over the next three years. Given Nigeria constitutes an estimated 30% of malaria deaths and 27% of cases, filling these gaps will be essential. A number of high-burden countries have gaps and will fail to sustain coverage of vector control, especially in 2020 if the funding gaps are not filled.

Not surprisingly, the majority of the gaps are in 2020, as countries have worked to frontload their resources to avoid as much as possible gaps in the near future. The CRSPC will focus efforts on ensuring these gaps are filled through support to advocacy and resource mobilization at county level, whilst supporting countries to address bottlenecks during grant implementation.

The programmatic gap analysis outlines the programmatic requirement needed to fully implement the strategic plan of a national malaria control programme over a specified time period. It identifies funding needs derived from national strategic plan targets, the components already funded, and highlights outstanding financial gaps for which additional funding is required.

The CRSPC supported gap analysis is based on the national strategic plans and covers key malaria interventions including vector control (Long Lasting Insecticidal Nets (LLINs) and Indoor Residual Spraying (IRS)), case management (diagnostic testing and treatment), preventive chemotherapy (Intermittent preventive treatment in pregnancy (IPTp), and seasonal malaria chemoprevention (SMC)).

Needs and funding required for the supportive activities needed to effectively deploy and monitor these interventions such as management capacity, training, behavior change communication, surveillance and monitoring and evaluation are captured in the overall needs summary. The CRSPC gap analysis follows an evidence-based approach to planning and programming based upon the targets and strategies outlined in the malaria national strategic plan. The Programmatic Gap analysis is an integral part of the programme planning and implementation cycle and is not a stand-alone exercise and is updated regularly when new information becomes available.

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