Abstract Background Substantial progress has been
Background Substantial progress has been made in reducing the incidence and prevalence of malaria. In 2016, 111 countries have eliminated malaria and another 35 countries, are making progress toward elimination of the disease. However, little is known about how much governments and donors spend on the prevention and treatment of malaria. Here, we aimed to estimate development assistance for health and government health expenditure for the prevention and treatment of malaria in 35 malaria-eliminating countries.
Methods To measure development assistance for health, we tracked resources from source, to channel, to recipient country or region, between 1990 and 2012, and disaggregated spending across a wide set of programme areas, using data from the Institute for Health Metrics and Evaluation\'s Financing Global Health report. We then generated projections of malaria assistance from donors from 2013 to 2017. To measure government health expenditure, we used data from a diverse set of sources including the WHO Global Health Expenditure database and World Malaria Report, to estimate the share of domestic government health budgets spent on malaria from 2000 to 2013.
Findings Across the 35 included countries, US$895·5 million was given by donors for the elimination of malaria between 2000 and 2012. The funds were channeled mainly through the Global Fund to Fight AIDS, Tuberculosis, and Malaria. Most of these resources were spent on the strengthening of health systems and on bednets. However, most resources for malaria elimination are provided by local governments. In 2010, the year that SW033291 included countries received the most donor funding for malaria, government expenditure was still 4·6 times higher than that from foreign funding.
Interpretation Analysis of trends in malaria expenditure shows which countries and donors are prioritising the elimination of malaria, as well as how funding for elimination has evolved over time. These data can inform the ongoing efforts against malaria in the 35 elimination countries, and provide the basis for understanding how other countries can realistically move towards malaria elimination.
Funding The University of California, San Francisco\'s Malaria Elimination Initiative.
Declaration of interests
Abstract Background The American Mock World Health Organization (AMWHO) was established in 2013, and between October 2-4, 2015, the second AMWHO conference convened at the University of North Carolina, Chapel Hill, NC, USA. The aim of AMWHO is to engage students in health policy, empower future global leaders through simulations of WHO meetings, allow students to practise their knowledge of global health, and sharpen their skills in diplomacy, communication, problem solving, and conflict resolution. Here, we describe the AMWHO and report outcomes for delegates at the 2015 conference. Methods AMWHO recruited delegates through marketing to universities and social media. The 2015 conference was structured as a model conference; each student represented a WHO member nation to debate, and write resolutions on, the conference\'s theme—universal health coverage in 2015. After the conference, we surveyed delegates at AMWHO 2015 to seek feedback on their experience at the meeting. Findings AMWHO 2015 was attended by 113 undergraduate and graduate students from the USA and other countries. Students heard from experts in global health through lectures, lunch-and-learns, and panel discussions. We analysed 39 feedback forms and attendees described an overwhelmingly positive experience of the conference. Students said AMWHO had “revived [their] passion for diplomacy and advocacy,” and described the experience as one vitamins “could not be found in a classroom” and “influential” for their future plans. 35 of 39 respondents (90%) rated the experience as “good” or better, and 38 of 39 (97%) would recommend AMWHO to a friend. Resolutions from the conference were sent to WHO in Geneva, Switzerland.