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Draft global malaria technical 
strategy 2016–2030 
Dr H. Nakatani, Assistant Director-General, HIV, TB, 
Malaria and Neglected Tropical Diseases, WHO 
headquarters 
WHO Regional Committee for Europe 
Copenhagen, Denmark 
18 September 2014 
1
Process to date and next steps 
 May 2013: World Health Assembly – Member States supported development of a 
2 
global technical strategy for malaria 
 July 2013: steering committee constituted 
 March 2014: first draft reviewed by Malaria Policy Advisory Committee (MPAC) 
 March–June 2014: 7 regional consultations attended by over 400 participants 
(http://www.who.int/malaria/areas/global_technical_strategy/meetings/en) 
 July 2014: final steering committee meeting 
 July–August 2014: open web consultation: 228 people registered, 39 responses 
received online and 14 by email 
 September–end 2014: final MPAC review, discussion by Programme 
Subcommittee of WHO in the African Region and the WHO Regional Committee 
for Europe, submission to Executive Board 
 January 2015: review by Executive Board 
 March 2015: submission to World Health Assembly 
 May 2015: World Health Assembly agenda item
Principles 
 All countries can accelerate efforts towards elimination through 
combinations of interventions tailored to local contexts. 
 Country ownership and leadership, with community involvement and 
participation, are essential to accelerating progress through a 
multisectoral approach. 
 Improved surveillance, monitoring and evaluation, and stratification of 
programmes are required to optimize the implementation of malaria 
interventions. 
 Equity in access to services, especially for the most vulnerable and 
hard-to-reach populations, is essential. 
 Innovation in tools and implementation approaches will enable 
countries to maximize their progress along the path to elimination. 
3
Vision, milestones and goal 
Vision – A world free of malaria 
4 
Milestones Goal 
2020 2025 2030 
Reduce malaria 
mortality rates 
globally compared 
with 2015 
>40% >75% >90% 
Reduce malaria 
case incidence 
globally compared 
with 2015 
>40% >75% >90% 
Eliminate malaria 
from countries in 
which it was 
transmitted in 2015 
At least 10 
countries 
At least 20 
countries 
At least 35 
countries 
Prevent re-establishment 
in all 
countries that are 
malaria free 
Re-establishment 
prevented 
Re-establishment 
prevented 
Re-establishment 
prevented 
 Decision to retain the 
global targets although 
dominated by mortality 
and morbidity 
 Timeframe of the goals 
now aligned with the 
sustainable development 
goals 
 Countries to set their 
own national or 
subnational goals 
 Inclusion of a 4th goal to 
address prevention of re-establishment 
in malaria-free 
countries
Strategic framework 
5 
Pillar 1. Ensure 
universal 
access to 
malaria 
prevention, 
diagnosis and 
treatment 
Pillar 2. 
Accelerate 
efforts towards 
elimination and 
attainment of 
malaria-free 
status 
Pillar 3. 
Transform 
malaria 
surveillance 
into a core 
intervention 
Supporting element 1. 
Harnessing innovation and expanding research 
Supporting element 2. 
Strengthening the enabling environment
Role of the WHO Secretariat 
• Set, communicate and disseminate normative guidance, policy advice and 
implementation guidance, swiftly integrating new tools through the work of 
MPAC 
• Provide guidance to Member States to review and update national malaria 
6 
strategies 
• Work with countries to improve management and use of data for decision-making, 
monitor implementation and progress toward targets (2020, 2025 
and 2030). 
• Monitor regional and global malaria trends and support efforts to monitor 
efficacy of drugs and vector-control interventions. All data will be made 
available to countries and global partners. 
• Promote research and knowledge generation to accelerate progress toward 
elimination 
• Update the global technical strategy regularly to ensure linkage to the latest 
policy recommendations
Suggested points for discussion 
The Regional Committee is invited to review 
this informal note and make additional 
comments to further develop the draft 
strategy, particularly feedback on: 
(1) vision and milestones 
(2) proposed strategic framework 
(3) support required from the Secretariat. 
7

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Draft global malaria technical strategy 2016–2030

  • 1. Draft global malaria technical strategy 2016–2030 Dr H. Nakatani, Assistant Director-General, HIV, TB, Malaria and Neglected Tropical Diseases, WHO headquarters WHO Regional Committee for Europe Copenhagen, Denmark 18 September 2014 1
  • 2. Process to date and next steps  May 2013: World Health Assembly – Member States supported development of a 2 global technical strategy for malaria  July 2013: steering committee constituted  March 2014: first draft reviewed by Malaria Policy Advisory Committee (MPAC)  March–June 2014: 7 regional consultations attended by over 400 participants (http://www.who.int/malaria/areas/global_technical_strategy/meetings/en)  July 2014: final steering committee meeting  July–August 2014: open web consultation: 228 people registered, 39 responses received online and 14 by email  September–end 2014: final MPAC review, discussion by Programme Subcommittee of WHO in the African Region and the WHO Regional Committee for Europe, submission to Executive Board  January 2015: review by Executive Board  March 2015: submission to World Health Assembly  May 2015: World Health Assembly agenda item
  • 3. Principles  All countries can accelerate efforts towards elimination through combinations of interventions tailored to local contexts.  Country ownership and leadership, with community involvement and participation, are essential to accelerating progress through a multisectoral approach.  Improved surveillance, monitoring and evaluation, and stratification of programmes are required to optimize the implementation of malaria interventions.  Equity in access to services, especially for the most vulnerable and hard-to-reach populations, is essential.  Innovation in tools and implementation approaches will enable countries to maximize their progress along the path to elimination. 3
  • 4. Vision, milestones and goal Vision – A world free of malaria 4 Milestones Goal 2020 2025 2030 Reduce malaria mortality rates globally compared with 2015 >40% >75% >90% Reduce malaria case incidence globally compared with 2015 >40% >75% >90% Eliminate malaria from countries in which it was transmitted in 2015 At least 10 countries At least 20 countries At least 35 countries Prevent re-establishment in all countries that are malaria free Re-establishment prevented Re-establishment prevented Re-establishment prevented  Decision to retain the global targets although dominated by mortality and morbidity  Timeframe of the goals now aligned with the sustainable development goals  Countries to set their own national or subnational goals  Inclusion of a 4th goal to address prevention of re-establishment in malaria-free countries
  • 5. Strategic framework 5 Pillar 1. Ensure universal access to malaria prevention, diagnosis and treatment Pillar 2. Accelerate efforts towards elimination and attainment of malaria-free status Pillar 3. Transform malaria surveillance into a core intervention Supporting element 1. Harnessing innovation and expanding research Supporting element 2. Strengthening the enabling environment
  • 6. Role of the WHO Secretariat • Set, communicate and disseminate normative guidance, policy advice and implementation guidance, swiftly integrating new tools through the work of MPAC • Provide guidance to Member States to review and update national malaria 6 strategies • Work with countries to improve management and use of data for decision-making, monitor implementation and progress toward targets (2020, 2025 and 2030). • Monitor regional and global malaria trends and support efforts to monitor efficacy of drugs and vector-control interventions. All data will be made available to countries and global partners. • Promote research and knowledge generation to accelerate progress toward elimination • Update the global technical strategy regularly to ensure linkage to the latest policy recommendations
  • 7. Suggested points for discussion The Regional Committee is invited to review this informal note and make additional comments to further develop the draft strategy, particularly feedback on: (1) vision and milestones (2) proposed strategic framework (3) support required from the Secretariat. 7

Editor's Notes

  1. Regional Consultation participants included Malaria experts, Country Programme representatives, International partner organization representatives, other stakeholders and GTS Steering Committee members
  2. 1.The section is revised to now include five underlying principles with the first and the second principles addressing community involvement and participation and the country ownership and leadership merged 2.Multisectoral approach adopted as a principle 3. The scope of equity elaborated to address the most vulnerable and hard-to-reach populations 4.Inclusion of improved surveillance, monitoring and evaluation, as well as stratification of programmes as a principle to optimize the implementation of malaria interventions 5.The role of innovation broadened to include tools and implementation approaches that will enable countries to maximize their progression along the path to elimination
  3. The milestones and goals were developed based on three methods of analysis: 1) the targets of national malaria programmes as stated in their national strategic plans, 2) the magnitude of decreases in the numbers of cases and deaths due to malaria between 2000 and 2012, as reported to WHO, and 3) the results of mathematical modelling of transmission of falciparum malaria in order to estimate the potential impact of applying different combinations of recommended interventions between 2015 and 2030.
  4. Pillar 1: The WHO-recommended package of core interventions including quality-assured vector control, chemoprevention, diagnostic testing and treatment can dramatically reduce morbidity and mortality Pillar 2: Countries need to intensify efforts to reduce onward transmission in defined geographical areas, particularly in settings where transmission is low. Pillar 3: Strengthening malaria surveillance is fundamental to programme planning and implementation, and is a crucial factor for accelerating progress. Supporting element 1: In support of these three pillars, countries where malaria is endemic and the global malaria community should harness innovation and increasingly engage in basic clinical and implementation research. Supporting element 2: Strong health systems, both public and private, are important for reducing both tht disease burden and the potential for onward transmission of parasites, and enable the adoption and introduction of new tools and strategies.
  5. Recommendations for WHO to be ambitious in advocating for political commitment for the GTS including having the Member States endorsements