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This brief is based on Working Paper 291

Malaria kills hundreds of thousands of people every year and is among the leading causes of death for children under five. While funding for malaria control increased dramatically in recent years, gains are fragile and budgets are now stagnating. In that fiscal reality, getting better value for money is more important than ever. In this brief, we present a framework for increasing the efficiency of malaria-control initiatives that addresses where to intervene,what interventions are best, and how to deliver them most effectively.Much of what is spent on malaria control is already spent well, but health policymakers and practitioners could get better value and save more lives by implementing the following recommendations:

  • Improve procurement procedures for bednets.
  • Reduce overlap of insecticide-spraying and bednet programs.
  • Expand the use of rapid diagnostics.
  • Scale up intermittent presumptive treatment for pregnant women and infants.

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