Solthis Solidarité Thérapeutique et Initiatives pour la Santé

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MALARIA

Paludisme

Malaria is caused by a parasite (Plasmosdium falciparum is the most frequent and most dangerous species) transmitted from a sick person to a healthy person by a vector, the mosquito. The most common manifestation is fever, but in the absence of treatment, malaria can rapidly lead to death, particularly from neurological problems (coma). Young children and pregnant women are particularly affected by the severe forms and death.

In 2013, an estimated 200 million cases of malaria caused 600,000 deaths, with 90% of cases occurring in Sub-Saharan Africa and 78% affecting young children. In numerous regions of the world, the parasite is becoming resistant to many antimalarial medications.

The primary measures in the fight against malaria are environmental actions to clean damp and swampy areas, use of insecticide-treated mosquito nets, and spraying insecticide inside homes to fight mosquitos, as well as preventative treatments for young children and pregnant women. Using rapid tests allows the diagnosis to be confirmed and, for negative tests, avoids needless treatment, which now often involves the combination of several medications for maximum effectiveness against resistant parasites. These measures, taken together, resulted in a 50% reduction in mortality since 2000.

 

 

Country action

NIGERMALISIERRA LEONEGUINEA

Expertise

ADVOCACYHEALTH FINANCINGGOVERNANCE AND HEALTH POLICIESCAPACITY BUILDINGSTRENGTHENING SYSTEMS AND HEALTH SERVICESHEALTH SERVICEHEALTH PRODUCTS AND PHARMACEUTICAL SYSTEMLABORATORIES AND TECHNICAL PLATFORMSHEALTH INFORMATION SYSTEM

Health priority

HIV / AIDSTUBERCULOSISMOTHER AND CHILD HEALTHHEPATITIS

Associated contents

Solthis' Report: “Managing Risk in Fragile States: Putting Health First! Optimising the Efficiency of the Global Fund’s Grants”

2014 |  Scientific Papers |  , ,

GUINEAMALINIGERSIERRA LEONEADVOCACYHEALTH FINANCINGHIV / AIDSTUBERCULOSISMALARIA

capture beandeau rapport fm eng pr enews

“Managing Risk in Fragile States: Putting Health First!

Optimising the Efficiency of the Global Fund's Grants”

This evidence-based report is the result of a work over several months, including 4 missions (Guinea, Mali, Niger and Sierra Leone) and interviews with 140 stakeholders. Through this work, we identified bottlenecks in the implementation of the Global Fund's grants in the field, showing that the Global Fund's Risk Management Policy is not well-adapted to fragile states. The additional safeguard measures which have been put in place by the Secretariat after the investigations of the Office of the Inspector General were meant to mitigate the financial risks and to reassure donors. However, experiences in challenging operating environments clearly show that these measures are mainly focused on financial risks and have caused significant malfunctions that jeopardise both the impact and the sustainability of the programmes. In order to make progress and to cope with the challenges specific to fragile states, we think it is now time for the Board members and the donors of the Global Fund to opt for an ambitious and innovative policy, which would put financial risk at its proper place: behind risks to public health. The main recommendations we are addressing in the report aim to place the public health risk at the centre of the mechanism, by:
  • Improving the balance between the analysis and the management of the different risks.
  • Simplifying and clarifying the control procedures: limit the number of contractors and the levels of validation.
  • Defining indicators or objectives for terminating additional safeguard measures to encourage appropriation and capacity building.
  • Investigating the possibility of an increased presence of the Global Fund in the field, by missions of several weeks or several months.
  • Adapting the indicators and procedures of performance-based funding and accountability measures to fragile states.
Full version of the report in English here You can also read our 4-pages booklet here The article of Altermondes dedicated to this topic and the interview of the author Hélène Roger

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