How to get off a Dead Horse

1
How to get off a Dead Horse

• Today, no one needs to die from malaria.
• So why are they still dying?
• Larry Casazza, MD.MPH
• Director , ACAM-African Communities Against
  Malaria
• September 30, 2005

2
Current Situation

• Poor alignment among donors, governments,
  implementing NGOs and the communities they are
  trying to serve lack of a common vision
• At the household/community level, HIV/AIDS,
  Malaria and TB programming not integrated
• Lack of cohesive planning to give incentives to
  private sector ITN producers for continued
  production and product development
• Insufficient collaboration among NGOS themselves
  and involvement of their potential networks
• Families knowledge and desire for ITNs and
  effective treatment bypassed
• Governments lack a model for interaction with
  NGOS (and vise versa)
• Weak leadership being offered by current
  leaders

3
Results

• Today, more than one million malaria -related
  deaths occur each year, mostly in Africa with 70
  under five years of age a child dies every 30
  seconds
• Access to ITNs falls markedly short of Abuja
  targets for 2005 GFATM disbursements lagging
• Sustainability and ownership of programs missing
  heavy top-down planning still persists

4
Where to go in the future

• Link the financial resources to a Shared Vision
  held by all key stakeholders at all levels
• Initiate ways for direct support to already
  integrated successful Community-based approaches
  and motivate their scaling-up
• Interject Leadership to develop a new way of
  thinking about development of health systems for
  HIV/AIDS, Malaria and TB programs

5
Where to go in the future- Contd

• Cultivate models for network building and their
  sustainability
• Develop a shared governance framework for NGO
  collaboration and coordination
• Exploit private sector partnerships that create
  win-win results
• Grow a long-term vision that addresses simple
  business, management, and communication practices
  for effective aid distribution and technical
  updating