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AMA, Health

African Leaders Call for Sustainable Malaria Financing as Progress Stalls and Funding Crisis Deepens

MaraviPost

The 2025 Africa Malaria Progress Report reveals 270.8 million cases and nearly 600,000 deaths. It warns of potential resurgence, as Heads of State and Government urge increased domestic resource mobilisation, call on partners to honour their commitments, and demand a renewed World Bank Malaria Booster Programme.

ADDIS ABABA, Ethiopia, 16 February 2026-/African Media Agency(AMA)/- Against a backdrop of stalled progress, declining international funding, and intensifying threats, African Heads of State and Government today issued a unified call for a new era of malaria financing at the 39th African Union Summit in Ethiopia. The African Union Malaria Progress Report 2025, presented by President Advocate Duma Gideon Boko of the Republic of Botswana and Chair of the African Leaders Malaria Alliance (ALMA), warns that without urgent action, the continent risks losing decades of hard-won gains against the disease.

Urgent action required as perfect storm intensifies
The 2025 report reveals that African Union Member States accounted for 270.8 million malaria cases (96% of the global total) and 594,119 deaths (97% of the global total) in 2024. Progress has stalled since 2015, and only five Member States have achieved the 2025 Catalytic Framework targets for reducing malaria incidence or mortality by 75%. These targets are part of the AU Catalytic Framework to End AIDS, TB and Eliminate Malaria in Africa by 2030.

The report warns that a 30% reduction in funding will result in 640 million fewer insecticide-treated nets, 146 million additional malaria cases, 397,000 additional deaths (75% among children under five), and a loss of $37 billion in GDP by 2030. Without urgent action, the report warns that malaria could resurge significantly, with cases potentially exceeding 400 million per year and deaths surpassing one million annually.

“The perfect storm of converging crises threatening malaria elimination has intensified. Official Development Assistance for health in Africa has declined by 70% in just four years, and the Eighth Replenishment of the Global Fund fell significantly short of its $18 billion target. We cannot allow these challenges to reverse decades of progress that have prevented 1.64 billion cases and saved 12.4 million lives since 2000.”
~ President Advocate Duma Gideon Boko, Republic of Botswana, Chair of ALMA

A new era of financing as Africa takes the lead
In response to the funding crisis, African leaders reaffirmed their commitment to domestic resource mobilisation, innovative financing and the development of national health financing sustainability plans. The report highlights that End Malaria Councils and Funds in 12 countries have now mobilised over $200 million through public-private partnerships, demonstrating the power of multisectoral collaboration. Establishing public-private partnerships is essential for delivering sustainable financing. These partnerships can unlock new investments, propelling progress not only toward malaria elimination but also toward universal health coverage. A whole-of-society approach, engaging the private sector, philanthropic foundations, high-net-worth individuals and the diaspora through a public private health accelerator, will reinforce domestic commitments and deliver a win-win partnership.

Countries across the continent are stepping up with increased domestic financing commitments for malaria in 2025. Leaders called on global partners to honour their commitments, renew the World Bank’s Malaria Booster Programme, and align support with national strategies. The original World Bank Malaria Booster Programme (2005-2010) committed over $1 billion with transformative results. Today, African leaders are urging a renewed programme to close funding gaps, deploy next-generation tools, strengthen community health worker programmes, and build climate-resilient health systems. Investing in malaria in this way will also strengthen primary health care, making our health systems more resilient to shock and put us on a path to defeating other health challenges such as neglected tropical diseases.

“Our approach has spanned the full spectrum of what it takes to beat this disease. Tanzania has invested in world-class research and is home to the Ifakara Health Institute, where our scientists are working at the frontier of new technologies, including gene drive–an innovative approach that aims to ensure mosquitoes can no longer transmit the malaria parasite. This is African science, conducted by African researchers, addressing an African challenge.”
~ H.E. Samia Suluhu Hassan, President of the United Republic of Tanzania

New, powerful next-generation tools gaining ground
Despite the challenges, the report highlights significant progress in deploying innovative tools. In 2025, 74% of insecticide-treated nets distributed across Africa were next-generation dual active-ingredient nets, up from just 20% in 2023. These nets are 45% more effective than pyrethroid-only nets against resistant mosquitoes.

Twenty-four countries have now introduced WHO-approved malaria vaccines for children under five, with 28.3 million doses distributed in 2025, up from 10.5 million in 2024. Additionally, WHO prequalified two spatial repellent products in 2025, marking the first new vector control intervention introduced in decades. A record 22 countries planned to implement seasonal malaria chemoprevention in 2025. The malaria innovation pipeline remains stronger than ever.

Promoting health sovereignty through local manufacturing
Leaders emphasised the importance of local manufacturing to ensure affordability, access, and supply chain resilience. Currently, Africa imports 99% of vaccines and 95% of medicines. The report highlights that Nigeria has entered into partnerships for local production of antimalarial treatments and rapid diagnostic tests, and is working to establish the first Africa-manufactured next-generation nets.

The African Medicines Agency, with 31 countries now ratified, and Regional Economic Communities are harmonising regulatory frameworks to accelerate the registration of new commodities across the continent.

“Full deployment of existing and new tools, combined with full funding, could save over 13.2 million lives over the next 15 years and boost African economies by over $140 billion. Every dollar invested in the Global Fund delivers $19 in returns. We have the tools. We need the resources.”
~ Dr. Michael Adekunle Charles, CEO, RBM Partnership to End Malaria

What must be done
The Heads of State and Government issued a clear call to action, urging all Member States to treat malaria as a central pillar of health sovereignty and economic transformation, protect and increase domestic and external funding, and fully implement the priorities of the Catalytic Framework through a Big Push Against Malaria.

Leaders called on international partners to fulfil commitments, align support with national strategies, and invest in the tools and systems that will secure a malaria-free future. They emphasised that the path ahead is challenging. Nevertheless, with determined leadership, the smart use of data, and sustained investment, Africa can bend the curve towards elimination and ensure that future generations grow up free from the threat of malaria.

Distributed by African Media Agency (AMA) on behalf of African Union

Notes to Editors: The African Union Malaria Progress Report 2025 is available for download at:  www.au.int and  www.alma2030.org

About the Africa Malaria Progress Report:
The Africa Malaria Progress Report is an annual publication prepared by the African Union Commission, African Leaders Malaria Alliance and RBM Partnership to End Malaria. It tracks progress against the AU Catalytic Framework targets, highlights challenges and threats to malaria elimination, and documents Member State actions to accelerate progress. The report is presented annually to Heads of State and Government at the African Union Summit.

About ALMA:
Founded in 2009, the African Leaders Malaria Alliance (ALMA) is a ground-breaking coalition of African Heads of State and Government working across country and regional borders to achieve a malaria-free Africa by 2030. www.alma2030.org

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Health

Prevention revolution and policy harmonisation are critical to end AIDS

Maravi Post Reporter

SHOBHA SHUKLA – CNS

Despite having science-based tools for HIV combination prevention, there were 1.3 million people who A collage of people with textdiagnosed with HIV in 2023 – and also in 2024 – hardly any decline between the two years. Despite having science-backed lifesaving antiretroviral therapy to help every person living with HIV healthy and well (and virally suppressed – which also ensures there is zero risk of HIV transmission because treatment works as prevention), 630,000 people died of AIDS-related illnesses in 2023 – and also in 2024 – hardly any decline between the two years. We clearly need a prevention revolution to drastically bring down new HIV infections as well as a lot more needs to be done to reduce AIDS-related deaths. ‘Business as usual’ is clearly not an option.

In sub-Saharan Africa, one in four (~25%) of new HIV infections occur among key populations, but in Asia Pacific region, four in five (79%) of new HIV infections occur among key populations (such as men who have sex with men, sex workers, transgender people, persons who inject drugs, among others).

In 2024 alone, there were an estimated 800,000 new HIV infections in sub-Saharan Africa, and women and girls accounted for 63% of them. Adolescent girls and young women aged 15-24 are more than twice as likely to acquire HIV as their male peers. These numbers remind us that HIV remains a public health crisis. But HIV is not just a medical or health issue—it is deeply intertwined with social, economic, and legal factors. To truly end HIV as a public health threat, we must look beyond the virus itself and address the broader context in which it thrives,” said Letlhogonolo Mokgoroane, Legal Representative and Head of Strategic Litigation and Research, OurEquity, South Africa; member of Johannesburg Society of Advocates.

“Sexual and reproductive health, rights and justice (SRHRJ) is about more than access to contraception or maternal care. It is about the right of every individual to make informed decisions about their bodies, free from violence, coercion, or discrimination. When people – especially women and girls – are denied these rights, they become more vulnerable to HIV and other health risks. For example, only 40% of young women in sub-Saharan Africa have comprehensive knowledge about HIV prevention. In some countries, less than 50% of women have access to modern contraception. Gender-based violence remains alarmingly prevalent: in South Africa, a woman is killed every three hours, and one in three women has experienced intimate partner violence,” said Letlhognolo.

Letlhogonolo was speaking in SHE & Rights (Sexual Health with Equity & Rights) session co-hosted by Global Center for Health Diplomacy and Inclusion (CeHDI), International Conference on Family Planning (ICFP 2025), Family Planning News Network (FPNN), International Planned Parenthood Federation (IPPF), Asian-Pacific Resource and Research Centre for Women (ARROW), Women’s Global Network for Reproductive Rights (WGNRR), Asia Pacific Media Alliance for Health and Development (APCAT Media) and CNS.

Survivors of violence are at a 50% higher risk of acquiring HIV

“Criminalisation of same-sex relationships and sex work drives key populations underground, away from essential health services. In 31 African countries, same-sex relationships are still criminalised, making it difficult for LGBTQIA+ individuals to access HIV prevention and care. Sex workers, who are 13 times more likely to be living with HIV than the general population, often face harassment and violence, further increasing their vulnerability. Justice is central to this conversation. Laws and policies that discriminate against people living with HIV, LGBTQIA+ individuals, sex workers, and other marginalised groups, not only violate human rights but also fuel the epidemic,” said Letlhogonolo.

“For example, in Nigeria, the Same Sex Marriage (Prohibition) Act has led to a 41% decrease in access to HIV services among men who have sex with men. Justice means ensuring that everyone—regardless of who they are or whom they love—can access the information, services, and support they need to live healthy, fulfilling lives,” added Letlhogonolo.

If HIV funding is not fully restored, new infections and AIDS deaths can increase alarmingly

“Recent global funding cuts could send the world back to levels of HIV infections and AIDS-related deaths not seen since the early 2000s. Next 5-years projection show that new HIV infections and AIDS-related deaths globally can dangerously rise if the lost funding (both this year and in recent years) does not return. Many countries have reduced their investments and domestic funding is often inadequate to fully fund the AIDS response – which has been relying on external support,” said Eamonn Murphy, UNAIDS Regional Director for Asia Pacific, and Central Asia and Eastern Europe.

“Nine countries in Asia and the Pacific region have rising new HIV infection rates. 9 countries in the region have too low coverage of lifesaving antiretroviral treatments. Moreover, the region has been hit with funding crisis – and – overall HIV prevention crisis too. Between 2010 to 2024, there were 9 countries in Asia Pacific which reported an increase in newly diagnosed people with HIV. Fiji has the world’s fastest growing epidemic, new HIV infections increased by over 3091% in Fiji,” said Murphy.

“Along with Fiji, other countries in Asia Pacific where there was an upswing in the number of people newly diagnosed with HIV between 2010-2024 are: 562% rise in Philippines; 187% rise in Afghanistan; 84% rise in Papua New Guinea; 67% rise in Bhutan; 48% rise in Sri Lanka; 42% rise in Timor-Leste; 33% rise in Bangladesh; and 16% rise in Lao PDR. Between 2010-2024, there were 9 countries in Asia Pacific which are also treating less than half of the people living with HIV, such as Afghanistan (11%), Pakistan (16%), Fiji (24%), Philippines (40%), Bangladesh (41%), Indonesia (41%), Mongolia (41%), PNG (46%), and Maldives (48%),” said Murphy of UNAIDS.

Between 2010-2024, there were 9 countries in Asia Pacific which are also treating less than half of the people living with HIV, such as Afghanistan (11%), Pakistan (16%), Fiji (24%), Philippines (40%), Bangladesh (41%), Indonesia (41%), Mongolia (41%), PNG (46%), and Maldives (48%).

“Compared to the decline in the number of people newly diagnosed with HIV between 2010-2024 worldwide (40%), the decline in Asia Pacific is far behind (17%),” said Eamonn of UNAIDS. In Eastern and Southern Africa, new HIV infections declined by 57% during the same period.

Pam Ntshekula calls for rights and safety of sex workers

“Our mission is clear: sex workers deserve dignity, protection, and full recognition of their human rights. We are calling for the full decriminalisation of sex work because sex workers deserve to work in safe, free, and dignified spaces. Right now, criminalisation puts sex workers at risk – it makes them more vulnerable to violence, police abuse, stigma, and poor health access. Decriminalisation would mean sex workers can report crimes without fear, access healthcare without judgment, and work without hiding. It is not just a legal issue —it is about human rights, health, and safety. Every sex worker deserves to be protected, respected, and free to choose how they live and work,” said Pam Ntshekula is a dedicated advocate for the rights and safety of sex workers and Lobbyist Officer, Sex Workers Education and Advocacy Taskforce (SWEAT), South Africa.

“Many sex workers avoid clinics due to stigma and mistreatment. Full decriminalisation ensures safe, respectful access to SRHR services. Criminalisation limits condom use, outreach, and health education. Decriminalisation creates safer environments for prevention and care. Constant fear of arrest, violence, and shame harms mental wellness. SDG3 includes mental health – sex workers deserve safety and peace of mind,” Pam added.

“Sex workers face high levels of rape, assault, and abuse – often from police or clients. Decriminalisation allows them to report violence and access justice. Gender equality means protecting all genders and identities. My message is: There is no health without rights. There is no equality without decriminalisation. Decriminalising sex work is the single most powerful move to remove legal barriers to health access, justice, and human dignity. It also lets peer educators and health organisations do their work without fear,” said Pam. “We also need to tackle poverty and unemployment by linking sex workers to job training, housing support, and social grants if they choose to exit. Empowerment means choices, not pressure.”

SDG goals and targets are not standalone but interconnected

“Each of SDG goals and targets are interconnected. For example, studies show that countries with higher gender equality have lower rates of HIV infection among women. In Botswana, legal reforms to protect women’s property rights have led to increased economic independence and better health outcomes. We cannot achieve health without justice. We cannot achieve justice without upholding rights. And we cannot uphold rights without addressing the root causes of inequality and exclusion,” said Letlhogonolo.

“It means we must break down silos. HIV programmes cannot operate in isolation from broader sexual and reproductive health services. Legal reforms must go hand in hand with public health initiatives. We must listen to and empower those most affected—young people, women, LGBTQIA+ communities, and people living with HIV—to lead the way,” they added.

“It means investing in education, not just about HIV, but about consent, healthy relationships, and bodily autonomy. In Uganda, the DREAMS initiative, which combines HIV prevention with education and economic empowerment for adolescent girls, has reduced new HIV infections among participants by 25%. Supporting community-based organisations is crucial: in Kenya, peer-led outreach among sex workers has doubled the uptake of HIV testing and treatment. It means holding governments accountable for their commitments to human rights and the SDGs,” stressed Letlhogonolo.

“In 2023, out of 54 African countries, only 16 African countries had fully funded their national HIV responses. We must advocate for increased domestic investment and international solidarity. And it means recognising that justice is not just a legal concept—it is a lived reality. When a young woman can access contraception without fear, when a gay man can seek HIV testing without shame, when a sex worker can report violence without risking arrest, we are moving closer to justice,” rightly said Letlhogonolo.

“Essential health services must include sexual and reproductive health services – including safe abortion and post-abortion care, menstrual health hygiene, and mental health services, with particular attention to women, adolescent girls, persons with disability, indigenous peoples, gender diverse communities, older people, young people, migrant workers, refugees, people living with HIV, sex workers, people who use drugs, among others. They must also include all health and social support services for survivors of sexual and gender-based violence,” said Shobha Shukla, Lead Discussant for SDG-3 at the United Nations High Level Political Forum 2025 (HLPF 2025) in New York. “We have to ensure that health responses are people-centred, gender transformative and rights-based for all, without any condition or exclusion.”

She rightly called upon the government leaders who had assembled at the UN: “With less than 5 and a half years left to deliver on SDG3, we appeal to governments to step up their actions on gender equality and right to health – where no one is left behind.”

Shobha Shukla – CNS (Citizen News Service)

(Shobha Shukla is a feminist, health and development justice advocate, and an award-winning founding Managing Editor and Executive Director of CNS (Citizen News Service). She was also the Lead Discussant for SDG-3 at United Nations High Level Political Forum (HLPF 2025). She is a former senior Physics faculty of prestigious Loreto Convent College; current President of Asia Pacific Regional Media Alliance for Health and Development (APCAT Media); Chairperson of Global AMR Media Alliance (GAMA received AMR One Health Emerging Leaders and Outstanding Talents Award 2024); and coordinator of SHE & Rights (Sexual Health with Equity & Rights). Follow her on Twitter/X @shobha1shukla or read her writings here www.bit.ly/ShobhaShukla)

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