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PMI: Presidents Malaria Initiative - Saving lives in Africa.

About The President's Malaria Initiative

 Workers trained in Indoor Residual Spraying (IRS) march on World Malaria Day in Agoro Sare, Kenya. Source: James Kei/The Standard
Workers trained in IRS march on World Malaria Day in Agoro Sare, Kenya. Source: James Kei/The Standard

Launched in 2005, the President's Malaria Initiative (PMI) is a five-year, $1.2 billion expansion of U.S. Government resources to reduce the intolerable burden of malaria and help relieve poverty on the African continent. The goal of PMI is to reduce malaria-related deaths by 50 percent in 15 focus countries. with a high burden of malaria by expanding coverage of four highly effective malaria prevention and treatment measures to the most vulnerable populations: pregnant women and children under five years of age.

The 2008 Lantos-Hyde Act authorized an expanded PMI program for 2009-2013. PMI is a key component of the U.S. Government's Global Health Initiative (GHI), which was announced by President Obama in May 2009. As a result, the PMI strategy [PDF, 483KB] was revised to achieve Africa-wide impact by halving the burden of malaria in 70 percent of at-risk populations in sub-Saharan Africa, or approximately 450 million people. A comprehensive five-year evaluation of PMI will be conducted between 2011 and mid-2012.

PMI supports four proven and cost-effective prevention and treatment interventions: insecticide-treated mosquito nets, indoor residual spraying with insecticides, intermittent preventive treatment for pregnant women, and prompt use of artemisinin-based combination therapies for those who have been diagnosed with malaria. PMI helps countries scale up access to these interventions nationwide. Read Fast Facts About PMI [PDF, 165KB].

PMI Leadership

Global Health Initiative and President's Malaria Initiative

PMI is a core component of the GHI, a six-year, comprehensive effort to reduce the burden of disease and promote healthy communities and families around the world. Through the GHI, the United States will invest $63 billion over six years to help partner countries improve health outcomes, with a particular focus on improving the health of women, newborns, and children. Since its launch in 2005, PMI has reinforced the principles that are now part of the GHI. Read more about the Global Health Initiative and the President's Malaria Initiative.

PMI Background

Structure: PMI is an interagency initiative led by the U.S. Agency for International Development (USAID) and implemented together with the U.S. Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS). It is overseen by a U.S. Global Malaria Coordinator and an Interagency Steering Group made up of representatives of USAID, CDC/HHS, the Department of State, the Department of Defense, the National Security Council, and the Office of Management and Budget.

Cover image for the PMI Fifth Annual Report, April 2011.
Read the PMI Fifth Annual Report - April 2011 [PDF, 5.7MB]

Country Selection: The 15 focus countries were selected and approved by the Coordinator and the Interagency Steering Group using the following criteria:

  • High malaria disease burden;
  • National malaria control policies consistent with the internationally accepted standards of the World Health Organization;
  • Capacity to implement such policies;
  • Willingness to partner with the United States to fight malaria; and
  • Involvement of other international donors and partners in national malaria control efforts.

Approach: PMI is organized around four operational principles based on lessons learned from more than 50 years of USG efforts in fighting malaria, together with experience gained from implementation of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), which began in 2003. The PMI approach involves:

  • Use of a comprehensive, integrated package of proven prevention and treatment interventions;
  • Strengthening of health systems and integrated maternal and child health services;
  • Commitment to strengthen national malaria control programs and to build capacity for country ownership of malaria control efforts; and
  • Close coordination with international and in-country partners.

PMI works within the overall strategy and plan of the host country’s national malaria control programs and planning and implementation of PMI activities are coordinated closely with each Ministry of Health.

Malaria at a Glance
You can help fight malaria, find out how.

  • Each year, an estimated 300 million to 500 million people become ill with malaria, and more than 1 million die.
  • Every 30 seconds, an African child dies of malaria.
  • More than 80 percent of the world’s malaria deaths occur in sub-Saharan Africa.
  • Malaria is a leading cause of death of young children in Africa.
  • Malaria is a preventable and treatable disease.
  • Malaria causes an annual loss of $12 billion, or 1.3 percent, of Africa’s gross domestic product.
  • Malaria accounts for approximately 40 percent of public health expenditures in Africa.

Read About Malaria.

Partnerships

Partnerships are at the heart of PMI's strategy and operational plans. PMI works closely with host country governments; other U.S. Government agencies; international organizations; other bilateral, multilateral, and private donors; nongovernmental and faith-based organizations (NGOs and FBOs); and the private sector. Achieving the ambitious PMI coverage targets and reducing malaria deaths by half across 15 focus countries can only be achieved through a coordinated approach with a broad partner base, at both the country and international levels. PMI has forged strong partnerships in all PMI focus countries.

Who We Work With

Image containing the following logos: U.S. Department of State, National Institutes of Health (HHS/NIH), Centers for Disease Control and Prevention (HHS/CDC), World Health Organization (WHO), The World Bank, United Nations Children's Fund (UNICEF), The Global Fund to Fight AIDS, TB and Malaria, the American Red Cross, and the Roll Back Malaria Partnership. U.S. Department of State National Institutes of Health (NIH) Centers for Disease Control and Prevention World Health Organization (WHO) The World Bank United Nations Children's Fund (UNICEF) The Global Fund to Fight AIDS, Tuberculosis and Malaria American Red Cross Roll Back Malaria Partnership