What is needed now?
Reversing the upward trend in malaria burden requires urgent and coordinated action. Countries must strengthen leadership, governance and accountability mechanisms, building on the Yaoundé Declaration and the forthcoming Big Push framework. The goal remains clear: with the tools and resources available, no one should die from malaria. Sustained financing is essential to maintain global progress against malaria. History shows that even modest funding cuts can trigger malaria resurgence and increased disease burden. From 2024 to 2025, global malaria financing faced serious setbacks. Total funding in 2024 reached only US$ 3.9 billion, less than half of what is required, and Official Development Assistance (ODA) fell by 21%, largely due to reductions in support from the United States of America. Reductions in ODA have disrupted health systems, weakening routine surveillance. This has led to the cancellation or postponement of most planned surveys and increased the risk of stock-outs...