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Congressional scrutiny of USAID’s malaria control funding in 2004 and 2005 led the Agency to reform to its approach to the disease in 2006. USAID is now concentrating more funding in fewer countries, financing more insecticide-treated nets (ITNs), effective drugs, and indoor residual spraying (IRS). Additionally, the President’s Malaria Initiative (PMI) is measuring its impact on disease burden, cooperating with partners and publishing detailed reports. USAID’s renewed commitment to transparency and accountability should ensure meaningful assessments and enable the Agency to alter country programs based on results. In addition to reducing disease burden, building in-country capacity to control malaria will be the true test of its reforms moving forward.

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Roger Bate is a resident fellow at AEI.