Deadly Malaria Looming, African Leaders Warn: Want Urgent Action

African Union Heads of State and Government, global health leaders and development partners have warned about the looming deadly malaria and issued a joint call for urgent action to address the looming emergency. They warned that failure to act now will put at risk both the African Union’s target of eliminating malaria in Africa by 2030, and the UN target of ending malaria epidemics by 2030.
At a press briefing in New York, leaders warned that the world is facing the biggest malaria emergency of the last two decades, due to a perfect storm of climate change, growing resistance impacting the efficacy of insecticides, antimalarials and rapid diagnostic tests as well as inadequate funding linked to the global financial crisis.
President Umaro Sissoco Embaló of the Republic of Guinea-Bissau and Chair of the African Leaders Malaria Alliance painted an alarming picture: “We are at a critical juncture. There are currently insufficient resources to even maintain existing lifesaving malaria programmes, posing the most serious threat to malaria elimination in the last 20 years. If we don’t act swiftly to address the immediate gap of $1.5 billion and mobilise the necessary resources, we will undoubtedly see malaria upsurges and epidemics.”
Examples were shared of how the ongoing global financial crisis has led to significant increases in the cost of delivering essential malaria interventions. Countries are now facing increasing levels of insecticide and drug resistance requiring newer, more expensive tools and approaches to be effectively addressed. Leaders also shared how the impacts of climate change, including a rise in extreme weather events such as temperature increases, flooding and cyclones, and the resulting humanitarian emergencies, are expanding the areas impacted by malaria and the costs of delivering programmes. These higher costs are leading to the reversal of previously hard-won gains against malaria.
“Defeating Malaria across the continent is a priority. Without defeating this age-old disease, we will miss the targets that we have set for ourselves for healthy citizens and socio-economic transformation. We must meet the ambitious targets set out in the Catalytic Framework to End AIDS, TB and Eliminate Malaria in Africa by 2030, Africa Health Strategy and Africa’s Agenda 2063, the Africa that we want. We need to ensure that we sustain our political commitment and continue to translate these commitments into concrete action. With most AU Member States off-track to achieve the goal of eliminating malaria by 2030, much still needs to be done” said Professor Julio Rakotonirina, Director Health, and Humanitarian Affairs at the African Union Commission.
During the press briefing, leaders addressed accelerating the launch of multisectoral high level National End Malaria and Neglected Tropical Disease councils and funds to maintain malaria high on the national development and resource mobilization agenda as well as to increase public and private sector domestic funding. Examples were shared of increasing public sector budget allocation to health and malaria. They addressed prioritization of health and malaria financing in the country allocations of World Bank International Development Association (IDA) funding; and the use of debt swaps. The World Bank was urged to commit to a new Malaria Booster Programme to facilitate the additional financing needed to close immediate gaps, with additional commitments from regional development banks. Increased international financing from traditional donors and new donor markets remains critical.
The CEO of the RBM Partnership to End Malaria, Dr Michael Charles said: “The malaria situation is extremely precarious. While we saw good progress against the disease in the early 2000s thanks to the immense support received for malaria programmes, in recent years we have seen funding overall plateau due to other health pressures like the COVID pandemic and the global economic downturn. As a result, we are now facing the biggest malaria emergency in decades. Already, this disease claims around 600,000 lives annually and kills a child every minute. If we do not take more action urgently, we will see this worsen and a regression of the gains we have made. We face a multitude of challenges, from climate change to insecticide resistance, but we also have an opportunity to get this right, and even use our response to malaria as an entry point to strengthen health systems more broadly. To do this, we need to integrate, innovate, accelerate and get the needed finances to take us over the line of elimination and eradication.”
President Embaló called on fellow Heads of State, Government and partners to act: “Now is the time to fully finance the malaria fight to ensure that we eliminate the disease once and for all. This can be achieved through integrated approaches, with malaria as an essential pathfinder when strengthening health systems for UHC and pandemic preparedness; as well as for mitigating and adapting to the impact of climate change”.
The fight against malaria is at a crossroads. It is up to countries, regions and the global community to protect the gains made over the past two decades, and to achieve the 2030 target of putting an end to malaria epidemics and delivering an Africa free of malaria.








Home And Away, Tinubu Is Taking Nigeria To Its Rightful Place, By Mohammed Idris
Having hit the ground running at home, with a series of very bold and unprecedented reform decisions, President Bola Ahmed Tinubu has gone ahead to seize the opportunity offered by the month of September 2023, to make a grand entry onto the global stage.
In what has been his busiest month on the global stage since he assumed office, President Tinubu traveled to India for the G20 Summit on the special invitation of Prime Minister Modi, made a stopover on his way back home for a crucial meeting with the leadership of the United Arab Emirates (UAE), on lingering issues of concern between UAE and Nigeria, and then traveled to New York to make his debut at the most important annual gathering of Heads of State, the United Nations General Assembly (UNGA).
At the UN—in a delivery reminiscent of the powerful and iconic ‘Africa Has Come Of Age’ speech by the late Head of State, General Murtala Muhammed, almost five decades ago—President Tinubu caught the attention of a listening world with his emphasis on an equal and mutually beneficial relationship between Africa and the world, instead of one defined by condescension, pity and greed.
The President spoke boldly for the entire African continent, tracing the history of the post-World War 2 global system, starting with a Marshall Plan that helped redeem Europe. Asking for a 21st century equivalent for that Plan, President Tinubu added, “We realize that underlying conditions and causes of the economic challenges facing today’s Africa are significantly different from those of post war Europe. We are not asking for identical programs and actions. What we seek is an equally firm commitment to partnership. We seek enhanced international cooperation with African nations to achieve the 2030 agenda and Sustainable Development Goals.”
At every engagement, he has taken the time to remind the world of just how significant his first four months in office have been, in terms of laying the foundation for unlocking levels of economic growth and prosperity that we have always been capable of, but have sadly remained a pipe dream.
He ended a costly and wasteful fuel subsidy regime that has, over the decades, deprived the country of tens of billions of dollars in potential infrastructure and human capital investments. He also commenced an overhaul of the Central Bank of Nigeria, shaking up the leadership of the bank and supporting it to abolish an inefficient system of multiple exchange rates, which, like the petrol subsidy, has seen a lot of abuse, and stifled domestic and international confidence in the economy.
President Tinubu has also assembled a cabinet with an impressive representation of young people and women, while also creating new Ministries and ministerial portfolios to reflect the pressing realities of the 21st century, as well as the priorities of our administration.
For example, we now have a Federal Ministry of Marine and Blue Economy, recognizing the unlimited potential of that sector to produce national prosperity. We also now have a dedicated Ministry for the Creative Economy. In addition, the Ministry of Agriculture has been expanded to include Food Security, underpinning the President’s declaration of a national emergency on Food Security early on in his administration.
On the regional level, President Tinubu has, in his role as recently-elected Chairman of ECOWAS, shown great commitment to stemming the condemnable wave of military takeovers that have rocked the sub-region, and I expect his diplomatic efforts to yield enduring fruit in the months ahead.
The President is being supported in his many onerous assignments by a very energetic and committed Cabinet. In the last few days, I joined some of my colleagues for events at the UN General Assembly, and can testify to the remarkable levels of determination within the cabinet, to solve Nigeria’s problems with the support and cooperation of the global community.
I can boldly assert that we stand on the threshold of a Nigeria that is a true global giant, a country that is able to fully exploit its immense potential energy of demographics, culture, and entrepreneurial dynamism. I have no doubt that my colleagues and I, under the leadership of the President, will step boldly forward, not backwards, from this historic threshold.
We have a very busy last quarter of the year ahead of us. The administration will finalize and unveil its inaugural budget, which will set the tone for investors and other potential partners, about our priorities. Nigeria will take part in the annual global gathering for Climate Change, COP28, in Dubai. We will push forward with work on the various reforms that the President has kickstarted, from tax policy reform to a Compressed Natural Gas (CNG) transition for petrol- and diesel-powered vehicles, to the full implementation of a comprehensive relief package to cushion the effects of the fuel subsidy.
As the President has repeatedly said, most recently last week in New York: “I am mindful of the transient hardship that reform can cause. However, it is necessary to go through this phase in order to establish a foundation for durable growth and investment to build the economy our people deserve.”
He understands how important it is to engage with the world to achieve this. During this month of diplomatic shuttling, he has met with Presidents and Head of States from the United States, India, Germany, South Korea, South Africa, Angola, Jordan, among others.
From the global business executives he has held meetings with this month—Exxon Mobil, Bharti Enterprises, Oracle, Hinduja Group, Indorama, Skipper Seil, and others—he has received pledges amounting to several billions of dollars in new investments. This cannot be overemphasized: at the end of the day, one of our administration’s overriding goals is to attract new investment that will create jobs and wealth for the people of Nigeria.
We will continue to finetune and amplify our narrative in this regard—a message that the President reiterated at every opportunity in New Delhi and New York—that Nigeria is open and ready for business, with partners who are equally open and ready for business with us, and who are not looking to exploit us or treat us like junior partners. And we will follow up the talk with action.
My Ministry, the Federal Ministry of Information and National Orientation will be very critical to the success of our national messaging, and we will give it everything required for our narratives to succeed. We have a vision that includes redesigning how the Federal Government of Nigeria engages with the Nigerian people at home and abroad, and with the world.
As part of this, we will scale up our engagements with stakeholders, modernize our tools and platforms of information and communication, and work to craft credible and believable narratives that Nigerians will be proud of and delighted to share with the world.
In a few days, our dear country will celebrate its 63rd Independence Anniversary. It will offer an opportunity to further reflect on our nationhood journey, and the expectations of our citizens, and for us as leaders to rededicate ourselves to delivering on the bold and dynamic leadership that will enable Nigeria to fully assume its rightful place on the global stage. I have absolute confidence that success in this regard will be a defining legacy of this momentous era of President Bola Ahmed Tinubu.
Mohammed Idris, current Minister of Information and National Orientation, wrote in from Abuja.