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PMI: Presidents Malaria Initiative - Saving lives in Africa.

President's Malaria Initiative Five-Year Evaluation

PMI was launched in June 2005 as a five-year, $1.2 billion U.S. Government (USG) initiative to scale up malaria prevention and treatment measures across 15 high-burden countries in sub-Saharan Africa. Annual funding for PMI increased dramatically from $30 million in FY 2006 to $500 million in FY 2010. Since funds for FY 2010 represent 42 percent of the total funding authorized for PMI over the course of its first five years, it was decided that the comprehensive external evaluation planned for PMI will be conducted between 2011 and mid-2012, when most FY 2010-funded activities will have been implemented. This coincides with the timing of planned follow-up national household surveys in PMI focus countries. These surveys will be carried out between 2009 and 2011 and will provide updated information on household coverage with insecticide-treated mosquito nets, appropriate diagnosis and treatment of malaria, and prevention of malaria in pregnant women.

Timing of Mortality and Intervention Coverage Surveys.  Graphic showing the periods of baseline mortality surveys, mortality and coverage surveys, and final mortality and then coverage surveys.
National household surveys estimate child mortality in a defined period before the survey, usually the prior five years. The timing of these surveys varies from country to country. PMI will rely on these surveys to provide baselines and endpoints for each PMI focus country for an assessment of the impact that PMI, together with other partners, has had on malaria-related illnesses and deaths. National household surveys also provide point estimates of coverage of insecticide-treated mosquito nets, appropriate diagnosis and treatment of malaria, and prevention of malaria in pregnant women.

 

The PMI external evaluation will consist of two parts:

  • An evaluation of how PMI resources, leadership, and management have advanced the Initiative’s goals. This will include an assessment of the degree to which PMI has put its operating principles into practice; PMI’s contributions to the global malaria partnership; and lessons learned that can be used to improve PMI performance and can be applied to other USG international health initiatives.

  • An assessment of the impact that PMI, together with other partners, has had on malaria-related illnesses and deaths in the 15 focus countries. This will be carried out as part of the larger Roll Back Malaria (RBM) Partnership’s evaluation of progress towards the 2010 targets established by the Abuja Declaration and the 2015 Millennium Development Goals. This evaluation will follow the standardized approach agreed upon by the RBM Monitoring and Evaluation Reference Group for the United Nations 2000–2010 malaria evaluation. It will include information on population coverage of the four malaria prevention and treatment interventions, together with all-cause mortality of children under the age of five, and estimates of malaria-related mortality.