Financial needs by region
In Africa, the countries with the highest financial needs are Nigeria, the Democratic Republic of The Congo, Kenya, Ethiopia, Tanzania and Uganda. These countries account for a large percentage of the population at risk and deaths in the continent. A special call for action in these 8 countries was made by the RBM Board in December 2012. As of October 2013, a US$1.5 billion gap needs to be filled between 2014 and 2015 to ensure the delivery of essential commodities and supportive actions in these countries.
Six out of the ten countries with the largest share of population at risk worldwide are located in Asia (India, China, Indonesia, Bangladesh, Vietnam, Philippines). India bears a share of 45% of all malaria cases in the region. India, Indonesia and China have the highest funding need. The cost of addressing drug and insecticide resistance on the border areas between Cambodia, Myanmar, Thailand and Vietnam (Greater Mekong sub-region) and preventing global spread of resistance has been calculated in the Global Plan for Artemisinin Resistance Containment and Global Plan for Insecticide Resistance Management at around US$ 400 million annually until 2015.
The resource needs for the 22 malaria endemic countries in the Americas are estimated in the GMAP to amount to US$233 million annually on average for 2012-2015. The most acute needs are for the countries of the Amazon Basin (Bolivia, Brazil, Colombia, Ecuador, Guyana, Peru, Suriname and Venezuela), which bear the highest burden of mortality and where the malaria epidemic is concentrated among isolated, indigenous populations. Brazil fully covers its funding needs through domestic investments.
In the Middle East and Eurasia, US$164 million are needed annually for 2012-2015. Three countries (Pakistan, Afghanistan and Yemen) account for virtually all the 56,000 regional deaths. In Eurasia, the objective is elimination. Resources from domestic spending amount to 89% of total funding.