Strategies and Interventions

Guiding principles

“Strategies are based on an evidence-based approach, epidemiological stratification, equity of access to essential interventions and the strengthening of health system resilience.”

  • Evidence-based approach
  • Epidemiological stratification
  • Equitable access to essential interventions
  • Health system resilience
01 · Strategy

The six strategic axes

Select an axis to discover the actions it includes.

Axis 1

Improving and optimizing prevention

  • Targeted ITN distribution
  • IRS
  • Larval source management
  • Spatial emanators
  • IPTp, MCP, SMC, PDMC
  • Malaria vaccination (MV)
  • MDA in hotspot areas
Axis 2

Strengthening case management

  • Diagnosis (RDT, TS)
  • Treatment (ACT, AP, ASAQ)
  • CM in health facilities and CCS
  • Therapeutic rotation based on resistance
Axis 3

Epidemiological surveillance and response

  • DHIS2, NMDR, Dashboard Malaria
  • Rapid response
  • Vector and parasite surveillance
  • Resistance monitoring
Axis 4

Monitoring, evaluation, research and innovation

  • Performance framework
  • Data quality
  • Operational research
  • Technological innovations
Axis 5

Social and behaviour change communication (SBCC)

  • Community mobilization
  • Targeted messages
  • Engagement of local leaders

SBCC fundingThe communication budget (SBCC) consists of 0.5% taken from the mass campaign and 0.5% taken from public-sector case management (CM).

Axis 6

Governance, leadership and programme management

  • Strengthening the NMCP
  • Multisectoral coordination
  • Resource mobilization
  • Institutional accountability
02 · Priorities

Priority interventions

Five areas of action to achieve the greatest impact.

Prevention

  • ITN, IRS, LSM
  • MV, MCP, SMC, PDMC
  • MDA

Case management

  • Rapid diagnosis
  • ACT treatment
  • Community CM

Surveillance

  • DHIS2
  • NMDR
  • Scorecard

Communication

  • SBCC
  • Social mobilization

Management

  • Leadership
  • Coordination
  • Financing
03 · Impact

Impact objectives 2026–2030

Ambitious targets: halve the malaria burden in five years.

Malaria incidence
114cases / 1,000 population
227→114≈ −50%
Malaria mortality
10deaths / 100,000 population
22→10≈ −55%
Prevalence in children under 5
17% of children
33→17≈ −48%
04 · Resources

Budget and funding

The cost of the 2026–2030 Strategic Plan, the donors funding it and what the data show.

Total need · 2026–2030
2.4billion USD

2,413,012,468 USD over the five years of the Strategic Plan

Initial Strategic Plan
2,494,255,850 USD
Reframed Plan 2026–2030
2,413,012,468 USD

−3.3% compared with the initial budget before reframing (−81,243,382 USD)

Identified funding 2026–2030

Breakdown of the total cost by donor as recorded in the source file

Funding allocated
Identified funding1,359,782,993.22USD

    Hover over the chart to see the details.

    A nearly stable budget

    The total of 2,413,012,468 USD represents the total budget for the five years covered by this 2026–2030 Strategic Plan. It is comparable to that of the initial Strategic Plan (2,494,255,850 USD): a decrease of 3.3% (81,243,382 USD) compared with the initial budget before reframing. This budget includes vaccine costs, which could also appear in the budget of the Expanded Programme on Immunization (EPI).

    Advocacy and domestic resources

    In its current configuration, this status quo in the evolution of the budget raises the question of strengthening advocacy for resource mobilization, with a view to diversifying the sources of funding for malaria control, in a context of declining international funding. An increase in domestic resource mobilization may prove a major indicator of the country’s capacity to cover, even partially, the budget gap in implementing this Strategic Plan.

    Funding currently allocated

    The total amount of funding currently allocated stands at 1,359,782,993.22 USD, with all the listed funds already having “Funding allocated” status. International donors provide almost all of this budget coverage, led by the Global Fund (26.0%, or 354.0 million USD), followed by Gavi (20.7%), GiveWell (20.3%), the U.S. government USG (17.5%) and AMF (7.7%).

    The Government’s direct contribution stands at 106.2 million USD, representing a 7.8% share of the plan’s total identified funding. Percentages are expressed as a share of total allocated funding (1,359,782,993.22 USD).

    A significant funding base

    The Malaria NSP 2026–2030 already has a significant base of funding of 1,359,782,993.22 USD, from the Global Fund, USG, Gavi, GiveWell, AMF and the Government of the DRC. However, given an overall need estimated at 2.413 billion USD, significant additional resources remain necessary to ensure full coverage of the planned interventions.

    The residual gap represents a structured investment opportunity within a single, costed national framework aligned with malaria control priorities. Additional contributions can be directed to the interventions and periods with the largest funding shortfalls, while ensuring complementarity with funding already allocated.

    Point of attention

    Against an overall need of 2.413 billion USD for 2026–2030, 1,359,782,993.22 USD of funding is currently explicitly allocated, while 1,053,229,474.78 USD remains to be mobilized. The NSP thus provides a costed national framework enabling partners to contribute in a complementary and coordinated way to funding the priority malaria control interventions in the DRC.

    The overall cost of the National Strategic Plan (NSP) for 2026–2030 stands at 2,413,012,468.00 USD. Against this budget need, the funding explicitly allocated by all partners (Global Fund, USG, AMF, GiveWell, Gavi and the Government) reaches 1,359,782,993.22 USD, covering 56.4% of the plan’s total cost. Consequently, a major funding gap remains to be mobilized, amounting to 1,053,229,474.78 USD, or 43.6% of the overall envelope required for full implementation of the activities.

    05 · Outlook

    Major challenges and key recommendations

    Major challenges

    1. Governance and leadership
    2. Insufficient human resources
    3. Dependence on external funding
    4. Resistance to insecticides and antimalarials
    5. Low use of data
    6. Security constraints

    Key recommendations

    1. Strengthen epidemiological stratification
    2. Prioritize high-impact interventions
    3. Improve data quality
    4. Accelerate malaria vaccination
    5. Strengthen community CM
    6. Step up domestic resource mobilization
    Acronyms and abbreviations
    ACT
    Artemisinin-based combination therapies
    AMF
    Against Malaria Foundation
    AP
    Artesunate-pyronaridine
    ASAQ
    Artesunate-amodiaquine
    BMGF
    Bill & Melinda Gates Foundation
    CCS
    Community care sites
    CM
    Case management
    DHIS2
    District Health Information Software 2
    IPTp
    Intermittent preventive treatment in pregnancy
    IRS
    Indoor residual spraying
    ITN
    Insecticide-treated nets
    LSM
    Larval source management
    MCP
    Malaria chemoprophylaxis
    MDA
    Mass drug administration of antimalarials
    MV
    Malaria vaccination
    NMCP
    National Malaria Control Programme
    NMDR
    National Malaria Data Repository
    NSP
    National Strategic Plan
    PDMC
    Post-discharge malaria chemoprevention
    RDT
    Rapid diagnostic test
    SBCC
    Social and behaviour change communication
    SMC
    Seasonal malaria chemoprevention
    TS
    Thick blood smear
    WHO
    World Health Organization
    A question about NMCP interventions?