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Update on potential future distributions and funding gaps

We are currently discussing funding for four net distributions that require nets in early to mid-2017.

We are in a position to discuss these distributions as a result of the many individual donations that have allowed us to ring-fence US$24.9m and enter discussions with the relevant National Malaria Control Programmes with, necessarily, funds in hand to honour agreements reached.

Thanks to this support, AMF has been able to take an important step forward and discuss, at the same time, a series of multi-million net distributions with the prospect of protecting large numbers of people.

The total quantity of nets required is 13.9 million to protect in total 25 million people, all in countries in Africa.

  • 5.2m LLINs to protect 9.4m people, for distribution in July-August 2017
  • 4.6m LLINs to protect 8.3m people, for distribution in July-October 2017
  • 3.0m LLINs to protect 5.4m people, for distribution in March-May 2017
  • 1.1m LLINs to protect 2.0m people, for distribution in July 2017

The total required to fully fund these distributions is US$34.6m, US$9.4m more than we currently have available. We will assess our total funds available in the coming weeks and will either decline funding of one or more distributions or scale back funding for a number of them.

We continue to focus on raising funds to maximize what we are able to contribute. Each additional donation increases the quantity of nets to which we can commit, so every donation matters.

We are also discussing a number of net distributions scheduled for 2018 for which the funding requirement would be a further US$65-95m and we are actively seeking support for these opportunities. In each case, the relevant countries have started discussions to identify funding sources and we hope we will be able to play a part in those discussions.

Further details for these potential distributions

Accountability and transparency elements in recently agreed distributions

In two recently agreed distributions we have seen developments that are very positive and that will help in achieving high levels of accountability and understanding of how these net distributions perform.

In the last six months we have signed agreements funding 2.7 million nets for distribution in Ghana (Apr to Jul 2016) and 10.7 million nets for Uganda (Oct 2016 to May 2017). We are pleased to say that several standard operational aspects of AMF-funded distributions, that improve accountability, are being adopted in these distributions and for the first time in the two countries.

In Uganda, household net-need information will be gathered using a '105% data collection' approach whereby a second set of data collectors, with no knowledge of previously collected data, visit 5% of the households already visited by the main data collectors. The 5% data overlap is compared to give an indication of data integrity. Both sets of data collectors are aware of this independent data-checking mechanism and this helps to ensure data is collected accurately. The Uganda NMCP has decided to implement this approach country-wide (i.e. in all four regions) and not just in the two regions in which AMF-funded nets are being distributed.

In Ghana, in the three regions for which AMF is funding nets, household-level data (including the name of the head of household, number of people in the household, number of nets needed) that is collected on paper, is being put in electronic form (into a database) by data entry clerks thereby giving easy access for all partners to the complete set of data for the numbers and locations of nets distributed.

Accounts for FY to 30 June 2016 (unaudited) now available

Our Financial Year ended yesterday at midnight and, as part of our commitment to efficiency, our annual accounts have been generated and are available to view on our Easier-to-understand accounts page.

We are able to show our pre-audit numbers within a few hours of the end of our financial year due to the level of automation of our financial systems which brings a number of benefits:

  1. Accurate management information - On any aspect of our finances at any time
  2. Improved transparency - For management, governance and audit purposes
  3. Improved efficiency - Minimal administrative input to prepare the accounts at year end (data is entered most working days during the year)
  4. Swift production of our annual accounts - Within 24 hrs of FY end i.e. once the closing balances on our accounts are known the next day
  5. Assisting our auditors - Swift availability of our draft annual accounts to give our auditors maximum flexibility in scheduling their work
  6. Keeping stakeholders up to date – Providing donors, trustees and other stakeholders with timely information on our financial status and performance

A further benefit is we now have real-time financials in our ‘Easier-to-Understand’ section of our financial information.

We now show the nets funded and people covered per individual donation

We allocate each donation to a specific net distribution as part of our desire to be highly transparent and accountable with each donation we receive. Donors can follow where the nets they fund are distributed.

We now show, for each donation, the specific number of nets funded and an estimate of the number of people covered.

  • Nets funded: We can be precise about the number of nets bought because the nets for each distribution, and indeed for each location within it, have a specific cost. The cost typically ranges from US$2 to US$3 as there can be a different mix of nets chosen (net type, size and brand) for a particular location within a distribution.
  • People covered: The estimate of the number of people protected is the number of nets multiplied by 1.8. This is the ratio usually seen in a large scale distribution.

If a donation has not yet been allocated to a distribution, we use the current average cost of a net to estimate the number of nets the donation will fund.

Columns for the number of nets and people covered are shown on public pages listing donations (e.g. list of all donors and sponsors, fundraising pages) and on private pages (personal donations pages).

West Kasaï, DRC: 18-months post-distribution check-up data collection

The data collection phase of the 18-months post-distribution net use check-up (PDCU) in West Kasaï is underway.

  • Smartphones are again being used for data collection and to show instructional videos as necessary
  • Building on the 6 and 12 month surveys an improved data collection form has been implemented
  • 12,800 households (5% sample) selected at random being visited unannounced across 578 villages in 8 health zones
  • The data collection phase will take place from 6th June to 25th June 2016

The PDCU gives all relevant parties data about net hang up and net condition and can contribute to ongoing malaria control decisions. There are now indications that the use of smartphones in data collection brings cost efficiencies and other benefits. We will report more fully on this in the months ahead.

Further information on the distribution

Dowa District, Malawi: 12-months post-distribution check-up data entry

The data collection phase of the 12-months post-distribution net use check-up (PDCU) in Dowa District, Malawi, is now complete. Five percent of households, randomly selected, across 33 health centre areas in the district are being visited, unannounced, to assess net use and condition.

The data are now being entered in Malawi and may be viewed as they are entered. As soon as all data have been entered we will publish a summary of the results.

The specific nature of the data - at the health centre level - means the District Health Officer (DHO), health centre leaders, community leaders and other health workers are able to decide what targeted malaria control intervention might be appropriate in specific areas. In circumstances where health systems and resources are stretched, information that assists with targeted interventions can help with effective use of resources and that is the aim of this information.

Background: 396,900 LLINs were distributed in Dowa District in March to May and October 2015.

GiveWell's summary of AMF - in audio form

An accessible summary from GiveWell of why they recommend giving to the Against Malaria Foundation. Also a very good overview of malaria, net intervention and impact.

Remembering and honouring Dr Sylvia Meek

It is with great sadness that I share the news that Sylvia Meek passed away last week.

Sylvia's encouragement and support of AMF, right from the very start as a member of our Malaria Advisory Group and for the last 10+ years, has been important and influential. Amongst meetings and many conversations with Sylvia over the years I particularly remember one occasion when she encouraged very gently, but wonderfully insistently, that we ask someone to offer us advice saying '...and if they don't, I might just knock on their door!' She was a stalwart friend of AMF and knocked on lots of doors.

She will be very much missed by all here.

Included below is an email that is self-explanatory that I also wished to share.

Dear Friends

In case the news has not reached you, with real sadness I would like to inform you that Sylvia Meek, Technical Director of the Malaria Consortium passed away recently following an 18 month battle with cancer.

Many of us have known Sylvia for over 20 years during which time we remember her for her selfless dedication to the fight against malaria. Sylvia will be remembered in our malaria community for much more than all her technical knowledge and expertise, more than her fantastic abilities to fight on the ground, but as an exceptional human being.

However hard we try, as we continue on our journey towards a malaria free world, we will not progress unless we carry forth not only what Sylvia Meek has contributed to the science of malaria control or elimination but also what she exemplified as a person. She will continue to live amongst us for a very long time.

Wish you all good health.


Sunil Mehra
Co-Founder and former Executive Director, Malaria Consortium

In memory of the silent and long-lasting leader in our malaria community, Sylvia Meek

Motos Against Malaria: Todd and Christina

Some years ago I had the privilege to come across two very special people, Todd Lawson and Christina Tottle. They called and said they would like to ride across Africa and deliver bednets and Motos Against Malaria was born. Over the next year ‘T&C’, as they became affectionately known to us, fundraised, rode 23,000 kms across 15 countries, delivered thousands of nets as we hooked them up with distributions with on-the-ground partners, and raised awareness about malaria and nets to thousands of people. In part this journey was in memory of Todd’s brother Sean who died of malaria so there was a very personal connection here. But T&C also wanted to help others and give back. And they did, in large numbers.

Here is a moving, entertaining, photo-stunning account of their trip.

We now accept donations in bitcoins

If you would like to make a donation to AMF in bitcoins you can now do so.

Donations will be treated in exactly the same way as all other online donations to AMF; donors will receive an acknowledgement email with links to a tax receipt and their private donation/s history page, where they can track the progress of the specific nets their donation/s will fund.

Dedza District, Malawi: 18-months post-distribution check-up data entry

The data collection phase of the 18-months post-distribution net use check-up (PDCU) in Dedza District, Malawi, is now underway. Five percent of households, randomly selected, across 33 health centre areas in the district have been visited, unannounced, to assess net use and condition.

The data are now being entered in Malawi and may be viewed as they are entered. As soon as all data have been entered we will publish a summary of the results.

The specific nature of the data - at the health centre level - means the District Health Officer (DHO), health centre leaders, community leaders and other health workers are able to decide what targeted malaria control intervention might be appropriate in specific areas. In circumstances where health systems and resources are stretched, information that assists with targeted interventions can help with effective use of resources and that is the aim of this information.

Background: 290,770 LLINs were distributed in Dedza District in September and October 2014.

AMF establishes a Malaria Unit in Malawi, making a minimum three-year commitment

With funding provided from donors interested in widening AMF’s impact, we have agreed to fund the expansion of the malaria control capacity of our partner in Malawi, Concern Universal (CU). The resulting Malaria Unit has the simple, broad aim to reduce malaria prevalence in Malawi.

The Malaria Unit aims to achieve this in the following ways:

1. Pilot interventions to improve sustained net coverage levels

The higher the sleeping space coverage level with viable nets the better the protection against malaria. We are examining different net distribution profiles and mechanisms to see if higher levels of sustained sleeping space coverage can be achieved cost effectively.


2. Achieve greater efficiency in existing operations

This can be achieved through more efficient staffing of the rolling malaria control activities associated with the distributions and post-distribution check-ups in the four districts in which AMF and CU partner.


3. Support the NMCP team

In the last three years, a number of AMF’s operating procedures have been embraced by the National Malaria Control Programme (NMCP) in net distributions carried out in the districts beyond the four in which AMF/CU operate and AMF/CU support has been requested by the NMCP. The enlarged resource of the Malaria Unit will allow greater support to be given to the NMCP to share learning and practices.

4. Improve the reliability of malaria case rate data

Currently the reliability of malaria incidence data across the 107 Health Centre Areas (HCAs) in the four districts is mixed. There is benefit in having accurate malaria incidence data. We will be working with Health Centre staff to support testing, stock management and recording activities to improve data reliability.

We will be writing more about specific actions and developments in the coming months.

Additional information:
Malaria Unit budget (to which actual costs will be added in due course)
Malaria Unit agreement

AMF funds 10.7 million nets for distribution in Uganda

AMF has signed an agreement with Uganda’s Ministry of Health to fund 10.7 million long-lasting insecticidal nets (LLINs) for distribution in Uganda’s upcoming universal coverage campaign (UCC).

The nets are currently scheduled to be distributed from August 2016 to March 2017 (some timing adjustments may occur as a result of final planning) and will protect 19.3 million people. This represents half the nets needed for the nationwide campaign.

There are four regions in Uganda: Western, Eastern, Central and Northern. Nets will be distributed in all 58 districts in the Western and Eastern Regions to achieve universal coverage (all sleeping spaces covered).

Malaria is one of the primary health issues in Uganda, with high incidence levels seen across many districts. These nets have the potential to play a major part in reducing deaths and illness.

AMF allocates individual donations to specific distributions so we are able to say these nets have been funded by 67,363 individual donations from 24,044 donors from 108 countries. Every donation, large and small, has made this possible.

The National Malaria Control Programme (NMCP) has demonstrated a strong attitude to accountability and this is reflected in our agreement. We are grateful to the NMCP for the open, efficient and transparent nature of our discussions.

Key elements of our agreement include:
  • AMF is funding 10.7m LLINs (US$26,438,253.60)
  • Non net costs (shipping, pre-distribution, distribution) funded by the Ugandan Government/partners
  • ‘105%’ data collection will be used for the pre-distribution household-level registration process to support accurate data gathering. This approach is expected to be adopted nationwide by the Uganda NMCP.
  • Household-level data will be put in electronic form. This and the above element combined are the basis for a highly accountable distribution.
  • Post-distribution check-ups of net use and condition (PDCUs) will take place every six months for two and a half years in all 58 districts. AMF will fund this.
  • A portion of the nets AMF is funding will be PBO LLINs. There is some evidence that this newer net type performs better against mosquitoes developing resistance to pyrethroid (the insecticide used on LLINs). This will be the world’s first large-scale distribution of PBOs. We will write more on this in the coming weeks.

More information

A change in the way AMF allocates donations to distributions

Up until now we have allocated donations chronologically, but we will now allocate first those for which the donor has a donation-tracking link (this is automatically sent to all online donors and to offline donors who have received a letter) as this allocates as quickly as possible donations that donors can follow.

We are making this change as donor feedback is clear that being able to follow the progress of nets is appreciated and we wish to maximise the number of donors able to do so.

We have always allocated (and will continue to do so) all donations individually to specific distributions so donors can follow exactly where the nets they fund are distributed. However, whilst all donations are listed on the AMF website, not all donations are 'identifiable by the donor' (and able to be tracked) as this depends on the contact information the donor provides.

Donations that the donor can track are: all donations made online; those offline donations for which we have an email address; and many offline donations for which thank you letters have been sent. This is because all these donors have supplied sufficient contact information allowing us to send them a 'donation-tracking link'.

Donations that are 'not identifiable by the donor' are allocated to specific distributions once other donations have been allocated.

We provide more detailed information on how we categorize donations on our Allocating donations page. The new section we have added is 'Categories of donations and the order in which they are allocated to a distribution.'

Additional countries where tax-deductible donations can now be made to AMF

It is now possible for residents of the following countries to make tax deductible donations to AMF: Belgium, Bulgaria, Croatia, France, Hungary, Ireland, Luxembourg, Poland, Portugal, Romania, Slovakia, Slovenia and Spain.

For residents of these countries, donations may be made to AMF via Transnational Giving Europe (TGE), details here. Note: TGE take a 5% fee. This is the best option for tax-deductible donations available to AMF and donors at this time. Non-tax-deductible donations can still be made most cost-effectively by donating directly to AMF.

Existing tax-deductible countries

For residents of Switzerland, tax-deductible donations have been able to be made for some time to AMF via the Effective Altruism Foundation (EAF), details here. Note: Non-tax-deductible donations from Swiss residents can still be made most cost-effectively by donating directly to AMF.

Residents of the following countries have been able to make tax-deductible donations to AMF for some years now by donating directly to AMF: Australia, Canada, Germany, Italy, Netherlands, New Zealand, South Africa, UK and the USA. You can see the documentation and relevant details on our charity status page.

AMF funds 2.7 million nets for Ghana for June 2016 distribution

We have agreed to fund 2.7 million LLINs for distribution in Ghana in June 2016. This will close the net gap in Ghana and achieve universal coverage (all sleeping spaces covered) in three of the ten regions of Ghana: Upper West, Northern and Greater Accra (excluding Metropolitan Accra). These nets will protect 4.9 million people.

The nets will be distributed by the Ghana Health Service (GHS) under the management of the National Malaria Control Programme (NMCP).

AMF will work closely with both organisations and with in-country distribution partners who will have responsibility for:

  • Ensuring reconciliation of nets distributed with nets funded through detailed review of household-level records and associated monitoring
  • Post-distribution check-ups (PDCUs) of net use and condition at six monthly intervals for a period of 30 months.

AMF will fund the distribution partners’ work. We are finalizing the micro-planning for this and will publish full details and documentation in the coming weeks.

Distribution details: Upper West Region, Northern Region and Greater Accra Region
Further information on Ghana

Zika virus: Are bednets an effective measure?

Zika is certainly a major international challenge and the WHO is expected to raise its awareness.

The virus is mainly transmitted by the ubiquitous mosquito Aedes aegypti. This common mosquito bites during the day and therefore the main approach to its control is either removing the breeding sites, 'source reduction', or 'space spraying' by house to house insecticide fogging or truck mounted spraying (ULV, ultra-low volume). Personal protection by the use of insect repellents and screening windows is also a very important approach.

This means the use of bednets is generally of marginal benefit in attacking these day-biting mosquitoes. At AMF, we focus exclusively on the provision of bednets for malaria control. We don’t have experience of controlling day-biting mosquitoes, such as those transmitting dengue, yellow-fever and Zika.

December 2015 Update

As 2015 draws to a close we would like to thank all who have supported and worked with AMF this year as without donors, distribution partners, volunteers and pro bono supporters we would not be able to do what we do in contributing to the fight against malaria. Thank you!

Distribution update

We have just completed, or are currently carrying out, three distributions in Malawi (Balaka and Ntcheu districts) and DRC (North Ubangi district) totalling 1.37 million nets, protecting 2.5 million people.

Post-distribution net use check-ups

There are post-distribution net use check-ups just completed or ongoing in four locations ensuring we have data on how the protection of communities changes over time.

Future distributions

We have made significant progress with discussions in five countries requiring individually between 2 million and 15 million nets for the period 2016 to 2018 and expect to make announcement in the first part of 2016.

We are aiming to secure a further US$50 million for the projects we are currently considering.

AMF top ranked!

AMF has again been top-ranked by the three leading organisations 'dedicated to finding outstanding giving opportunities'.

GiveWell has ranked AMF their #1 charity, for the fourth time in five years, and recommends to donors:
"For those seeking our recommended allocation, we simply recommend giving to the top-ranked charity on the list, which is AMF."

Giving What We Can has confirmed AMF is again a top-ranked charity for the fifth year in a row.

The Life You Can Save has AMF as a top-ranked charity for the fifth year in a row.

US$22.8m grant

We are absolutely thrilled to have recently been awarded a US$22.8m grant by Good Ventures, the San Francisco based philanthropic foundation. We see this grant as transformational for AMF, allowing us to support larger scale distributions.

We are also delighted to have received two US$1,000,000 donations from US based donors, who visited one of our programmes and carried out detailed due diligence before making this commitment.

A suggestion for the Christmas/Holiday season!

Donate nets instead of gifts.

We send the recipient/s an email (on a date you choose e.g. 25th Dec) with your personal message and a link to their 'gift page', allowing them to follow the progress of their nets.

May we wish you a very happy and healthy 2016!

Rob, Andrew, Cath and Peter

The Life You Can Save rates AMF a top charity for 2016, the fifth year running!

The Life You Can Save (TLYCS) has updated its list of recommended charities and we are delighted to be included again.

TLYCS highlight in their review 'Why AMF is effective':

  • Designed for long-term impact
  • Proven results
  • Effective monitoring and evaluation
  • Economically beneficial
  • Cost-effective
  • Efficient
  • Exceptionally low overheads

Please do have a look at the two new engaging videos put together by TLYCS, What Will Your Impact Be and Where Will You Give (This Giving Season), which include music from Malawian musician Gasper Nali.

More: The Life You Can Save

US$22.8m grant to AMF from Good Ventures

We are absolutely thrilled to have recently been awarded a US$22.8m grant by Good Ventures, the San Francisco based philanthropic foundation.

We see this grant as transformational for AMF

It is the largest grant AMF has ever received and it will make a huge impact on fighting malaria, saving many lives, reducing illness and boosting economic growth.

It comes at an exciting time for AMF as we work to expand the scale of the projects we support to multiple millions of nets at a time, including helping countries close net gaps so that entire populations are protected.

Every single donation is important, no matter how large, in the fight against malaria

There is a huge gap between the funding available and the net need. We never forget that every $3 buys a net and protects two people when they sleep at night, potentially from the bite of a malaria-carrying mosquito.

There are now over 133,000 donations to AMF. Together we have built a community that will keep the fight against malaria high on the international agenda. We are aiming to secure a further US$50+m for the projects we are currently considering. Aside the occasional marvellous large donation, the overwhelming number of AMF’s donations are from donors giving less than $200 and we are incredibly grateful for every one of them.

Good Ventures announcement

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