When malaria-endemic countries in Africa first began large-scale efforts to fight the disease, hospital beds were overflowing with malaria cases and there was skepticism that impact could be achieved with existing, underdeveloped health systems.
To help countries reach their ambitious new goals, MACEPA provided training and technical support for program staff, data collectors, and health care workers with the goal of building capacity at national and local levels. Procurement and delivery systems also were strengthened as malaria activities were scaled up, improving efficiency and cost-effectiveness. This effort accelerated the rollout and evaluation of new approaches and tools, and optimized the use of effective technologies. Improvements in health systems have been sustained and are increasingly being led by the countries.
Today, millions of bednets, medicines, insecticides, and other commodities have been quickly delivered through these strengthened systems, significantly decreasing malaria illnesses and deaths while demonstrating for the first time that mass distribution could be implemented at scale in malaria-endemic countries in Africa.