Role of the World Bank

Within the Roll Back
Malaria Partnership

Ousmane Bangoura, Senior Health Specialist

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Evolving Role of the Bank

Primary role of Bank is financing development health sector to reduce poverty
One of largest financial contributors to health development
Country-level Actions in Support of Rolling Back Malaria:

  • Policy dialogue (PRSP, HIPC)
  • Health reforms/SWAps
  • Private sector investment
  • Tax/tariff issues
  • Multi-sectoral approaches
  • Flexible financing
  • Health Impact Assessments

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Infrastructure & Malaria

  • Brainstorming held at World Bank June 9-10 with range of global experts
  • Premise was that infrastructure operations might have opportunity to incorporate cost-effective malaria control initiatives
  • Participants concluded that role of infrastructure is mitigating potential harm
  • Bank is working to incorporate Impact Assessments into all operations

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Education Sector & Malaria
(World Bank Seminar Nov. '99)

  • How important is malaria in schoolchildren?
    Africa:Early Child Development. 3-8% of all cause absenteeism, <50% preventable absenteeism. 15-20% mortality due to malaria. Asia: significantly affected in endemic areas, priority group.
  • What can schools do about malaria?
    Children as agents for change. Behavior change in children. Health education through schools.
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Challenges for the Bank

  • Institutionalizing mechanisms of partnership: greater than the sum of its parts for countries
  • Operating cross-sectorally
  • Prioritizing malaria in health sector reform
  • Increasing effective demand for malaria resources (a.k.a. absorptive capacity)
    • Expanding public sector capacity through partnerships (e.g., NGOs, IMCI, reproductive health)
    • Improving integrated planning, budgeting, management processes
    • Flexibility/responsiveness of donor procedures, at same time governments must increase transparency/accountability
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Indicators of Success

  • Endemic countries prioritize malaria
  • Existing coordination group in country
  • Involvement of all local stakeholders
  • Joint planning & financing activities & tracking progress
  • Increased available resources (financial, human, technical)
  • National capacity has been built to tackle malaria in own setting
  • Progressive decrease in burden of malaria
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