Malaria Funding Profile Against Disease Burden:Regression Analysis Case of Zambia, 2009 to 2018

Abstract

Abstract Background: Zambia has made profound strides in reducing both the incidence and prevalence of malaria followed by reducing malaria related deaths between 2009 and 2018. The number of partners providing malaria funding has significantly increased in the same period. The increasing number of partners and the subsequent reduction of the number of reported malaria cases in the Ministry of Health main data repository Health Management Information System (HMIS) stimulated this research. The study aimed at (1) identifying major sources of malaria funding in Zambia; (2) describe malaria funding per targeted interventions and (3) relating malaria funding with malaria disease burden.Methods; Data was collected using extensive literature review of institutional strategic document between the year 2009 to 2018. The National’s Health Management Information System (HMIS) provided information on malaria hospitalization data, incidence and mortality data. The statistical package for social sciences (SPSS) alongside Microsoft excel was used to analyze data in the year 2019.Results: The investigation observed that about 30% of the funding came from PMI/USIAD, 26% from the global funds. The government contributed 17% with other partners sharing the remaining 27%. Regression Analysis Model indicated a positive association between reducing malaria disease burden and increasing funding towards ITNs, IRS, MDA, and Case Management r2=77% (r2>0.77; 95% CI: 0.72 - 0.81). Furthermore IRS showed a p-value 0.018 while ITNs, Case Management and MDA having 0.029, 0.030 and 0.040 respectively. Conclusion: Our findings highlight annual funding towards specific malaria intervention produces desired results.