Shrinking the Malaria Map

UCSF Global Health Group’s Malaria Elimination Initiative (MEI)

Malaria Program Efficiency Analysis Tool

Why is malaria program efficiency important?

Over the last several years, global funding for malaria programs has flatlined. Given the shortage of financing and threat of reversing progress against malaria, national malaria control programs (NMCPs) face increasing pressure to achieve technical efficiency with malaria interventions and maximize existing funding. This calls for implementing malaria interventions with the least amount of inputs (such as funding, human resources, infrastructure, drugs, medical equipment, information, etc). Analyzing malaria program efficiency enables NMCPs to identify areas for improvement and demonstrate value for money to donors and governments, particularly as a prerequisite for future allocations.

What is the Malaria Program Efficiency Analysis Tool and why is it useful?

Recognizing the gap in support for NMCP managers to assess the technical efficiency of malaria interventions, the Malaria Elimination Initiative developed the Malaria Program Efficiency Analysis Tool (MPEAT), an Excel-based tool for analyzing program operations and achieving three primary efficiency goals: maximizing value, reducing waste, and saving money.
MPEAT allows users to:

  • Identify potentially inefficient areas that require improvement or further examination
  • Improve malaria-specific and other health system operations that impact efficiency
  • Defend annual budget requests by demonstrating improvements in value
  • Advocate for more funds for the program by demonstrating better use of resources over time

With MPEAT, NMCPs can compare specific epidemiological, financial, and operational indicators between two years and against performance targets set by the NMCP. Additionally, MPEAT provides a snapshot of how efficiency and performance indicators are changing over time.

Who should use this tool and how?

MPEAT should be used by NMCP managers to understand current resource use, assess resources efficiency, and identify opportunities for cost savings. At least one analyst is required to enter data according to instructions provided in the MPEAT manual.
It is recommended that the outputs of the tool are reviewed by several members of the NMCP to assess implications of the results and define actions to mitigate any inefficiencies identified. Results from MPEAT can be used to inform NMCP budget proposals, strategic planning, and resource allocation.

The MEI requests that national malaria programs and implementing partners contact us when using any of the tools in the Malaria Elimination Toolkit. Support in implementing the tool may also be available. Please contact Laura Newman (laura.newman [at]

Download MPEAT.

Malaria Elimination Toolkit

About Our Tools

The Malaria Elimination Toolkit offers approaches that address the challenges confronting national malaria control programs in low-transmission settings. The MEI has built this toolkit around key areas that enable successful malaria elimination and prevention of reintroduction: advocacy, financing, regional collaboration, surveillance and response, and vector control. By supplementing global malaria policy and guidance, these tools aim to accelerate elimination efforts in countries that are paving the way for malaria eradication.