Shrinking the Malaria Map

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

Transition Readiness Assessment for Malaria Tool

Why is it important to assess the readiness of a malaria programs as they prepare to transition from donor to domestic financing?

The transition of financing from donors and external partners to national malaria programs presents significant opportunities, as well as risks. With effective planning, the transition process offers a pivotal moment to strengthen national health systems and build domestic capacity around financing and management of essential health services. In contrast, a rocky transition may threaten progress by destabilizing malaria funding sources, program management, and core activities. The assessment readiness process helps malaria programs generate the evidence required to anticipate needs during transition and inform work planning and troubleshooting. By completing a transition readiness assessment, countries are best poised to sustain gains and minimize the risk of reversing progress against malaria during and after transition.

What is the Transition Readiness Assessment for Malaria Tool and why is it useful?

The Transition Readiness Assessment for Malaria (TRA-M) tool is intended to be a first step in the transition planning process. It provides a guided assessment of five key domains: malaria program financing, management, workforce, supply chain, and programming, to determine where challenges may occur. In each of these domains, the TRA-M identifies areas that receive donor support, primary changes anticipated during and after transition, and gaps or vulnerable areas that may occur as a result. This data is used to understand the program’s strengths and weaknesses, culminating in a country-led transition work plan.

Who should use this tool and how?

TRA-M is intended for use by the national malaria program, with senior leaders shaping the assessment's goals and strategy, identifying transition priorities, and developing a transition plan. The assessment is multi-stakeholder, engaging the program’s technical partners, Ministry of Health (MOH) leadership, collaborating departments within the MOH, the Ministry of Finance, other government agencies, non-governmental and civil society organizations, and donors. A dedicated research team, which includes members of the national malaria program and an external technical institution, support data collection, analysis, and overall project management. TRA-M should be adapted to the context and needs of each malaria program.

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 the TRA-M Tool.

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.