Box 12.5New Financing Mechanisms to Support Malaria Elimination

Earmarked travel and airline taxes. Given the direct link between travel and the risk of malaria transmission and resurgence in Zanzibar (Le Menach and others 2011), the local government is considering implementing a tax on airplane tickets. A survey finds that visitors are willing to pay a tourist airline tax (Zanzibar Ministry of Health 2012).

Endowment funds. Endowments are created as a permanent financial asset that generates interest into perpetuity or for as long as the funds are invested. Endowments are ideal for financing long-term activities, such as elimination and prevention of reintroduction, but they require a sizable initial investment (Adams and Victurine 2011). Few endowment funds exist in the health sector, and ministries of health would benefit from further guidance on the investment, finance, and legal aspects of this mechanism.

Cash on delivery. Cash on delivery, wherein countries receive funding once they have achieved a predetermined target (Pertakis and Savedoff 2014), has been included in two regional Global Fund grants to provide incentives to some Sub-Saharan African countries to reduce malaria cases to zero or maintain incidence cases below a certain threshold (CEPA 2013). This model could also be used to encourage countries to achieve elimination or maintain malaria-free status.

From: Chapter 12, Malaria Elimination and Eradication

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Major Infectious Diseases. 3rd edition.
Holmes KK, Bertozzi S, Bloom BR, et al., editors.
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