Malaria is both a result and a cause of a lack of development. The malaria burden is highest in the countries with the lowest human development, within countries in the least developed and poorest areas, and within populations among the most disadvantaged. The Multi sectoral Action Framework for Malaria adds this development dimension, by making actions outside the health sector essential components of malaria control. The Framework unites all efforts and builds on positive experiences, past and present. The Framework calls for action at several levels and in multiple sectors, globally and across inter- and intra-national boundaries, and by different organizations. It emphasizes complementarity, effectiveness and sustainability, and capitalizes on the potential synergies to accelerate both socio-economic development and malaria control. It involves new interventions as well as putting new life into those that already exist, and coordinates and manages these in new and innovative ways. The Framework acknowledges that malaria takes different shapes in different contexts and that no single blueprint for action would fit in all circumstances. The Framework encourages innovation, trying and learning.
The Framework analyses the social and environmental determinants of malaria at four levels: society, environment, population group, and household and individual. The conclusion of the analysis is that the current strategies for malaria control need to be continued, but that they alone are unlikely to lead to sustained control and elimination in the countries with the highest malaria burden. They need to be complemented with a developmental approach, addressing key social and environmental determinants. The Framework proposes
what these determinants are and which sectors should be involved. It provides examples of implementation in countries, as well as a simple tool for action planning.