Maximizing the Value of Philanthropic Efforts through Planned Partnerships between the U.S. Government and Private Foundations. 2. Implementation


The administration and decision-making structure of PMI were established at its inception, and constitute one of its unique features. Even though PMI is a collaborative effort, a PMI coordinator has ultimate decision-making and budgetary authority. The coordinator reports to the USAID administrator, and the coordinators authority, role, and responsibilities extend to all USAID malaria policies, planning, budgeting, communication, and outreach strategies. The coordinators responsibilities include:

  • Direct supervision over, and hiring authority for, all USAID/Washington malaria staff
  • All malaria budget allocations to bureaus and countries as well as malaria staffing levels in bureaus and countries
  • Approval of all malaria-related acquisition and assistance plans
  • Authority to approve or disapprove all malaria-related monitoring and evaluation (M&E) requirements and reporting requirements
  • Approval of all travel to countries for malaria programs
  • Lead representation at all international malaria prevention and treatment meetings including those sponsored by Roll Back Malaria, World Bank, World Health Organization, and UNICEF

With a goal of geographic balance and maximum impact on malaria morbidity and mortality in countries across Africa, PMI specified criteria for selecting the 15 countries to target over the life of the initiative. Selected countries have:

  • A significant burden of malaria
  • National policies and practices for the prevention and treatment of malaria consistent with those recommended by the World Health Organization, and capacity to implement those policies
  • Demonstrated political will by national leadership for control of malaria and willingness to partner with the U.S. government
  • Existing U.S. government in-country presence
  • High potential for impact on malaria mortality
  • A Global Fund grant for malaria with acceptable grant performance
  • Other donor involvement

PMI places U.S. government staff members on the ground to support the work of local health ministries and national malaria control programs. The staff usually includes USAID and CDC representatives. It then contracts with private sector, nonprofit, faith-based or other entities to provide anti-malaria commodities, and services such as pharmaceutical logistics and management, policy development assistance, monitoring, evaluation, and reporting. PMI places its budgets and expenditure reports, along with the contracts executed for commodities and services, on the PMI website for public access as a way to enhance accountability of PMI funds.

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