Successful national and regional elimination—and eventual global eradication—depends on effective program management and quality implementation of malaria interventions. Operational obstacles limit the success of malaria programs in many countries, however, and managers often lack access to the training and tools needed to address them. The Commission emphasizes the overwhelming importance of strengthening management capacity through rigorous training programs at the subnational and national levels, as well as the need for improved staff incentivization, the use of timely and high-quality data to inform decision-making, and active and sustained community participation in local elimination efforts.

Other essential actions that will further strengthen program performance include:

• Leveraging the expertise and comparative advantages of the private sector, through outsourcing and the stimulation of private markets for some commodities.
• Forming close partnerships with private healthcare providers, to ensure that all malaria cases are correctly diagnosed, treated and reported.
• Deploying information technology solutions that facilitate faster and smarter collection, analysis, use, and sharing of data to inform the choice and targeting of interventions and improve the impact of existing tools.