Against Malaria Foundation was founded in 2005. It works to distribute long-lasting insecticide-treated mosquito nets in 35 countries across Africa, Asia and South America to protect against malarial infections.
How it works
- AMF receives and reviews requests for mosquito nets from local charities.
- It carries out pre-distribution surveys to establish the number of nets needed.
- It works with local health leaders to educate populations on all elements of malaria prevention, including the correct use of malaria nets.
- It purchases the nets and delivers them (through its distribution partners). It also provides independent supervisors to ensure that the nets are not misappropriated, and go to the people who need them.
- It continues to monitor local malaria rates, and carries out post-distribution surveys every six months to monitor the use and condition of the nets.
- Depending on the outcomes of these surveys, it provides further malaria education and additional nets as needed.
- It publishes its pre- and post-distribution reports on its website.
Why we recommend it
Malaria is a life-threatening disease transmitted by mosquitos. At first the symptoms are flu-like, but if untreated it can lead to respiratory distress and severe anaemia. It kills around 660,000 people a year, primarily African children who have been unable to develop immunity. It is one of Africa’s biggest killers.
AMF’s program has a strong track record of preventing malarial infections. It is also highly cost-effective, as its lean organisational structure, careful use of technology and partnerships with local charities keep its costs exceptionally low.
Its administrative costs are paid by established private donors, and the costs of distribution are covered by its distribution partners. This means that donations from the public go straight towards purchasing more nets. What’s more, its website lists all donations received and links each donation to a specific distribution, so donors can follow its progress and see the impact that they are having.
Its emphasis on preparation, distribution and follow-up ensures that it realises its potential in combating malaria and its effects. Delivering a net costs only $5 donated (including the costs of its distribution partners), and for each $3,340 donated, a death from malaria is prevented. For comparison, the UK’s National Health Service will spend up to £20,000 (over $30,000) for a single year of healthy life saved!
AMF is also extremely transparent about its operations. By posting its pre- and post-distribution reports online, it allows the public to see how effective it is in each instance.
Case study: Distribution in Ntcheu, Malawi
- AMF received a request to provide mosquito nets to Ntcheu District in Malawi.
- A pre-distribution survey was carried out, with 120,000 households visited to establish the number of nets needed. This was carried out by the 450 government Health Surveillance Assistants (HSAs) under the supervision of AMF’s local distribution partner, Concern Universal, and cost only $40,000.
- The distribution took place between December 2011 and February 2012, achieving universal coverage for a population of 550,000. This was supervised by a team of 20 people from Concern Universal and the district’s health infrastructure.
- Continued monitoring showed a dramatic fall in the number of cases of malaria, compared with the same month the previous year: 50%, 45%, 40% and 40% respectively for the months March to June 2012.
- The first post-distribution survey found that 99% of the nets were still in very good condition, and that 90% of the nets were hung and in use. Additional education was provided to the areas with the lowest usage rates.
Read more about AMF’s progress in Ntcheu.
Further information and donations
For further information, visit AMF’s website or GiveWell’s detailed report into their effectiveness (from which much of this information is taken). We also have more in depth information about Malaria. We've also recently written an extensive update on AMF.