Final performance evaluation of the Amazon initiative against malaria : responding to changing malaria transmission scenarios

The evaluation employed a mixed analytical approach incorporating qualitative and quantitative methods. The qualitative component included in-depth interviews with key informants, content analysis of select documents, and case studies from four partner countries. The quantitative component included the analysis of data obtained from epidemiological databases on malaria and the review of select documents. The study includes an assessment of intercultural and gender approaches. AMI partner countries have shown a substantial but heterogeneous reduction of malaria cases since the year 2000, including some setbacks and slower progress in later years, especially the last four. Partner countries have achieved substantial progress and developed important capabilities in all six of the AMI Program technical focus areas. AMI supported capacity development that addressed country-specific malaria control needs and scenarios. The program served as a platform for inter-country collaboration, introducing innovations and strengthening information systems through national communication strategies and alliances. Key capacities for malaria control have been built and enhanced, and these continue to respond to changing epidemiological scenarios. However, there is a need to make improvements in order to consolidate progress and prevent the resurgence of malaria.