Malaria is a serious problem, but fortunately, charities implement proven solutions. The two programs in the table below have been proven to reduce death and suffering from malaria:
| Program | Result | Cost | More information |
|---|---|---|---|
| Insecticide-treated nets (ITNs) | Hung over windows or beds, nets kill or repel mosquitos, reducing the risk of infection | Approximately $200-$1,100 per life saved and 300 non-fatal episodes averted | In-depth evidence review |
| Drug treatment | Antimalarial drugs are highly effective in curing malaria | We have not found a reliable estimate | In-depth evidence reivew |
While we think that malaria is an area in which donors can do a lot of good, we don't think you can assume that every charity working in this area is consistently and cost-effectively saving lives.
In the case of insecticide-treated nets, nets may not reach children and pregnant women in high-risk areas, who are most in need of them, or those who receive them may not use them properly.2 Donors should ask charities to demonstrate that the nets they distribute are getting to their final destination over the beds of high-risk groups.
Donors should also be aware that while ITNs are a highly cost-effective way to save lives, charities claims of the low cost of saving a life with an net are overblown.3 $10 may buy and distribute a net, but not every child who sleeps under a net would have died otherwise, and even properly used nets do not protect those who use them 100 percent from malaria.
We recommend these charities, in the following order, for donors interested in using their donation to fight malaria:
Black, Robert E., Saul S. Morris, and Jennifer Bryce. 2003. "Where and why are 10 million children dying every year?" Lancet 361, Pg 2230.
For example, one study found that "A considerably large number of bed nets were used for drying fish and fishing in the study area adjacent to Lake Victoria." The study is available online at http://malariajournal.com/content/7/1/165.
For example, Nothing But Nets claims on their website at http://www.nothingbutnets.net/its-easy-to-help/ that "Ten dollars from every purchase will send a net and save a life of a child in Africa," and the Fox Soccer Channel donates $10 to Malaria No More for every goal scored in a campaign called "Every Goal Saves a Life." More about "Every Goal Saves a Life" at http://msn.foxsports.com/foxsoccer/nomalaria.