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Beating the mosquito: A novel approach to improving malaria service quality at all levels of the health system 

To reach the unreached and end one of the world’s oldest, deadliest diseases, we need to tailor the malaria prevention toolbox to use the right tools in the right place at the right time.  

One of those tools is supervised on-the-job training for health providers.  

Malaria remains a fact of life for billions of people around the world and is a leading cause of illness and death across sub-Saharan Africa. Despite considerable progress, malaria still kills more than 400,000 people every year, the majority of whom are children under five. 

Fighting this deadly disease requires accurate diagnosis, appropriate treatment, and timely reporting of malaria cases. However, many of the populations most at risk face limited access to high quality health services. This is due in part to lack of essential supplies, outdated provider skills, and slow uptake of timely global guidance. 

PMI Impact Malaria, the flagship global malaria service delivery project of the U.S. President’s Malaria Initiative (PMI), supports national malaria control programs in 13 high burden countries to improve the quality of malaria services through a novel, four-pronged quality improvement (QI) approach.  

At the core of this approach is Outreach, Training, and Supportive Supervision Plus (OTSS+), a facility level approach aimed at improving health facility and provider skills through on-site supportive supervision, troubleshooting, and on-the-job training. This method is paired alongside other elements such as mentorship, peer-to-peer learning, and targeted classroom trainings for providers. 

To learn about PMI Impact Malaria’s life-saving quality improvement approach and impact in action, read the recently released Quality Improvement Technical Brief


Header Photo Caption: Regina Kluise, District Deputy Director of Nursing Services, trains nurses on malaria rapid diagnostic tests at the Tetteh Quarshie Memorial Hospital in Ghana. Credit: Emmanuel Attramah, PMI Impact Malaria

PMI Impact Malaria is funded and technically assisted by the U.S. President's Malaria Initiative (PMI) and is led by Population Services International (PSI) in partnership with JhpiegoMedical Care Development International (MCDI), and UCSF.

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