PMI Impact Malaria

D.R. Congo



PMI Impact Malaria in the Democratic Republic of the Congo

PMI Impact Malaria (IM) is the flagship global service delivery project of the U.S. President’s Malaria Initiative (PMI). To advance PMI’s goal of fighting malaria and saving lives, IM is supporting the Democratic Republic of the Congo’s (DRC) national malaria control program (NMCP) in its efforts to strengthen malaria service delivery.

IM began working with the DRC’s NMCP in 2018 to improve malaria case management at the community and public facility levels, with an emphasis on protecting those who are most at risk—particularly young children and pregnant women.

To advance malaria service delivery in the DRC, IM is mainly focused on strengthening health worker competence and bolstering national diagnostic capacity.

Country Resources

  • DRC Malaria Summary PMI Webpage
  • Malaria Service Delivery Photos PMI Impact Malaria Photo Library

Malaria Country Context

In the DRC, approximately 97% of the population lives in zones with stable malaria transmission lasting 8 to 12 months per year, with the highest levels of transmission occurring in zones situated in the north and center of the country. The malaria parasite species Plasmodium falciparum causes the majority of infections.

The burden of malaria in the DRC is a major health problem. Malaria is the principal cause of illness and death in the country, accounting for 44% of all outpatient visits and 22% of deaths, while only about 30% of the population has access to health services.

In 2018, the DRC reported more than 15 million confirmed cases of malaria, out of an estimated 25 million cases. At the same time, out of an estimated 46,800 malaria deaths, about 27,000 were reported due to malaria.


This is PMI Impact Malaria’s geographic coverage in the DRC:


PMI Impact Malaria has supported the DRC’s NMCP in achieving these key accomplishments:

  • Trained more than 100 professionals in malaria microscopy, with average pre- and post-test scores increasing from 69% to 81% for parasite detection and from 17% to 43% for parasite counting.
  • Conducted a training of trainers to create a pool of 13 national trainers for refresher trainings in malaria diagnosis.
  • Implemented a new approach of supportive supervision at the facility level with standard automated checklists, called OTSS+, that focuses on continuous improvement of the competencies of health providers in case management, MIP, and diagnostics. So far, 109 health facilities have benefitted from OTSS+ with the aim of improving malaria microscopy competence in parasite detection to greater than 90% at the facility level. Among the facilities visited, 81% met the minimum competence standard required for parasite detection.


Photo Credit: PMI, DRC

Sources: PMI’s DRC Country Brief, PMI’s DRC Malaria Operational Plan FY 2020, 2019 World Malaria Report DRC Country Profile, PMI Impact Malaria DRC, and DRC’s NMCP