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 <subject>Budget controllability</subject>
 <subject>Drugs</subject>
 <subject>Health research programs</subject>
 <subject>Infectious diseases</subject>
 <subject>Internal controls</subject>
 <subject>International organizations</subject>
 <subject>International relations</subject>
 <subject>Investments abroad</subject>
 <subject>Locally administered programs</subject>
 <subject>National policies</subject>
 <subject>Research programs</subject>
 <subject>Preventative health care services</subject>
 <subject>Africa</subject>
 <subject>Global Fund to Fight AIDS, Tuberculosis,</subject>
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 <title>Global Malaria Control: U.S. and Multinational Investments and Implementation Challenges</title>
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<abstract>Each year, hundreds of millions of people are sickened with
malaria and more than 1 million people die. Over 80 percent of	 
all malaria deaths occur in Africa, most of them in children	 
under the age of 5. This burden continues despite the existence  
of relatively simple, safe, effective, and inexpensive methods to
prevent and treat malaria. The U.S. government supports the	 
efforts of malaria-endemic countries to control malaria, both	 
directly through agencies such as the U.S. Agency for		 
International Development (USAID) and indirectly through its	 
contributions to multinational organizations such as the Global  
Fund to Fight HIV/AIDS, Tuberculosis, and Malaria (Global Fund)  
and its participation in the Roll Back Malaria (RBM) Partnership.
However, concerns have been raised that current global malaria	 
control efforts may not be as effective as they could be. In	 
light of these concerns, Congress asked us to examine U.S.	 
involvement in global efforts to combat malaria. In this report, 
we (1) describe investments that have been made by the U.S.	 
government to support the implementation of national malaria	 
control programs in malaria-endemic countries, both directly and 
in partnership with other organizations; and (2) describe key	 
challenges to the implementation of national malaria control	 
programs and strategies for addressing those challenges.</abstract>
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<note>Correspondence</note>
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 <topic>Drugs</topic>
 <topic>Health research programs</topic>
 <topic>Infectious diseases</topic>
 <topic>Internal controls</topic>
 <topic>International organizations</topic>
 <topic>International relations</topic>
 <topic>Investments abroad</topic>
 <topic>Locally administered programs</topic>
 <topic>National policies</topic>
 <topic>Research programs</topic>
 <topic>Preventative health care services</topic>
 <topic>Africa</topic>
 <topic>Global Fund to Fight AIDS, Tuberculosis,</topic>
 <topic>and Malaria</topic>
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