The 2025 Africa Malaria Progress Report reveals 270.8 million cases and nearly 600,000 deaths; It warns of potential resurgence, as Heads of State and Government urge increased domestic resource mobilisation, call on partners to honour their commitments, and demand a renewed World Bank Malaria Booster Programme.
ADDIS ABABA, Ethiopia, February 17, 2026/ — Against a backdrop of stalled progress, declining international funding, and intensifying threats, African Heads of State and Government today issued a unified call for a new era of malaria financing at the 39th African Union Summit in Ethiopia. The African Union Malaria Progress Report 2025, presented by President Advocate Duma Gideon Boko of the Republic of Botswana and Chair of the African Leaders Malaria Alliance (ALMA) (www.ALMA2030.org), warns that without urgent action, the continent risks losing decades of hard-won gains against the disease.
Urgent action required as perfect storm intensifies
The 2025 report reveals that African Union Member States accounted for 270.8 million malaria cases (96% of the global total) and 594,119 deaths (97% of the global total) in 2024. Progress has stalled since 2015, and only five Member States have achieved the 2025 Catalytic Framework targets for reducing malaria incidence or mortality by 75%. These targets are part of the AU Catalytic Framework to End AIDS, TB and Eliminate Malaria in Africa by 2030.
The report warns that a 30% reduction in funding will result in 640 million fewer insecticide-treated nets, 146 million additional malaria cases, 397,000 additional deaths (75% among children under five), and a loss of $37 billion in GDP by 2030. Without urgent action, the report warns that malaria could resurge significantly, with cases potentially exceeding 400 million per year and deaths surpassing one million annually.
“The perfect storm of converging crises threatening malaria elimination has intensified. Official Development Assistance for health in Africa has declined by 70% in just four years, and the Eighth Replenishment of the Global Fund fell significantly short of its $18 billion target. We cannot allow these challenges to reverse decades of progress that have prevented 1.64 billion cases and saved 12.4 million lives since 2000.”
~ President Advocate Duma Gideon Boko, Republic of Botswana, Chair of ALMA
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