More support is needed for malaria services, not less
Basic malaria prevention measures have already been scaled back in some areas. In areas the Global Fund supports, mosquito nets have not been distributed since June 2023. In 2025, no malaria control supplies reached North Kivu between July and December due to access issues.
Faced with these recurring shortages, MSF has had to purchase and supply treatments and screening tests to fill the gaps in different health centers. In 2025, MSF provided 53 percent of treatments for uncomplicated malaria and 35 percent of treatments for severe malaria in health structures where MSF, the Ministry of Health, or partners work in the Kibirizi, Bambo, and Rutshuru health zones. This situation is unsustainable in terms of long-term prevention and control of the disease across the vast province of North Kivu.
“North Kivu is one of the provinces hardest hit by armed conflict,” Doyon said. “Repeated population displacements, food insecurity, and barriers to accessing care create conditions that increase both exposure to malaria and the risk of developing a severe form of the disease.”
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