Disclaimer: The views expressed in this paper/presentation are the views of the

author and do not necessarily reflect the views or policies of the Asian
Development Bank (ADB), or its Board of Governors, or the governments they
represent. ADB does not guarantee the accuracy of the data included in this paper
and accepts no responsibility for any consequence of their use. Terminology used
may not necessarily be consistent with ADB official terms.

Dr. Eduardo Banzon, Senior Health Specialist, ADB

Dr. Benjamin Rolfe, Executive Secretary, APLMA

Implements the MTR recommendations and approved 27 March 2015.

Support Asia-Pacific DMCs achieve universal health coverage (UHC).

Using a systems approach to (i) improve coverage of populations with

quality health services, (ii) reduce out-of-pocket expenditures, and (iii)
safeguard against public health risks (health security).

Focus on 812 ADB DMCs, respond to opportunities in others.

Leverage loans and grants (co-financing, trust funds) to improve health

infrastructure, health sector governance, and health financing.

Build practice-based knowledge and innovations to ensure demand for

ADB health products.

Universal Health Coverage

Quality health services to
all those in need without
undue financial hardship

Almost all DMCs have embraced the goal of UHC

Business-as-usual must make way for innovative and

solutions to build, manage, and finance services
Opportunity to provide effective health sector assistance
focus support on operations that meet these needs
aligned with the strengths of ADB

Combine lending with knowledge services

Malaria elimination work can be a catalyst

Health Security emerging demand

Major outbreaks of mutated influenza in the region:
SARS in 2003, H5N1 in 200405, and H7N9 in 2014-5
2015 Swine Flu in India infected 33,000, killing over 2,000

Multidrug-resistant tuberculosis (TB) in Bangladesh, PRC, India,

Indonesia, Myanmar, and elsewhere
Dengue is on the rise
Drug-resistant malaria in the Greater Mekong Sub-region (GMS)
may undermine a decade of progress, costing billions

Regional connectivity brings both opportunities and risks

A Regional Public Health infrastructure is needed to
secure economic prosperity
A Regional Health Security Architecture ADB can catalyse
Malaria elimination work will be an entry point.

An Asia-Pacific free of malaria by

2030

Source: World Malaria Report 2013

Under Threat Thai-Myanmar border.

Day-42 PCR-adjusted MAS3 parasitological efficacy

and proportion of patients still parasitaemic at day
3. Artesunate-Mefloquine
Carrara VI, et al. (2013) Malaria Burden and Artemisinin Resistance in the
Mobile and Migrant Population on the ThaiMyanmar Border, 19992011: An
Observational Study. PLoS Med 10(3)

Geographical extent of artemisinin resistance

as determined by the prevalence of K13
mutations.
Tun et. Al. Lancet Infect Disease 2015

Previous spread of antimalarial resistance

Previous spread of antimalarial resistance

Connectivity and Health Security

APLMA: Diplomacy and leadership

Australia, Brunei, Cambodia, PR
China,
India, Indonesia, Japan
Republic of Korea, Laos
Malaysia, New Zealand
Myanmar, The Philippines
Russia, Singapore
Thailand, Viet Nam
United States of America

APLMA A Policy Process

Access to Quality
Medicines and
Other
Commodities Task
Force
Regional Financing
for Malaria Task
Force

We welcomed the Asia Pacific Leaders Malaria Alliance (APLMA) Task Force
Progress Report 2014 and agreed to the goal of an Asia Pacific free of
Malaria by 2030.

We tasked the APLMA co-chairs to submit to the 10th EAS in Malaysia a plan
for achieving this goal and to implement the recommendations of the APLMA
Task Forces.

A ROADMAP for MALARIA ELIMINATION

Policy commitment APLMA secretariat

Supporting evidence based policy process.

Engaging central government agencies via a Roadmap

Increased financing, sustained policy reform - monitored by a scorecard

Technical leadership Regional Malaria and other Communicable

Diseases Threats Trust Fund
Building ADBs leadership in health across multiple technical
disciplines
Financing and Knowledge - Linking the two
Taking a unique role in financing malaria elimination
Exploring innovative products to increase efficiency and expand
financing

Blending, bonds, cross-regional support

Positioning ADB in Health

Engagement & credibility in a sector poised for exponential growth

Dr. Eduardo Banzon, Senior Health Specialist, ADB

Dr. Benjamin Rolfe, Executive Secretary, APLMA