This blog post was first published in July 2014, but is relevant today and we have reposted it as it may be of interest to more recent donors.
We show this information to be transparent but also for those who might be interested in some of the things that go on behind the scenes in managing the charity.
Many of AMF's systems are automated. This means many activities are handled very efficiently requiring only a few minutes of oversight each month. Importantly, it also means we are able to do things we would otherwise not be able to do because they now require minimal resources.
Topics we have covered, many of which include live data, are:
- Allocating donations to distributions
- Reporting on Post-Distribution Check-Ups (PCDUs)
- Managing Gift Aid
- Converting and locking all donations in US$
- Sending personal thank yous to donors
- Monitoring new donations
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The global gap in funding for nets and non-net costs over the next three years is estimated to be US$500m or 100 million nets.
That equates to tens of millions of nets per year. Globally, if we can find the funds, we can ensure 180 million people will be protected from malaria.
For our part, we are in discussions with a number of countries about their funding needs which range from 3m to 25 million nets.
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3m LLINs to protect 5.4m people, for distribution in 2017
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Up to 10m LLINs, 18m people, 2018
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Up to 15m LLINs, 27m people, 2018
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Up to 25m LLINs, 45m people, 2019
We are in close contact with other funders who will fill some or all of the funding for individual countries. In particular, the Global Fund will shortly announce its allocation of funding for countries for the period 2018-2020 from its three-year replenishment cycle. Note: US$500m is the estimated funding gap after the Global Fund has made its funding allocation.
The distributions we are discussing are for 2018 and 2019 as commitments need to be in place two years ahead of nets being distributed for countries to properly plan whole-country universal coverage campaigns. These campaigns are significant logistical operations.
There may also be net gaps for distributions in late 2017 that become apparent in the first part of 2017. Those net gaps would require quick action, and uncommitted funds in hand, to be filled.
AMF's gap for more funding remains very large and we agree with GiveWell's assessment that it is between US$80m and US$200m for the coming year.
We continue to focus on raising funds to maximize what we are able to contribute. Each additional donation increases the quantity of nets to which we can commit, so we are very grateful for every single donation.
Future distributions page
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 These numbers illustrate AMF's two equally important categories of donation and our progress.
Majority donors
Most donations range from a few dollars (and £, €, CAN$, NZ$, AUS$ etc) to many thousands. In the most recent financial year we received 51,882 donations totaling US$49.1m (up from $14.1m the previous year) and we are thrilled to have just received our 200,000th donation!
We are really pleased there are donors in so many countries, 182, contributing together to the fight against malaria.
Major donors
A few of the donations we receive are for hundreds of thousands of dollars or more. We are delighted to have received news of four donations, each for US$1m, from donors who visited two of our projects in Africa. Together, they will allow us to buy another two million nets to protect 3.6 million people.
Both groups of donors are important to AMF's work. Without the combined power of the majority donors, our bedrock support, we could not fund the millions of nets we do. Without the major donors, we would not be able to increase significantly the quantity of nets we fund.
We are so grateful for your support. Thank you.
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The Life You Can Save (TLYCS) has updated its list of recommended charities and we are delighted to be ranked as a top charity for the sixth year running.
TLYCS highlight in their review 'Why AMF is effective':
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Designed for long-term impact
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Proven results
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Effective monitoring and evaluation
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Economically beneficial
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Cost-effective
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Efficient
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Exceptionally low overheads
Over the last year TLYCS has influenced* over 6,600 donations to AMF from 1,582 donors in 68 countries totalling US$3.61 million, including almost 20% of the recurring donations made to AMF. We are immensely grateful for this confidence and support.
* For those donors who told us TLYCS influenced their donation.
More: The Life You Can Save
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MinuteEarth have produced a neat video about malaria, 'How Humans Made Malaria So Deadly' (2mins 40s). Who knew 'agriculture' was the bad guy? Please do take a look.
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AMF has signed an agreement with partners in Papua New Guinea to fund 1.2 million nets for distribution in 2017 and has committed to fund 1.6 million nets to be distributed in 2018. This represents 100% of PNG’s long-lasting insecticide treated net (LLIN) need for 2017 and 2018.
The nets will be distributed in a rolling universal coverage campaign – one third of the country is covered each year, which optimizes the teams and other resources used to carry out the distributions and is designed to suit the challenging and widespread PNG geography.
The 2017 nets will be distributed between March and December 2017.
In total, 5.6 million people will be protected. Malaria is one of the primary health issues in PNG, with high incidence levels seen across the country. These nets have the potential to play a major part in reducing deaths and illness.
AMF allocates individual donations to specific distributions and so far we have allocated 3,427 individual donations from 1,321 donors from 35 countries. These figures will increase as further donations are allocated. Many donations, large and small, help fund these nets.
Our distribution partner in PNG, The Rotary Club of Port Moresby (RCPM) has demonstrated a strong attitude to accountability and this is reflected in our agreement. RCPM has been responsible for carrying out the universal coverage distributions in PNG for the last five years. We are grateful to the RCPM for the open, efficient and transparent nature of our discussions. We will report openly on progress and performance throughout the distribution.
Key elements of our agreement include:
- AMF is funding 1,159,400 LLINs for distribution in 2017 and 1.6m LLINs for distribution in 2018
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This is a co-funding partnership with non-net costs (shipping, pre-distribution, distribution) funded by the Global Fund
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'105%' data collection will be used for the pre-distribution household-level registration process to support accurate data gathering.
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Household-level data will be put in electronic form using AMF’s Data Entry System (DES). This, and the above element combined, are the basis for a highly accountable distribution.
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Post-distribution check-ups of net use and condition (PDCUs) will take place every six months for two and a half years in all districts. AMF will fund this.
Note: We have signed the agreement for the nets to be distributed in 2017. We have not signed the agreement for the
2018 nets as this will take place in the first part of next year when other partners receive formal notification of the relevant
funds allocation.
More information
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We have now reached US$90 million raised - thanks to a donation from Amstelveen in the Netherlands!
We have also recently passed 183,000 donations! As always, our sincere thanks to everyone for their support and generosity.
You can see all of our previous milestones on our milestone page.
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AMF has signed an agreement with Togo's Ministry of Health to fund 2.4 million long-lasting insecticidal nets (LLINs) for distribution in Togo's upcoming universal coverage campaign (UCC).
The nets will cover the entire population in 4 out of the 5 regions in Togo: Savanes, Kara, Centrale and Plateaux. The current schedule is for this to take place in July and August 2017. The nets will be ordered shortly to be manufactured and shipped to meet this timeline.
These nets will protect 4.3 million people. Malaria is one of the primary health issues in Togo, with high incidence levels seen across the country. These nets have the potential to play a major part in reducing deaths and illness.
AMF allocates individual donations to specific distributions and so far we have allocated 3,881 individual donations from 1,517 donors from 31 countries. These figures will increase as further donations are allocated. Many donations, large and small, help fund these nets.
The National Malaria Control Programme (NMCP) has demonstrated a strong attitude to accountability and this is reflected in our agreement. We are grateful to the NMCP for the open, efficient and transparent nature of our discussions. We will report openly on progress and performance throughout the distribution.
Key elements of our agreement include:
- AMF is funding 2,413,250 LLINs
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Non net costs (shipping, pre-distribution, distribution) funded by the Togo Government/partners
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'105%' data collection will be used for the pre-distribution household-level registration process to support accurate data gathering.
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Household-level data will be put in electronic form. This, and the above element combined, are the basis for a highly accountable distribution.
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Post-distribution check-ups of net use and condition (PDCUs) will take place every six months for two and a half years in all 29 districts. AMF will fund this.
More information
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We are currently discussing funding for four net distributions that require nets in early to mid-2017.
We are in a position to discuss these distributions as a result of the many individual donations that have allowed us to ring-fence US$24.9m and enter discussions with the relevant National Malaria Control Programmes with, necessarily, funds in hand to honour agreements reached.
Thanks to this support, AMF has been able to take an important step forward and discuss, at the same time, a series of multi-million net distributions with the prospect of protecting large numbers of people.
The total quantity of nets required is 13.9 million to protect in total 25 million people, all in countries in Africa.
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5.2m LLINs to protect 9.4m people, for distribution in July-August 2017
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4.6m LLINs to protect 8.3m people, for distribution in July-October 2017
- 3.0m LLINs to protect 5.4m people, for distribution in March-May 2017
- 1.1m LLINs to protect 2.0m people, for distribution in July 2017
The total required to fully fund these distributions is US$34.6m, US$9.4m more than we currently have available. We will assess our total funds available in the coming weeks and will either decline funding of one or more distributions or scale back funding for a number of them.
We continue to focus on raising funds to maximize what we are able to contribute. Each additional donation increases the quantity of nets to which we can commit, so every donation matters.
We are also discussing a number of net distributions scheduled for 2018 for which the funding requirement would be a further US$65-95m and we are actively seeking support for these opportunities. In each case, the relevant countries have started discussions to identify funding sources and we hope we will be able to play a part in those discussions.
Further details for these potential distributions
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In two recently agreed distributions we have seen developments that are very positive and that will help in achieving high levels of accountability and understanding of how these net distributions perform.
In the last six months we have signed agreements funding 2.7 million nets for distribution in Ghana (Apr to Jul 2016) and 10.7 million nets for Uganda (Oct 2016 to May 2017). We are pleased to say that several standard operational aspects of AMF-funded distributions, that improve accountability, are being adopted in these distributions and for the first time in the two countries.
In Uganda, household net-need information will be gathered using a '105% data collection' approach whereby a second set of data collectors, with no knowledge of previously collected data, visit 5% of the households already visited by the main data collectors. The 5% data overlap is compared to give an indication of data integrity. Both sets of data collectors are aware of this independent data-checking mechanism and this helps to ensure data is collected accurately. The Uganda NMCP has decided to implement this approach country-wide (i.e. in all four regions) and not just in the two regions in which AMF-funded nets are being distributed.
In Ghana, in the three regions for which AMF is funding nets, household-level data (including the name of the head of household, number of people in the household, number of nets needed) that is collected on paper, is being put in electronic form (into a database) by data entry clerks thereby giving easy access for all partners to the complete set of data for the numbers and locations of nets distributed.
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Our Financial Year ended yesterday at midnight and, as part of our commitment to efficiency, our annual accounts have been generated and are available to view on our Easier-to-understand accounts page.
We are able to show our pre-audit numbers within a few hours of the end of our financial year due to the level of automation of our financial systems which brings a number of benefits:
- Accurate management information - On any aspect of our finances at any time
- Improved transparency - For management, governance and audit purposes
- Improved efficiency - Minimal administrative input to prepare the accounts at year end (data is entered most working days during the year)
- Swift production of our annual accounts - Within 24 hrs of FY end i.e. once the closing balances on our accounts are known the next day
- Assisting our auditors - Swift availability of our draft annual accounts to give our auditors maximum flexibility in scheduling their work
- Keeping stakeholders up to date – Providing donors, trustees and other stakeholders with timely information on our financial status and performance
A further benefit is we now have real-time financials in our ‘Easier-to-Understand’ section of our financial information.
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We allocate each donation to a specific net distribution as part of our desire to be highly transparent and accountable with each donation we receive. Donors can follow where the nets they fund are distributed.
We now show, for each donation, the specific number of nets funded and an estimate of the number of people covered.
- Nets funded: We can be precise about the number of nets bought because the nets for each distribution, and indeed for each location within it, have a specific cost. The cost typically ranges from US$2 to US$3 as there can be a different mix of nets chosen (net type, size and brand) for a particular location within a distribution.
- People covered: The estimate of the number of people protected is the number of nets multiplied by 1.8. This is the ratio usually seen in a large scale distribution.
If a donation has not yet been allocated to a distribution, we use the current average cost of a net to estimate the number of nets the donation will fund.
Columns for the number of nets and people covered are shown on public pages listing donations (e.g. list of all donors and sponsors, fundraising pages) and on private pages (personal donations pages).
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The data collection phase of the 18-months post-distribution net use check-up (PDCU) in West Kasaï is underway.
- Smartphones are again being used for data collection and to show instructional videos as necessary
- Building on the 6 and 12 month surveys an improved data collection form has been implemented
- 12,800 households (5% sample) selected at random being visited unannounced across 578 villages in 8 health zones
- The data collection phase will take place from 6th June to 25th June 2016
The PDCU gives all relevant parties data about net hang up and net condition and can contribute to ongoing malaria control decisions. There are now indications that the use of smartphones in data collection brings cost efficiencies and other benefits. We will report more fully on this in the months ahead.
Further information on the distribution
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The data collection phase of the 12-months post-distribution net use check-up (PDCU) in Dowa District, Malawi, is now complete. Five percent of households, randomly selected, across 33 health centre areas in the district are being visited, unannounced, to assess net use and condition.
The data are now being entered in Malawi and may be viewed as they are entered. As soon as all data have been entered we will publish a summary of the results.
The specific nature of the data - at the health centre level - means the District Health Officer (DHO), health centre leaders, community leaders and other health workers are able to decide what targeted malaria control intervention might be appropriate in specific areas. In circumstances where health systems and resources are stretched, information that assists with targeted interventions can help with effective use of resources and that is the aim of this information.
Background: 396,900 LLINs were distributed in Dowa District in March to May and October 2015.
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It is with great sadness that I share the news that Sylvia Meek passed away last week.
Sylvia's encouragement and support of AMF, right from the very start as a member of our Malaria Advisory Group and for the last 10+ years, has been important and influential. Amongst meetings and many conversations with Sylvia over the years I particularly remember one occasion when she encouraged very gently, but wonderfully insistently, that we ask someone to offer us advice saying '...and if they don't, I might just knock on their door!' She was a stalwart friend of AMF and knocked on lots of doors.
She will be very much missed by all here.
Included below is an email that is self-explanatory that I also wished to share.
Dear Friends
In case the news has not reached you, with real sadness I would like to inform you that Sylvia Meek, Technical Director of the Malaria Consortium passed away recently following an 18 month battle with cancer.
Many of us have known Sylvia for over 20 years during which time we remember her for her selfless dedication to the fight against malaria. Sylvia will be remembered in our malaria community for much more than all her technical knowledge and expertise, more than her fantastic abilities to fight on the ground, but as an exceptional human being.
However hard we try, as we continue on our journey towards a malaria free world, we will not progress unless we carry forth not only what Sylvia Meek has contributed to the science of malaria control or elimination but also what she exemplified as a person. She will continue to live amongst us for a very long time.
Wish you all good health.
Sunil
Sunil Mehra
Co-Founder and former Executive Director, Malaria Consortium
In memory of the silent and long-lasting leader in our malaria community, Sylvia Meek
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Some years ago I had the privilege to come across two very special people, Todd Lawson and Christina Tottle. They called and said they would like to ride across Africa and deliver bednets and Motos Against Malaria was born. Over the next year ‘T&C;’, as they became affectionately known to us, fundraised, rode 23,000 kms across 15 countries, delivered thousands of nets as we hooked them up with distributions with on-the-ground partners, and raised awareness about malaria and nets to thousands of people. In part this journey was in memory of Todd’s brother Sean who died of malaria so there was a very personal connection here. But T&C; also wanted to help others and give back. And they did, in large numbers.
Here is a moving, entertaining, photo-stunning account of their trip.
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If you would like to make a donation to AMF in bitcoins you can now do so.
Donations will be treated in exactly the same way as all other online donations to AMF; donors will receive an acknowledgement email with links to a tax receipt and their private donation/s history page, where they can track the progress of the specific nets their donation/s will fund.
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The data collection phase of the 18-months post-distribution net use check-up (PDCU) in Dedza District, Malawi, is now underway. Five percent of households, randomly selected, across 33 health centre areas in the district have been visited, unannounced, to assess net use and condition.
The data are now being entered in Malawi and may be viewed as they are entered. As soon as all data have been entered we will publish a summary of the results.
The specific nature of the data - at the health centre level - means the District Health Officer (DHO), health centre leaders, community leaders and other health workers are able to decide what targeted malaria control intervention might be appropriate in specific areas. In circumstances where health systems and resources are stretched, information that assists with targeted interventions can help with effective use of resources and that is the aim of this information.
Background: 290,770 LLINs were distributed in Dedza District in September and October 2014.
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With funding provided from donors interested in widening AMF’s impact, we have agreed
to fund the expansion of the malaria control capacity of our partner in Malawi,
Concern Universal (CU). The resulting Malaria Unit has the simple, broad aim to
reduce malaria prevalence in Malawi.
The Malaria Unit aims to achieve this in the following ways:
1. Pilot interventions to improve sustained net coverage levels
The higher the sleeping space coverage level with viable nets the better the protection
against malaria. We are examining different net distribution profiles and mechanisms to
see if higher levels of sustained sleeping space coverage can be achieved cost effectively.
Although some nets can be effective for four or more years, data shows the average
useful life is usually between two and three years, often close to two. Across a
large quantity of nets this means sleeping space coverage levels decline gently
in the first 18 months after a universal coverage campaign and more quickly thereafter.
This can leave a significant proportion of a population unprotected for a material
part of the three-year period between universal coverage campaigns.
Coverage levels over 80% are generally considered a good target. Although we have
found that coverage levels immediately after a universal coverage campaign (UCC)
can be 95% and above, levels decline over time as nets become damaged or worn out.
We have found in many of our distributions that coverage levels fall to around 80%
after 18-24 months (a decline of about 0.5 percentage points per month) and decline
further to nearer 50% after 30 months (a steeper decline rate of 2 to 3 percentage
points per month). This means coverage levels are below the 80% target for at least
a year of a three-year cycle before a subsequent UCC takes place.
One method being discussed is an injection of nets two years after a universal coverage
campaign to take coverage levels back up towards 90%. We would also like to consider
a continuous distribution of nets whereby gaps in next coverage are filled on a
rolling basis from appropriately located stockpiles.
There are challenges and different costs associated with each method of distribution
and trialling a new approach will help with future decision making.
2. Achieve greater efficiency in existing operations
This can be achieved through more efficient staffing of the rolling malaria control
activities associated with the distributions and post-distribution check-ups in
the four districts in which AMF and CU partner.
The non-nets costs associated with the distributions and monitoring AMF/CU carry
out are between $1.10 and $1.40 per net. These compare favourably with other organisations
carrying out similar work and we believe are already very efficient.
Further costs efficiencies can be achieved through the use of permanent rather than
temporary staff. The scale of our operations, now covering four districts with a
combined population of 2.7 million, and the ability to stagger distributions and
follow up means there is sufficient work to justify permanent staff throughout the
year. We expect to achieve about a 25% cost saving in moving from
temporary to permanent staff.
We also anticipate additional efficiencies from both the experience and innovation
a permanent team can bring to bear through repeatedly carrying out distributions
and follow up activities as well as performance-based management.
3. Support the NMCP team
In the last three years, a number of AMF’s operating procedures have been embraced
by the National Malaria Control Programme (NMCP) in net distributions carried out
in the districts beyond the four in which AMF/CU operate and AMF/CU support has
been requested by the NMCP. The enlarged resource of the Malaria Unit will allow
greater support to be given to the NMCP to share learning and practices.
4. Improve the reliability of malaria case rate data
Currently the reliability of malaria incidence data across the 107 Health Centre Areas (HCAs) in the four districts is mixed.
There is benefit in having accurate malaria incidence data. We will be working with Health Centre staff to support testing, stock management and recording activities to improve data reliability.
We will be writing more about specific actions and developments in the coming months.
Additional information:
Malaria Unit budget (to which actual costs will be added
in due course)
Malaria Unit agreement
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AMF has signed an agreement with Uganda’s Ministry of Health to fund 10.7 million long-lasting insecticidal nets (LLINs) for distribution in Uganda’s upcoming universal coverage campaign (UCC).
The nets are currently scheduled to be distributed from August 2016 to March 2017 (some timing adjustments may occur as a result of final planning) and will protect 19.3 million people. This represents half the nets needed for the nationwide campaign.
There are four regions in Uganda: Western, Eastern, Central and Northern. Nets will be distributed in all 58 districts in the Western and Eastern Regions to achieve universal coverage (all sleeping spaces covered).
Malaria is one of the primary health issues in Uganda, with high incidence levels seen across many districts. These nets have the potential to play a major part in reducing deaths and illness.
AMF allocates individual donations to specific distributions so we are able to say these nets have been funded by 67,363 individual donations from 24,044 donors from 108 countries. Every donation, large and small, has made this possible.
The National Malaria Control Programme (NMCP) has demonstrated a strong attitude to accountability and this is reflected in our agreement. We are grateful to the NMCP for the open, efficient and transparent nature of our discussions.
Key elements of our agreement include:
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AMF is funding 10.7m LLINs (US$26,438,253.60)
- Non net costs (shipping, pre-distribution, distribution) funded by the Ugandan Government/partners
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‘105%’ data collection will be used for the pre-distribution household-level registration process to support accurate data gathering. This approach is expected to be adopted nationwide by the Uganda NMCP.
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Household-level data will be put in electronic form. This and the above element combined are the basis for a highly accountable distribution.
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Post-distribution check-ups of net use and condition (PDCUs) will take place every six months for two and a half years in all 58 districts. AMF will fund this.
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A portion of the nets AMF is funding will be PBO LLINs. There is some evidence that this newer net type performs better against mosquitoes developing resistance to pyrethroid (the insecticide used on LLINs). This will be the world’s first large-scale distribution of PBOs. We will write more on this in the coming weeks.
More information
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 Up until now we have allocated donations chronologically, but we will now allocate first those for which the donor has a donation-tracking link (this is automatically sent to all online donors and to offline donors who have received a letter) as this allocates as quickly as possible donations that donors can follow.
We are making this change as donor feedback is clear that being able to follow the progress of nets is appreciated and we wish to maximise the number of donors able to do so.
We have always allocated (and will continue to do so) all donations individually to specific distributions so donors can follow exactly where the nets they fund are distributed. However, whilst all donations are listed on the AMF website, not all donations are 'identifiable by the donor' (and able to be tracked) as this depends on the contact information the donor provides.
Donations that the donor can track are: all donations made online; those offline donations for which we have an email address; and many offline donations for which thank you letters have been sent. This is because all these donors have supplied sufficient contact information allowing us to send them a 'donation-tracking link'.
Donations that are 'not identifiable by the donor' are allocated to specific distributions once other donations have been allocated.
We provide more detailed information on how we categorize donations on our Allocating donations page. The new section we have added is 'Categories of donations and the order in which they are allocated to a distribution.'
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 It is now possible for residents of the following countries to make tax deductible donations to AMF: Belgium, Bulgaria, Croatia, France, Hungary, Ireland, Luxembourg, Poland, Portugal, Romania, Slovakia, Slovenia and Spain.
For residents of these countries, donations may be made to AMF via Transnational Giving Europe (TGE), details here.
Note: TGE take a 5% fee. This is the best option for tax-deductible donations available to AMF and donors at this time. Non-tax-deductible donations can still be made most cost-effectively by donating directly to AMF.
Existing tax-deductible countries
For residents of Switzerland, tax-deductible donations have been able to be made for some time to AMF via the Effective Altruism Foundation (EAF), details here.
Note: Non-tax-deductible donations from Swiss residents can still be made most cost-effectively by donating directly to AMF.
Residents of the following countries have been able to make tax-deductible donations to AMF for some years now by donating directly to AMF: Australia, Canada, Germany, Italy, Netherlands, New Zealand, South Africa, UK and the USA. You can see the documentation and relevant details on our charity status page.
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We have agreed to fund 2.7 million LLINs for distribution in Ghana in June 2016. This will close the net gap in Ghana and achieve universal coverage (all sleeping spaces covered) in three of the ten regions of Ghana: Upper West, Northern and Greater Accra (excluding Metropolitan Accra). These nets will protect 4.9 million people.
The nets will be distributed by the Ghana Health Service (GHS) under the management of the National Malaria Control Programme (NMCP).
AMF will work closely with both organisations and with in-country distribution partners who will have responsibility for:
- Ensuring reconciliation of nets distributed with nets funded through detailed review of household-level records and associated monitoring
- Post-distribution check-ups (PDCUs) of net use and condition at six monthly intervals for a period of 30 months.
AMF will fund the distribution partners’ work. We are finalizing the micro-planning for this and will publish full details and documentation in the coming weeks.
Distribution details: Upper West Region, Northern Region and Greater Accra Region
Further information on Ghana
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Zika is certainly a major international challenge and the WHO is expected to raise its awareness.
The virus is mainly transmitted by the ubiquitous mosquito Aedes aegypti. This common mosquito bites during the day and therefore the main approach to its control is either removing the breeding sites, 'source reduction', or 'space spraying' by house to house insecticide fogging or truck mounted spraying (ULV, ultra-low volume). Personal protection by the use of insect repellents and screening windows is also a very important approach.
This means the use of bednets is generally of marginal benefit in attacking these day-biting mosquitoes. At AMF, we focus exclusively on the provision of bednets for malaria control. We don’t have experience of controlling day-biting mosquitoes, such as those transmitting dengue, yellow-fever and Zika.
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