At Alegongo Primary Health Centre in Ibadan, Nigeria free rapid malaria tests, artemisinin-based treatments, and insecticide-treated nets have helped control the disease for local families. 

However, Nigeria still represented 26% of global malaria cases (over 260 million) and more than 30% of malaria-related deaths (nearly 600,000) in 2023. Through the WHO’s High Burden to High Impact program, malaria deaths dropped by 13% between 2017 and 2023. 

Initiatives supported by USAID such as the President’s Malaria Initiative and Johns Hopkins’ Centre for Communication Programme ensured the distribution of millions of nets and medications until March 2025, when sudden US funding cuts disrupted shipments and stopped essential surveys on net ownership, diagnostic use, and infection rates.

 Now, clinics are at risk of running out of rapid test kits, ACTs, and injectable artesunate as trained workers lose their jobs and logistical support disappears. 

Experts caution that without new funding, prevention and monitoring systems could collapse by the end of summer, undoing years of progress. Researchers recommend investing in local net manufacturing and community-driven disease tracking to create long-term resilience independent of foreign aid.