It Takes a Village to Beat Malaria — How Behavioral Science Can Lead the Way [International Edition]

The 78th session of the World Health Assembly, which serves as the primary deliberative forum for the World Health Organization, was held in Geneva, Switzerland, between May 19 and May 27. Each year, representatives from all member countries convene to address and determine the organization’s future objectives and strategies.

This occurrence happens during a critical juncture for worldwide well-being, as insufficient financial support risks reversing progress achieved so far, putting numerous lives in jeopardy.

Several major topics were addressed at this year’s gathering, focusing on enhancing readiness for health crises and boosting the population’s overall wellness. These points resonate strongly with the goals of the Malaria Consortium—especially their commitment to adopting a person-focused strategy to improve healthcare, which stands as a fundamental principle of their operations.

This past year, I presented our significant contributions in this field at BX2025 held in Abu Dhabi. This conference, organized by the Behavioural Insights Team (BIT) and the Behavioural Science Group, centered around the convergence between behavioral science and public policy strategies.


Why tools by themselves aren’t enough

At Malaria Consortium, we understand that providing essential health resources is just part of the solution. For insecticide-treated nets (ITNs), vaccines, and antimalarial drugs to be effective, they must be used properly and regularly by individuals.

The difficulty lies in behavior: families might not use mosquito nets correctly, communities could be skeptical about new vaccinations, or individuals may stop taking their medications prematurely. This isn’t due to lack of information; rather, these issues stem from ingrained habits, beliefs, and practical obstacles that hinder proper adoption.

By utilizing behavioral science to tackle the psychological and social elements affecting decision-making, we can attain the consistent, widespread protection needed for eliminating malaria.

For instance, the
Be In A Net
The research initiative, conducted in collaboration with BIT, aims to bridge the divide between accessing insecticide-treated bednets (ITNs) and actually utilizing them. It tackles obstacles like misconceptions about net aesthetics and comfort by offering community members a selection of colors and textures for their nets. Additionally, the project boosts visibility by awarding stickers and wristbands or hosting events to honor those who consistently use their nets, thereby promoting ongoing adoption.

Working with communities underpins all of Malaria Consortium’s work and is particularly effective in tackling malaria drug resistance. The
Community-Driven Approaches to Tackling Antimicrobial Resistance (COSTAR)
The project utilizes collaborative storytelling to render the idea of drug resistance more comprehensible, prompting community participants to envision a scenario where antibiotics cease to function effectively. People engage in conversations to stimulate participation and personal investment in these initiatives, ensuring that beneficial healthcare practices are promoted and adopted as standard behavior.

The introduction of the revolutionary malaria vaccine presents a strong example of why implementing a lifesaving measure necessitates more than just efficient planning and logistics—it also calls for building trust and maintaining consistent community involvement. The Malaria Consortium backed this initiative.
launch of the malaria vaccine in Mozambique
While the initial phase saw strong engagement due to the campaign, there was a significant decline in recipients for the second and third doses. This shift revealed how obstacles to accessibility impacted outcomes and underscored the limitations of isolated efforts in changing behaviors and attitudes. It emphasized the urgent requirement for consistent, culturally relevant initiatives to drive ongoing participation.


From awareness to action

Fears, misleading information, obstacles to accessibility, and even bad scheduling can sabotage carefully planned initiatives aimed at good intentions. Behavioral science offers guidance for predicting and tackling such issues. For instance, this could involve leveraging credible sources and emotionally compelling stories to promote repeat engagement through timely prompts. Clearly, the chance exists: as we all wish for the success of malaria vaccinations, it’s crucial to integrate human behavior into the planning of vaccination distribution. This approach aims to deliver confidence, significance, and robustness.

Achieving malaria eradication necessitates strategic changes to incorporate behavioral insights for maintaining consistent and proper usage of both established and emerging interventions. We must persist in incorporating people-centric strategies into our anti-malaria efforts. This involves initially allocating resources toward understanding behaviors through diagnostic tools, collaborating with communities during design phases, and continuously assessing which methods effectively alter behavior. Success shouldn’t merely be measured by heightened awareness and information levels but rather by tangible modifications in actions taken.


What’s at stake

Rising antimalarial drug resistance and the worsening impact of climate change on the dissemination of vector-borne illnesses present significant obstacles to achieving malaria eradication. When combined with reduced financial support, these factors could potentially reverse the progress that has been made.

Aside from the beneficial effects on health, tackling these issues directly would also lead to additional consequences.
report
According to Malaria No More UK estimates, reducing malaria by 90% by 2030 could increase the GDPs of affected nations by $142.7 billion. Missing out on these healthcare and financial advantages due to the severe impact of malaria on human well-being and socio-economic progress is clearly unacceptable.

Behavior will play a crucial role in realizing a world free from malaria. For successful malaria eradication efforts, incorporating behavioral science as a central component within these programs is essential.

Provided by Syndigate Media Inc. (
Syndigate.info
).

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