The closure of Zimbabwe's largest malaria program due to U.S. aid cuts has led to shortages of insecticide‑treated mosquito nets, delays in vector control operations, and weakened disease surveillance systems.

Date: 4/26

Region: Africa

Country: Zimbabwe

Topic: Health

Policy Lens: Global Health Security

Entry Type: System Impact

Additional Context: Save the Children notes that sustained international investment had been a key factor in the success of Zimbabwe's malaria response. From 2023 to 2024, Zimbabwe reduced cases by 76.6%, with the country on track to reach a more than 70% reduction and up to zero incidence in 2025. Cuts to the Zimbabwe Assistance Program in Malaria are held partially responsible for renewed outbreaks that have set back this reponse.

Devex Researcher Note: The Zimbabwe Assistance Program in Malaria, or ZAPIM II, was a cooperative agreement between an implementing consortium, of which Save the Children was a part, and Zimbabwe's Ministry of Health and Child Care and National Malaria Control Programme. The program aimed to reduce malaria morbidity and mortality through improved case management, mosquito net distribution, behavior change, community capacity, and surveillance. The second iteration of ZAPIM II was scheduled to run until March 31, 2026, but was cancelled in late February, 2025. According to allAfrica, the Zimbabwean national authorities reported a shortage of 600,000 bed nets by May 2025. Damage to these prevention, control, and surveillance systems, has, according to them, played a big role in the 180% surge in cumulative malaria cases and 218% surge in Malaria deaths in this period.

Source: Save the Children