About The E8
The E8 Mandate:
Eight (8) Ministers of Health led the call in 2009.
Successful malaria elimination by the E8 countries is highly dependent upon strong cross-border collaboration to mount a coordinated response to limit malaria importation. The E8 provides a functional regional coordination platform at both technical and policy levels for E8 member states and their partners in malaria elimination. Through these vibrant platforms, collaborative development of 1 regional unified strategy and 1 unified regional plan was possible; The E8 Strategic Plan 2015-2020, and the E8 Acceleration Plan 2018-2020, respectively.
For the E8 countries, malaria importation and transmission in border areas has been a significant barrier to accelerating the pace of elimination. The E8 provides an active platform through which bi-and tri-lateral cross border initiatives can jointly plan, implement, and monitor elimination activities across shared borders. The E8 Situation Room provides a platform for routine information sharing across neighboring states and districts for information sharing and regional surveillance.
In order to affect a regional approach to elimination, the region builds on the harmonization efforts being spearheaded by its mother body, the Southern Africa Development Community (SADC). These efforts support national programmes and regional actors to design and execute elimination strategies that complement and reinforce each other across connected,
High-level political commitment enables malaria elimination. The formation of the E8 by the eight Ministers of Heal thin 2009 signaled a high level of support for elimination at the ministerial level. Through the E8 platform, the Ministers of Health provide additional leadership for malaria elimination, an effort that has culminated to the signing of the Windhoek Declaration to Eliminate Malaria in SADC by 2030 by all 16 SADC member states.
Financing is critical to the long-term sustainability of the E8’s malaria programming,helping to ensure that once elimination is achieved, it is also sustained. The E8 initiative has mobilized over $40 million USD between 2015 and 2019, towards the regional strategy. Innovative, donor-independent financing continues to be most crucial for the E8.
The value of the E8 regional approach
How does the E8 add value to individual national malaria control and elimination strategies?
• E8 is a SADC subsidiary with a member-state led mandate. The E8 was born out of SADC. The focus of its Strategic Plan is to complement national-level efforts and investments, thus accelerating progress of each member state towards zero transmission. Because the E8 provides an effective platform, solutions to challenges such as cross-border movement, commodity supply and security can be solved collectively
• E8 provides the platform for cross-border collaboration and learning: Disease intelligence is central to the region’s efforts to track and target hot spots—geographic areas at high risk of malaria transmission. The E8 has provided countries with a regional forum to share data, knowledge and information across countries. While the scope of national health information systems is limited by political boundaries, malaria transmission extends beyond these boundaries.
• The annual E8 Scorecard reinforces accountability towards the shared goal: Each country’s performance is evaluated and recorded on the SADC E8 Elimination Scorecard, which is reviewed on an annual basis by E8 Ministers of Health. E8 countries define the required standards of performance by all countries, and the Scorecard serves as an accountability mechanism that monitors and compares country-level progress against the defined indicators that are critical for regional progress.
• Resources can be pooled at a regional level to address shared challenges: Rather than investing individually, countries and partners are able to pool technical expertise and infrastructure such as specialized skills, laboratories and financial resources. These regional investments, through the E8, can have significant returns and will provide access to essential resources that otherwise may be out of reach to individual countries.
• Stronger advocacy at a regional level: As countries get closer to zero, prioritization for malaria elimination resources may be compromised at national level. Through the E8 Ministers platform, peer-influence and accountability allows malaria to stay on top of the health agenda until the whole region has achieved its shared goal; to eliminate malaria by 2030.
The Elimination 8 Initiative (E8) is a coalition of eight countries working across national borders to eliminate malaria in southern Africa by 2030. As the malaria response arm of the Southern Africa Development Community (SADC), the E8 is pioneering an ambitious regional approach and driving collective action to end this deadly disease once and for all. Guided by the belief that countries are stronger when they work together, the E8 is building a model that will inform coordinated efforts in southern Africa and beyond.