Malaria elimination has been a recurring policy goal in Solomon Islands and has historically succeeded in attracting substantial donor support. Drawing on literature review and key informant interviews, we examine the influence of foreign aid on malaria control and elimination efforts in Solomon Islands between 2002 and 2016, as a unique case study of an Asia-Pacific country with high malaria burden and high donor funding. While aid appears to have contributed to reduced malaria prevalence, the ways in which aid was delivered in the short term had health systems impacts with implications for the elimination agenda. Key areas that will be critical to the future pursuit of malaria elimination in Solomon Islands include: integration of the vertical malaria program, while strengthening provincial-level service delivery; maximising incentives of performance-based financing modalities; and policy alignment between donors and domestic actors. We conclude by discussing principles exemplified in the case study of broader relevance to malaria-endemic countries.

中文翻译：

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最后一次再次消除：捐助者支持所罗门群岛疟疾的案例研究

消除疟疾一直是所罗门群岛的一项反复出现的政策目标，并且历来成功地吸引了大量捐助者的支持。通过文献综述和关键知情人访谈，我们研究了 2002 年至 2016 年间外国援助对所罗门群岛控制和消除疟疾工作的影响，作为疟疾负担高和捐助资金高的亚太国家的独特案例研究。虽然援助似乎有助于降低疟疾流行率，但短期内提供援助的方式对卫生系统产生了影响，从而影响到消除议程。对所罗门群岛未来消除疟疾至关重要的关键领域包括： 整合垂直疟疾规划，同时加强省级服务提供；最大限度地激励基于绩效的融资方式；捐助者和国内行为者之间的政策协调。最后，我们讨论了与疟疾流行国家更广泛相关的案例研究中举例说明的原则。