Turning the tide on malaria

PICTURED: Australian Rotarians Against Malaria grant staff conducting blood tests on a baby in West Timor.

Australian Rotarians are on a mission to take malaria cases to zero in West Timor.

Malaria remains a devastating disease in many parts of the world, disproportionately affecting vulnerable communities. The sustained effort of Australian Rotarians to eliminate malaria is a testament to both commitment and compassion. Over three decades, Australian Rotarians Against Malaria (ARAM) has not only saved lives in the Asia Pacific Region but also reinforced the principle that health is a fundamental human right – something many in developed nations often take for granted.

But this is a story of success of ARAM partners (Rotarians and local governments) in Timor Tengah Selatan, one of five districts in West Timor, Nusa Tenggara Timur province, Indonesia – one of the poorest provinces in Indonesia.

Between 2021 and 2023, ARAM and Rotarians were successful in obtaining two Rotary global grants for four districts in West Timor with a total value of US$302,328. The first grant commenced in late 2022 and the second grant was rolled out in late 2023.

In just three years (2022-24), ARAM, Rotarians and partners in Timor Tengah Selatan have reduced malaria cases from 688 to just 154. The results are a testament to the dedication of Rotarians, local governments and health professionals working together.

Several malaria interventions were implemented in Timor Tengah Selatan, namely malaria surveillance, case investigations and active case detection via mass blood surveys. In addition, mentoring was provided to staff at community health centres. The application of Direct Observation Therapy is particularly significant, ensuring that patients complete their full course of anti-malarial treatment. Drug compliance is often a challenge in malaria control, and this structured approach demonstrates how accountability and follow-ups can lead to more successful recovery rates.

The success in Timor Tengah Selatan illustrates how sustained funding, meticulous planning and close collaboration can bring meaningful change to communities battling malaria.

Malaria elimination is an enormous achievement, but sustained vigilance is essential to keep it from resurging. Ensuring continued funding, robust surveillance and swift response mechanisms will be key. Rotarians’ support – whether through funding, advocacy or partnerships – is crucial for ARAM to continue the good work we do.

Australian Rotarians Against Malaria (ARAM)

Formerly known as RAM, Australian Rotarians Against Malaria (ARAM) has worked to support countries in the Asia Pacific region for more than 30 years. Governed by Rotary Australia World Community Service (RAWCS) Ltd., ARAM works closely with partner Rotary clubs in Australia and with local governments in five countries – Papua New Guinea, Vanuatu, Solomon Islands, Timor Leste and Indonesia. ARAM is run by volunteers and relies on donations from Rotary clubs. In addition, ARAM has been able to do more through obtaining Rotary global grants for its partner countries. Tax deductible donations can be made via ram.rawcs.com.au (soon to be updated).

Thank you to Rotarians in Indonesia (D3420) and Western Australia (D9423), who were central to obtaining and managing the grants. Thanks also to Districts 9830, 9705, 9810, 9820, 9560, 9620 and 9800 for their support for West Timor.