This working paper recommends analyzes the U.S. Agency for International Development's overall approach to malaria control.

The U.S. Agency for International Development should take several steps to improve performance, or Congress should distribute its malaria budget to another agency.

The U.S. Agency for International Developmenthas failed in nearly every respect to combat malaria over the pastsix years, as its budget has soared.

As 2006 unfolds, promises of bringing life saving interventions against malaria must be kept and all funds pledged must be accounted for.

If the Bush administration shifts USAID to buying malaria-preventing commodities, especially DDT, real success is possible.

Congress must cut low-priority spending and wasteful programs--such as broken international aid programs--to offset the new financial burden our nation faces.

Poverty will not be made history by aging rock stars and good will, but by sound institutions and domestic growth. Aidcan be counter-productive if not done carefully.

Problems with procurement, corruption, and intellectual property threaten new and innovative malaria treatments.