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Travel Health Group Malaria Impact Report 2023

Our BHAG (Big Hairy Audicious Goal) is a malaria-free world by 2030. An ambitious higher goal in which we follow WHO targets. We have been committed to a malaria-free world for over 20 years. Together with our partners, we distribute nets where they are most needed, we want to increase the knowledge of how to use them and we support scientific research for this purpose.

We want to increase these contributions tenfold by 2030. An ambition that is at least as worthy. To achieve this, we have defined several pillars in which we want to become even more successful.

We invite you to scroll down to read more about our contributions in 2023.


World Malaria Report

Annually, the World Health Organization (WHO) releases the world malaria report, providing in-depth information into the latest trends in malaria control and elimination across global, national, and regional levels. The report highlights progress towards global targets and describes opportunities and challenges for curbing and eliminating the disease.

Malaria stands as one of the most formidable health challenges of our time, affecting millions worldwide and exerting a significant toll on human life and socioeconomic development. Despite substantial progress in recent years, malaria continues to exact a heavy toll, disproportionately affecting vulnerable populations in (sub)tropical regions.



Key results:

Globally in 2022, there were an estimated 249 million malaria cases across 85 malaria endemic countries and regions, an increase of 5 million cases from the previous year. An estimated 608 thousand deaths were recorded in 2022.

Countries with indigenous cases in 2000 and their status by 2022

Source: WHO

Good news:

  • In 2022, 34 countries reported fewer than 1.000 malaria cases (compared to 13 countries in 2000) and 27 countries reported fewer than 100 cases of malaria in 2022 (up from just six countries in 2000).
  • Over 2 million children have received at least one dose of the RTS,S vaccine in Ghana, Kenya and Malawi. Evaluations indicate a significant reduction in severe malaria cases and a 13% decrease in early childhood death rates in areas where the vaccine was administered.


Less good news:

  • Despite the considerable progress made, if the current trends continue, it is likely that the Global Technical Strategy for malaria 2025 targets will not be achieved. Persistent obstacles such as extreme weather conditions, scarce resources, system inefficiencies and biological threats hinder progress towards a malaria-free world. A substantial pivot is needed to get back on track, with much greater financing, better tools, data-driven strategies and robust political commitment.


The WHO has declared climate change the primary health threat facing humanity. Rising temperatures, changed rainfall patterns and humidity can create favourable conditions for the increase in mosquito populations, expanding their geographic reach and escalating the rate of transmission. Additionally, these conditions can also result in the formation of breeding environments favourable for mosquitoes and worsening the dynamics of disease transmission.

The impact of climate change on malaria is particularly pronounced in regions already burdened by poverty, inadequate healthcare infrastructure and limited access to resources, further increasing the risks of harmful exposure to diseases and widening existing inequalities.

Source: WHO

The latest numbers

malaria cases in 2023

malaria deaths in 2023

Nets distributed (2023)*

*Via the Buy One, Give One program.

Our contribution in 2023

Pillar 1: Growth in the number of nets in use

A powerful weapon in the fight against malaria, our mosquito nets are purchased and printed locally in Kampala, Uganda. Through various partners, the nets are distributed and handed out personally to the people who need them most. Working with local partners and our partnerships are crucial to the goals we want to achieve. These partnerships enabled us to distribute as many as 11,000 nets in 2023. A growth of over 225% compared to 2022, were we distributed 5,040 nets.

The Uganda Coffee Farmer Alliance (UCFA) is an important existing relationship. This cooperative ensures that coffee beans are collected from farmers far into remote areas. These coffee farmers often lack access to resources for malaria protection. Using its logistics system, trucks with nets out, and trucks with coffee beans back, we can distribute the nets at a relatively low cost.

In addition, she held entertaining conversations with several possible new partners.

Below you can find an interview with Corine to read more about the activities during this outreach.

Interview with Corine Schmal, CEO at Care Plus®  about her visit to Uganda in October 2023

Where were you in Uganda during the outreach in November and what was the main purpose of your trip?

During the outreach in Uganda last November, I was accompanied by my husband and our former CEO, Arnoud Aalbersberg, as part of my responsibilities after taking over his role last year. The purpose of my trip was twofold: to gain firsthand insight into the projects Travel Health Group has been supporting in Uganda for several years and to foster new partnerships while deepening existing ones.

Our outreach efforts, conducted in collaboration with the Uganda Coffee Farmers Association (UCFA), spanned two days, with visits to the Mityana and Luwero regions. Working with UCFA, we acquired printed mosquito nets from Twiga, the local printing factory, and distributed them at various locations, including smaller villages. These distributions were complemented by education sessions on malaria prevention and the importance of sleeping underneath a mosquito net.


Can you elaborate on any other collaborations or partnerships formed with local organizations during the outreach? 

Beyond the outreach activities, I engaged in meetings with key partners, including Twiga, and we attended gatherings hosted by two chapters of the Rotary Club, of which from the Ssesse Islands where we had previously distributed mosquito nets in partnership with the Rotary in October 2023. Attending Rotary meetings facilitated fruitful discussions and connections with individuals from diverse backgrounds, including representatives from the Ministry of Health, who are actively involved in malaria prevention efforts.

Moreover, we started conversations with the Ugandan Red Cross which has great potential for an impactful collaboration. Our discussions focused on expanding beyond traditional interventions and delving into research initiatives. Leveraging their extensive network, we aim to broaden our reach engaging additional partners so that we can increase our impact together.


So what are the main insights you have learned during these meetings?

In my discussions with various stakeholders, such as the Red Cross and local farmers, I gained valuable insights into the specific needs of the communities we serve. Particularly the conversations with local women, who expressed interest in receiving assistance and education within their homes to improve malaria prevention practices. This contrasts with Western attitudes, where we may be more reluctant to accept help in our households.
Realizing this cultural gap highlighted how crucial it is to adjust our actions to match the needs and customs of the communities we serve. We saw that getting involved at the household level could really make a difference in how well our efforts work. By giving local community workers the tools to offer specific help and education, we can make sure families know how to fight malaria effectively.

Therefore, as we plan our next steps, it’s important that our initiatives go beyond distributing mosquito nets. In addition, we need to focus on building strong, sustainable networks of support within local communities, empowering individuals and families to take charge of their health and well-being. By taking a proactive and holistic approach to malaria prevention, we can make meaningful progress toward eradicating this disease and improving the lives of those most affected.


Can you describe the local community’s living conditions in the area where the outreach took place?

The living conditions in the local communities where our outreaches took place are quite basic. While I haven’t had the chance to see many homes from the inside, I’ve observed that families typically live in small, condensed spaces. In these areas, it’s common for an entire family, including parents and multiple children, to share a single area for sleeping, cooking and living. Because of this close living arrangement, it’s essential for each family member to have a mosquito net, as they may not all sleep in the same bed.

Given the compact nature of the housing, much of daily life takes place outdoors, with people spending their days working on their land. As part of our malaria program, we emphasize the importance of seeking shelter indoors from dusk to dawn (when the anopheles mosquito is active) and taking measures to minimize mosquito breeding in and around homes. Together with the UCFA we provide education to create healthier living environments, by addressing factors that contribute to mosquito breeding, such as stagnant water and certain vegetation in their gardens in order to reduce the risk of malaria transmission in the community.


What impact do you believe the printed nets will have on the community’s daily life?

We’ve gathered insights through interviews with local farmers and our distribution experiences. Firstly, the printed coffee related images on the mosquito net is a daily reminder for farmers that it is important to stay healthy while they work on their crops. This connection between their livelihood and their health encourages them to prioritize their well-being, sleeping under a mosquito net and ultimately leading to fewer cases of malaria.

Moreover, our nets stand out for their superior quality compared to those distributed by the government. They are soft, free from strong odors from impregnation, and easy to handle. This high quality not only enhances comfort but also practicality, as farmers can easily remove and reinstall the nets as needed throughout the day.

But most important, the economic benefits of reduced malaria cases are significant. When farmers and their children remain healthy, they can go to school and work, leading to increased productivity and income. This economic stability enables access to various benefits, contributing to improvements in both economic and social aspects of their lives.


Pillar 2 – Support scientific research

In practice, we have learned that printing the nets with important images such as a butterfly, Nelson Mandela or Jesus Christ ensures longer use. The net gets more value and is less likely to be used for other purposes such as a fishing net, chicken run or agricultural fence. We value spreading our experiences. We have therefore launched a scientific study in cooperation with Radboud University Nijmegen. This research is led by the research agency Survey 54, which has specific experience in interviewing local populations in Uganda.

The research consists of a number of phases. The current state of affairs is:

1. Drafting survey questions

2. Coordinating with the Radboud University ethics committee

3. Run pilot study

4. Start of 3 research rounds

5. Analyse results

5. Analyse results

Performing research in the kinds of rural area’s comes with challenges. We want to make sure that our data is as reliable as possible therefor at this point (April 2024), in consultation with Radboud University, for the next phase, it was decided to partner with a local university to ensure that the research would produce the most reliable analyses.

Pillar 3: Step up in reporting and governance

A malaria-free world is a goal we have actively supported since 2000 by donating 1% of Care Plus® and Moustifluid brand sales. In 2023, we decided to reorganize the donation structure to enable us to make more impact in our BHAG with Travel Health Group.

To achieve our own goal of increasing our impact tenfold by 2023, we want other donation partners to join our cause. This requires transparency. We therefore provide clarity on our balance sheet around the malaria-free world in this impact report. We also included an extra item in our annual financial report in which we record our spending on the goal of a malaria-free world. Naturally, this report is publicly available.

Balance sheet 2022

2022 details
Twiga nets 30,1 K EUR
Dutch Malaria Foundation 15 K EUR
Research Uganda 12 K EUR
Publication costs awareness for malaria 8,83 K EUR
Cost physical net distribution in Uganda 2,7 K EUR
Total: 68,63 K EUR

Balance sheet 2023

2023 details
Twiga nets 69 K EUR
Dutch Malaria Foundation 15 K EUR
Research Uganda 12 K EUR
Publication costs awareness for malaria 13,1 K EUR
Cost physical net distribution in Uganda 1,6 K EUR
Total: 110,7 K EUR

In 2023, we have seen a huge growth in the number of nets distributed. To raise awareness of the impact of malaria and meet our target, we invested in new footage. Together with local film crews, we filmed and photographed during two outreaches.

Malaria remains one of the most lethal diseases globally, significantly affecting human health, economic stability and national development. Despite being preventable and eradicable, it continues to pose a severe threat. If you are eager to contribute to our efforts or have suggestions or ideas to share, we welcome your input! Please don’t hesitate to contact us via the contact form.