Decreasing external funding for malaria requires high burden countries such as Uganda to increase domestic public financing to control and eliminate malaria. This study aimed to examine how the Government of Uganda, in collaboration with development partners and private sources of funding, has directed public resources in the recent past to help address the malaria burden. Data search and collection included national, regional and global reports and global databases. Government reports

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... National Development Plans, national health accounts, national demographic health surveys, and other reports such as the Uganda Medicines Price Monitor, were included in the review. The findings indicate that government funding for malaria is limited (10% of the total budget for malaria programming). Households (67%) are the main source of funds which makes malaria control in Uganda unsustainable. Public allocations are also inefficient with only 30% of funds allocated for preventive services contrary to global and national malaria control priorities. Evidence of inequity in the implementation of malaria programming is closely linked to poverty and ownership of preventive materials such as ITNs. Poor regions also report high malaria case incidence. Unavailability of antimalarials is reported in lower-level facilities serving mainly the poor. Overall progress in improving key malaria indicators is poor. There is also no correlation between expenditure on malaria and the availability of ITNs (R 2 =0.6631). In conclusion, public financing for primary services such as malaria requires reforms to strengthen health sector performance in terms of sustainability, efficiency, effectiveness, and equity.