Over the past two decades, the world has made great progress in reducing malaria cases and deaths, but the pace has stalled in many high malaria burden African countries. Global malaria cases dropped by 29% between 2000 and 2019, but only by 2% between 2015 and 2019 when deaths fell by 15% compared with 60% between 2000 and 2019. Professor Francis Omaswa, Executive Director, African Centre for Global Health and Social Transformation, explains what needs to be done to get malaria control and prevention back on track