Fig. 2

Distribution of monthly costs in an METF-supported MP. Costs of METF MP are around US$160, similar to other programs in Myanmar [20]. The costs of training, transportation (supervision, supply, patient referrals), data transmission (smartphone and SMS) and management of the MP network (36 % of total), emphasize the necessary investment on constant availability of supplies, regular monitoring and weekly malaria surveillance in MP. Stock-outs, lack of refresher trainings and/or monitoring visits have been reported as major risks for losing the trust of the communities and demotivation of workers in other programs of malaria EDT [40, 41], and are a major threat to elimination programs (see also “Challenges” section)