The Asia-Pacific Leaders’ Malaria Alliance (APLMA) is an affiliation of Asian and Pacific heads of government formed to accelerate progress against malaria and to eliminate the disease in the region by 2030. This paper was prepared to support the second meeting of the Access to Quality Medicine and other Technology Task Force in June 2014. It addresses upstream supply side challenges of antimalarial medicines, diagnostics, and vector control technologies and interventions related to

i) market structure

ii) its impact on prices, supply and innovation

iii) interventions to better align market structure with public health needs.

It presents options for possible interventions, including “push” and “pull” mechanisms for technologies under development, and supply and demand interventions for existing technologies.