Focus on Madagascar work and achieve our goals. The programme needs an operational support unit that ensures coordination. We also need anthropologists, sociologists and psychologists to better understand and serve our target populations, and build better programmes. Only a fraction of our population attends health facilities. Where do the others go? According to some reports, people have a preference for more flexible, less rigid nets. Is that true? What can we do about it? Some physicians still do not always use RDTs, or do not prescribe ACTs. Why? We need to better study and understand the target population. We also need to organize ourselves better. Meetings of experts or technicians often result in long lists of problems and recommendations, as happens at the end of malaria programme reviews, for example. What is missing is the next step, a summary with a hierarchy of priorities, leading to clear operational plans. What to do? When and how? Doctors and technicians are perhaps not the best people for these specific tasks. Madagascar was the first country in Africa and one of only two countries in the world (with China) to obtain full funding of its national malaria control strategic plan. What challenges will you have to overcome in order to achieve your goals? Once again, I would like to emphasize our ability to manage. We are very fortunate to have been granted financial support from the Global Fund; all eyes are now upon us. We will have to use these funds efficiently and rapidly to deliver appropriate interventions to the people. The net distribution campaign held in November 2010 had been scheduled since December 2009, so our operational capacity needs improvement. Next, we must realize that malaria prevention and control measures will have an impact, changing the epidemiological profile of malaria in