The four basic elements in the global malaria control strategy are described. The objectives of this strategy are to prevent mortality and to reduce morbidity and social and economic loss due to disease through the progressive improvement and strengthening of local and national capabilities. The strategy does not propose a single solution but gives broad lines of approach to achieving a common aim. The approaches are to be adapted by the countries concerned according to the structures of their health systems and existing control operations, their resources, and a realistic assessment of the control needs and risk factors.