The African Leaders Malaria Alliance (ALMA) was launched in 2009 as a coalition of 49 African Heads of State and Government, working across country and regional borders to eliminate malaria from the continent. The alliance provides a forum for high-level advocacy, action and follow-up on malaria commitments and goals. The ALMA secretariat designed the ALMA scorecard for accountability and action to guide decision making advocacy and action for malaria at continental and global level. ALMA Heads of State and Government receive the scorecard quarterly and review it during African Union summits. The scorecard mechanism has been replicated at country level. The ALMA secretariat has supported 40 countries to develop national malaria control and elimination scorecards, as well as reproductive, maternal, newborn, child and adolescent health, NTD and community scorecards in order to keep track of progress and bottlenecks and act on challenges. These scorecard management tools are designed for use at national and subnational levels and are increasingly used at community level use.