13% over 4 years sounds pretty weak.
I read that as 13% of all young children deaths.
https://www.sciencedirect.com/science/article/pii/S240584402...:
“Malaria was the fourth highest cause of mortality in Sub-Saharan Africa, accounting for 10% of children's deaths”
“In 2013, malaria in Malawi was the leading cause of hospital admissions and death in children under five years of age and pregnant women. The disease accounted for 20% of all deaths of children under five”
⇒ I guesstimate this decreased mortality by malaria in those regions by 50-ish percent.