Malawi faces several major health challenges that undermine its growth and development. Its population of 15 million is expected to triple by 2040 if there is no reduction in its total fertility rate of 5.7. Over half of its population lives below the poverty line, and more than a third consumes less than the required daily calories, leading to a 47% stunting rate for children under five. Leading causes of death include HIV/AIDS, lower respiratory infections, malaria, diarrheal diseases, and pregnancy-related complications. Malawi’s health indicators are among the worst in the world, with maternal mortality at 675 maternal deaths per 100,000 live births, under-five mortality at 112 deaths per 1,000 live births, and infant mortality at 66 deaths per 1,000 live births.
USAID’s Child Health program focuses on improving the effectiveness and accessibility of child health and nutrition services through community-based approaches, with a focus on village clinics and community health volunteers, to deliver a package of high-impact child health and nutrition interventions (preventive and selected treatment).
Family planning interventions focus on improving options for contraceptive choice. USAID is spearheading community-based distribution of family planning options and improving access to long term and permanent methods as well as reforms to strengthen commodity security.
The nutrition program focuses on preventing chronic under-nutrition by linking behavior change communication with agricultural value chains and health service delivery; preventing and controlling micronutrient malnutrition through food fortification; institutionalizing community-based management of acute malnutrition and building the capacity of government staff working in the nutrition sector at all levels.
PEPFAR-supported HIV/AIDS portfolio in Malawi includes investments in systems strengthening, HIV treatment and care services, behavioral and biomedical prevention, and strengthening communities to both increase uptake of HIV treatment services and to support vulnerable populations, including People Living with HIV (PLHIV).
The United States Government’s Presidential Malaria Initiative (PMI) has contributed to substantial progress in scaling up malaria prevention and treatment measures as well as training, host country capacity building. USAID is supporting the National TB-Control Program to realize its vision of a tuberculosis-free Malawi by reducing the morbidity, mortality and transmission of tuberculosis until the disease is no longer a public health problem.
Maternal health Interventions support the roadmap for accelerating reduction in maternal and neonatal morbidity and mortality through implementation of proven high impact interventions at household and village/community levels, and improve services to provide a continuum of care for women. Malawians who take charge of their own health, and manage their family size will be those who lead and develop their country.
Funding (FY 2013)
$39.2million (HIV/AIDS, including OVC)
$1.5 million (TB)
$24.1 million (Malaria)
$11.7 million (Maternal & Child Health)
$12.7 million (Family Planning)
$4.1 million (Food for Peace: Nutrition)
$5.1 (Food for Peace: Feed the Future)
$1.9 million (WASH)
TOTAL $95 million
Government of Malawi, Abt Associates, African Palliative Care Association, Banja La Mtsogolo, Baylor, Bunda College of Agriculture, Catholic Relief Services, Centers for Disease Control, Christian Health Association of Malawi, Chemonics, Dignitas, Engender Health, FHI 360, Feed The Children, Futures Group, Global AIDS Interfaith Alliance, Intrahealth, JHPIEGO, Johns Hopkins University, John Snow International, Kamuzu College of Nursing, Lilongwe Medical Relief Fund Trust, MACRO, MalariaCare, Partners in Hope, Peace Corps, Population Reference Bureau, Population Services International, Save the Children, Tufts University, UNICEF, University Research Council, World Learning
Last updated: July 14, 2014