Malawi faces a range of challenges to sustainably finance and efficiently manage the delivery of high-quality health services. There is a severe shortage of adequately trained health personnel across all professional cadres, and it is difficult to train, retain, supervise, and manage existing workers within the health system. There are also critical gaps in supply chain management, infrastructure and equipment.
Donors provide over 60% of all health financing in Malawi and as much as 85% of funding for public sector health care services that serve the majority of Malawians. Securing more sustainable financing, and increasing the efficiency and effectiveness of current spending through improved health sector governance, is critical for Malawi in the coming years.
An effective and efficient health system is critical to the achievement of improved health outcomes, so Health Systems Strengthening (HSS) activities are integrated throughout USAID’s portfolio.
USAID works with the Ministry of Health (MOH) and the private sector to upgrade infrastructure and equipment and improve governance, management, and monitoring & evaluation systems. To address the shortage of skilled workers, USAID supports pre-service and in-service training programs for both clinical and non-clinical health workers and focuses on improving HR management, supervision, and retention. To improve quality, USAID strengthens supply chains; develops and implements enhanced national policies and protocols; and facilitates integrated supervision, mentoring, and training of health workers.
USAID develops new policies and approaches to health financing to improve sustainability, efficiency and effectiveness. USAID also assists the MOH in accessing and managing Global Fund monies. In addition, USAID strengthens the planning, management and use of funds by providing customized financial management coaching at district and central levels, supporting the District Implementation Planning process, and training managers on how to use data in decision-making.
Funding (FY 2013)
$12 million integrated across USAID’s programming in family planning, HIV/AIDS, malaria, maternal & child health, nutrition, and tuberculosis
- Ministry of Health
- Abt Associates
- Dignitas International
- Futures Group
- Intrahealth International, Inc.
- John Snow, Inc.
- Partners in Hope Trust
- Tufts University
Last updated: July 14, 2014