Malawi faces a range of challenges to sustainably finance and efficiently manage the delivery of high-quality health care and public health services. Over 60% of all health financing in Malawi comes from donors, as much as 85% of funding for public sector health care services which serve the majority of Malawians (NHA 2010, MOH 2012). Securing more sustainable financing, and increasing the efficiency and effectiveness of current spending through improved health sector governance, will be critical for Malawi in the coming years. There are also substantial barriers to improving access to high-quality of care. A key factor is the severe shortage of adequately trained health personnel across all professional cadres, combined with challenges to train, incentivize, supervise and manage existing workers within the system. Lack of infrastructure, equipment, and information technology further limits access to services and effective management.
As an effective and efficient health system is critical to the achievement of health outcomes, Health Systems Strengthening (HSS) activities are integrated throughout USAID’s portfolio. USAID supports the MOH and private sector actors to improve governance, management, and monitoring & evaluation systems, as well as upgrade infrastructure and equipment. To address the shortage of skilled workers, USAID supports pre-service and in-service training programs for both clinical and non-clinical health workers, as well as efforts to improve HR management, supervision, and retention. In 2012, USAID was supporting over 500 students to obtain clinical degrees. To improve quality, USAID supports development and implementation of national policies and protocols, and integrated supervision, mentoring, and training of health workers through existing zonal and district-based systems. USAID is also assisting Malawi to develop new policies and approaches to health financing to improve sustainability, efficiency and effectiveness, and strengthening the planning, management and use of funds at all levels.
Key objectives of USAID support include enabling Malawi to access and effectively manage current and new sources of funds, including the development of public private partnerships. USAID is also a key partner supporting the Ministry of Health to improve Malawi’s access to and management of Global Fund monies, and address system-wide barriers to service delivery, such as investing in national systems to ensure consistent availability of drugs and medical supplies.
Funding (FY 2012)
$13 million integrated across USAID’s programming in family planning, HIV/AIDS, malaria, maternal & child health, nutrition, and tuberculosis
John Snow Inc., Dignitas International, Global AIDS Interfaith Alliance, JHPIEGO, World Health Organization, Futures Group, University Research Corporation, LLC, Partners in Hope Trust, Management Sciences for Health
Miriam Lutz, Chief
Office of Health
Last updated: October 04, 2013