USAID Malawi Health Systems Strengthening Fact Sheet


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, information systems, and infrastructure.
Donors provide over 65% of total health expenditures in Malawi, making its health sector one of the most donor-dependent in the world. Securing more sustainable financing, and increasing the efficiency and effectiveness of current spending through improved health sector governance, is critically important for Malawi in the coming years.
Malawi - HPN - Nutrition - Monitoring - Evaluation
Nutrition and growth monitoring is part of a comprehensive health system.
Amos Gumulira, Feed the Children



An effective and efficient health system is necessary for improved health outcomes.  As such, Health Systems Strengthening (HSS) activities are integrated throughout USAID’s health portfolio in Malawi. 
USAID works with the Ministry of Health (MoH) and the private sector to improve governance, management, and information 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 and improves supply chains; develops and implements enhanced national policies and protocols; and facilitates integrated supervision, mentoring, and training of health workers.  
Innovative use of technology in HSS programming results in game-changing developments for the Malawi health sector—for example, USAID worked with the Government of Malawi to adopt a mobile phone-based supportive supervision tool.  The tool provides real-time data on facility performance to stakeholders at both district and national level, resulting in improved quality assurance.
USAID also provides technical assistance to the MoH to develop new health financing approaches that increase sustainability and efficiency.  In addition, USAID provides customized financial management coaching at district and central levels, supports the District Implementation Planning process, and trains managers to effectively use data in decision-making.  All these activities improve the planning, management, and use of funds in the health system.  

Funding (FY14)

USAID HSS programming is cross-cutting with support from family planning, HIV/AIDS, malaria, maternal & child health, nutrition, and tuberculosis funding streams.


  • Ministry of Health
  • Abt Associates
  • Dignitas International
  • Futures Group
  • Intrahealth International, Inc.
  • John Snow, Inc.
  • Partners in Hope Trust
  • Tufts University
  • World Learning, Inc.
  • John Hopkins University

Geographic Location


USAID Contact

Peter Halpert, Health Office Chief



Last updated: April 13, 2015

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