The Family Planning programme

The national FP programme of the RHD seeks to reduce unmet need for family planning services, unintended pregnancies as well as socio-economic disparities in contraceptive use through provision of voluntary comprehensive family planning services at all levels to all men, women and young people of reproductive age. Its objective is to strengthen availability, access to and utilization of family planning services at health facility and community levels.


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 Major Challenges

1. The control of a number of diseases such as Malaria still poses a big threat to health and lack of resources for indoor residual spraying and environmental control in high prevalence areas contributes to continuing health problems impacting on families, communities and the economy. 


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The health care system

Health services in Malawi are provided by public, private for profit (PFP) and private not for profit (PNFP) sectors. The public sector includes all health facilities under the Ministry of Health (MOH), district, town and city councils, Ministry of Defence, Ministry of Internal Affairs and Public Security (Police and Prisons) and the Ministry of Natural Resources, Energy and Mining.


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Support for fight against TB in Mining

The World Bank is supporting the Regional TB in mining Project (part of the Africa Regional Communicable Disease Control and Preparedness Program), which aims at controlling and or eliminating priority communicable diseases on the continent. Malawi is one of the four participating countries in the project. The overarching goal of the project is to increase utilization of key TB control and occupational lung diseases services in Malawi and strengthen the sub-region’s capacity to address such conditions.


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Health Sector Strategic Plan II

The Health Sector Strategic Plan II (HSSP II) 2017-2022 is the health sector’s medium term strategic plan outlining objectives, strategies and activities and guiding resources over the period 2017-2022. It succeeds the HSSP I (2011-2016). HSSP II builds on the successes achieved under the previous plan while addressing areas where targets were not met and progress slow.


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Health Awareness
Health Challenges
Health Facilities
Health in Mining
HSSP II

Health Sector Strategic Plan II

The Health Sector Strategic Plan II (HSSP II) 2017-2022 is the health sector’s medium term strategic plan outlining objectives, strategies and activities and guiding resources over the period 2017-2022.

It succeeds the HSSP I (2011-2016). HSSP II builds on the successes achieved under the previous plan while addressing areas where targets were not met and progress slow.

 

The goal of the HSSP II is to move towards Universal Health Coverage (UHC) of quality, equitable and affordable quality health care with the aim of improving health status, financial risk protection and client satisfaction.

The HSSP II aims to further improve health outcomes through the provision of a revised essential health package (EHP) and health systems strengthening for efficient delivery of the EHP. Specifically, the HSSP II sets eight strategic objectives for Malawi’s health sector – each with strategies and targets to implement by 2022:

1.   Health service delivery: Increase equitable access to and improve quality of health care services. Objective 1 builds on the successes of the Essential Health Package (EHP), which has outlined the health care interventions available to all Malawians, free at the point of access, since 2004. The aim is to achieve universal free access to a quality revised Essential Health Package (EHP), irrespective of ability-to-pay, to all Malawians.

2. Socio-economic determinants: Reduce environmental and social risk factors that have a direct impact on health. Objective 2 focuses on strategies that address the environmental and social risk factors that impact on health care requirements and health outcomes. Specifically, the objective focuses on behaviours and life styles, water and sanitation, food and nutrition services, housing, living and working conditions. This objective will be largely implemented at the community level.

3. Infrastructure & medical equipment: Improve the availability and quality of health infrastructure and medical equipment. Objective 3 attempts to ensure existing health facilities are of sufficient quality and properly equipped to address their specified health care requirements and to increase the proportion of the population of Malawi living within 8km of a health facility.

4. Human Resources: Improve availability, retention, performance and motivation of human resources for health for effective, efficient and equitable health service delivery. Objective 4 focuses on improving the absorption and retention rate of health workers in the public health sector while also achieving an equitable distribution.

5. Medicines & Medical supplies: Improve the availability, quality and utilization of medicines and medical supplies. Objective 5 focuses on improving the efficiency of the supply chain for medicines and medical supplies to ensure the availability of the EHP.

6. Health Information Systems: Generate quality information and make it accessible to all intended users for evidence-based decision-making, through standardized and harmonized tools across all programmes. Objective 6 focuses on improving and harmonising data collection and management at all levels of the health system, through improving ICT capacity, data protocols and linkages between levels.

7.  Governance: Improve leadership and governance across the health sector and at all levels of the health care system. Objective 7 focuses on improving communication and strengthening coordination in the health sector particularly with the goal of reducing duplication and fragmentation in the health sector.

8. Health Financing: Increase health sector financial resources and improve efficiency in resource allocation and utilization. Objective 8 focuses on attempts to increase the sustainable finances available to the health sector through both revenue raising and efficiency savings.

A primary concept of the HSSP II has been the rationalisation of the health sector’s objectives and activities. The design of the HSSP II has been more realistic than ambitious to ensure all objectives are actually achieved. A number of strategic choices were made with the focus of the HSSP II being on strengthening health sector governance structures and linkages, increasing equitable access and quality of EHP services, focusing infrastructure investments on rehabilitations and increasing medical equipment investments and improving use of health information at all levels.

The five-year cost of the HSSP II is estimated to be USD2,715 million. Costs increase from USD526 million in 2017/18 fiscal year (FY) to USD554 million in 2021/22. The total cost per capita each year remains constant at about USD31.

The HSSP II will be implemented by DHOs, central hospitals, development partners, civil society organisations, Non-Governmental Organisations (NGOs) and other health stakeholders. It will be monitored and evaluated using a set of National Health Indicators. Routine and survey data will be used to measure progress. The MoH will work towards a harmonized country-led M&E framework.

The HSSP II is structured as follows: Chapter 1 introduces Malawi’s health care system and outlines the HSSP II development process. Chapter 2 provides an in-depth situation analysis providing a synthesis of both the health status and health care system. Chapter 3 puts forward the HSSP II vision, mission and goal as well as outlining the objectives set to achieve these. Chapter 4 introduces the revised Essential Health Package (EHP) outlining its detail and objectives. Chapter 5 provides detail of the strategies in the HSSP II by objective. Chapter 6 provides information about the strategic choices made in the plan outlining the priorities and implementation arrangements while also presenting a risk analysis with mitigation strategies. Chapter 7 presents the cost of implementing the HSSP II and Chapter 8 outlines the M&E framework.