The Ministry has been implementing the following activities in the 2013/2014 financial year:

1. Implemented preventive and health promotional programmes on TB, Malaria, bilhazia control, immunization campaigns for diseases such as polio, measles, tetanus and pneumonia.


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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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Providers of Health Care

The major providers of health care services in Malawi are the Ministry of Health, Christian Health Association of Malawi (CHAM) and the Ministry of Local Government and Rural Development. 


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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 Activities
Health Awareness
Health Challenges
Health Facilities
Health in Mining

Health Activities

The Ministry has been implementing the following activities in the 2013/2014 financial year:

1. Implemented preventive and health promotional programmes on TB, Malaria, bilhazia control, immunization campaigns for diseases such as polio, measles, tetanus and pneumonia.

 2. The Ministry conducted various disease surveillance activities throughout the country as well as health promotion activities by disseminating health promotional messages to communities.

 3. On Malaria, the Ministry procured and distributed 1,114,648 Long lasting nets  to pregnant women and new born babies in 2012/2013, and conducted spraying of households in mosquito prone districts. These initiatives have reduced risks of exposure to malaria such that there is a huge reduction on incidences of the disease from 332 cases/1000 population reported in 2011/2012 fiscal year to 214 cases/1000 population during the reporting period 2013/2014 fiscal year.

 4. On HIV/AIDS management, the Ministry conducted various activities and interventions including provision of ART to HIV patients throughout the country.  75% of 15,750 HIV infected mothers were put on ART representing 78% reflecting a very good performance.

5. The Ministry procured drugs for TB patients and these were supplied to Central and District Hospitals.  The Ministry is in the final stages of completing a TB prevalence survey. 

6. The Ministry has conducted mass drug administration for some Neglected Tropical diseases as part of the initiative to eliminate some of them.  The Ministry is taking initiatives to manage the Neglected Tropical Diseases (NTDs).  These are filariasis, onchocerciasis, trachoma and bilharzias.

7. Non Communicable Diseases (NCD’s), NCDs are on the increase globally and nationally.  NCD’s of particular concern to Malawi include: cardiovascular diseases (CVDs), diabetes, chronic respiratory conditions e.g. Asthma, cancers, epilepsy, mental illnesses and injuries including violence related ones.  Efforts are being made on the legislative as well as on implementation of interventions to deal with the disease conditions.  The Public health and mental health acts are under review and the National Health policy is awaiting approval and the mental health policy in process of being reviewed.  A review of public policies that influence health status in other sectors is in draft, the health promotion policy has been finalized and the Alcohol Policy is awaiting approval.

8. Management of Acute Respiratory Infections (ARI) and Diarrhoea. Inpatients deaths especially amongst children are still on the increase with some Districts reporting higher death rates than others.  Death rates from non bloody diarrhea are still high.  The Ministry’s efforts to address the risk factors for ARI and diarrhea include training of health workers in treatment of pneumonia and community case management of respiratory infections and to reduce diarrhea through campaigns advocating for reduction of open defecation and household water treatment.  The Environmental Health Policy and Action Plan on household water treatment are also being drafted to strengthen these measures.

9. On Maternal Health, 75% of births were reported to have been attended to by skilled health personnel.  Common complications that have been reported include; sepsis, post partum hemorrhage and abortion complications.  The % of pregnant women starting antenatal care in the first trimester is only 9%.

10. On Family Planning the Ministry procured and distributed modern contraceptive commodities throughout the country and also conducted training for family planning providers to improve their skills and competencies and increased the number of youth friendly health services.

11. The Ministry procured various equipments and received donations of equipments such a CT scanner for Mzuzu Central Hospital (donated by the People’s Republic of China) which was commissioned in February, 2014, 10 Dialysis machines from Japan and one Osmosis water plant in February, 2014 for Kamuzu Central Hospital.  Various equipments have started arriving for the new Nkhata Bay District Hospital.  The Ministry is expected to take delivery of 3 ambulances donated by the Government of Japan.  The Ministry procured 28 ambulances for Districts Hospitals in November, 2012.

12. Facilitated construction of various infrastructural projects for example Umoyo staff houses Project Construction, rehabilitation of Basic Emergency Obstetric Care Centres under the African Development Bank funding; Rehabilitation of Zomba Central Hospital (GOM); Rehabilitation of Balaka District Hospital (GOM); Rehabilitation of Mzuzu Central Hospital sewerage (GOM); Construction of Cancer Centre in Lilongwe (Malawi Government);   the construction of a Central Medical Stores Warehouse (Global Fund and Malawi Government).

13. In a concordance with the new ART national guidelines the Ministry has established molecular laboratories in all four central hospitals in the country. The laboratories are providing molecular tests in support of HIV Early Infant Diagnosis (EID) and HIV viral load monitoring for people who are undertaking treatment. Additionally, the laboratories have the capacity to perform other molecular tests for a number of infectious diseases of health concern. Two Haematology analyzers have been placed at central hospital (KCH, QECH) for monitoring ART patients.

14. Initiatives are being undertaken with support from centre for Disease Control (CDC) World Health Organisation (WHO) and other cooperating partners to strengthen laboratory management towards accreditation and so far 22 laboratories have been accredited to various statuses.

15. Initiatives are being undertaken with support from centre for Disease Control (CDC) World Health Organisation (WHO) and other cooperating partners to strengthen laboratory management towards accreditation and so far 22 laboratories have been accredited to various statuses.