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Guiding Principles

The guiding principles for the HSSP are inspired by the primary health care approach contained in the international aid effectivness agreements signed in Paris, Accra and Busan. The principles are:

1. National ownership and government leadership: In the interest of national development and self-reliance, all partners in the health sector will respect national ownership of this HSSP, and the extent to which this principle is reinforced will be measured.

2. Human rights based approach and equity: All the people of Malawi shall have access to health services without distinction by ethnicity, gender, disability, religion, political belief, economic and social condition or geographical location. The rights of health care users and their families, providers and support staff shall be respected and protected.

3. Gender sensitivity: Gender issues shall be mainstreamed in the planning and implementation of all health programs and tracked for impact.  

4. Ethical considerations: The ethical requirement of confidentiality, safety and efficacy in both the provision of health care and health care research shall be adhered to.

5. Efficiency: All stakeholders shall use available health care resources efficiently to maximize health gains. Opportunities shall be identified to facilitate the integration of health service delivery where appropriate to address client needs efficiently and effectively.

6. Accountability: All stakeholders shall discharge their respective mandates in a manner that takes full responsibility for the decisions made in the course of providing health care. All health workers at all levels and all DPs shall be accountable to the people of Malawi.

7. Inter-sectoral collaboration: In addition to the MoH there are also other Government Ministries and Departments and CSOs that play an important role especially in addressing social determinants of health; hence inter-sectoral collaboration shall be promoted. 

8. Community Participation: Community participation shall be encouraged in the planning, management and delivery of health services.

9. Evidence-based decision making: Interventions shall be based on proven and cost-effective national and international best practices.

10. Partnership: Public Private Partnership (PPP) shall be encouraged and strengthened to address the determinants of health, improve service provision, create resources (e.g. training of human resources) and share technologies among others.

11. Decentralization: Health services management and provision shall be in line with the Local Government Act of 1998 which entails devolving health service delivery to Local Assemblies.

12. Appropriate technology: All health care providers shall use health care technologies that are appropriate, relevant and cost effective.