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Village in Malawi

Our activities in Malawi have ended but retain the existing description of country activities. To request a copy of the final country report, send an email to the


PHRplus/Malawi provides long-term in-country and short-term technical assistance to assist the Ministry of Health and Population (MOHP) with several important health sector activities: health district planning, budgeting, and reporting, tertiary public hospital reform that may lead to public hospital autonomy, and formation of a Sector Wide Approach (SWAp).


  • MOHP central hospital providers, district providers, district assemblies, district health management teams (DHMTs) and community members reach consensus on roles and services of EHP to be offered at each level;
  • Referral guidelines developed and implemented;
  • Financial systems and managerial capacity strengthened at central hospitals;
  • Sector-Wide Approach (SWAp) designed and implemented;
  • DHMTs have strengthened capacities in the areas of budgeting, financial management, and participatory planning to prepare for decentralization;
  • Districts are able to provide EHP services at the district level.


Hospital Autonomy: The implementation plan focuses on enhancing the operational efficiency at the two pilot hospitals (Queen Elizabeth Central Hospital in Blantyre and Lilongwe Central Hospital in Lilongwe) in the areas of strategic planning and management, financial management (budgeting and accounting), procurement of supplies and inventory management, patient flow, and human resources management.

District Strengthening/Decentralization: The PHRplus team concentrates on strengthening the management planning and supervision infrastructure of three CHAPS-supported (Mulanje, Chikwawa, and Blantyre) in the areas of financial management, institutionalization of planning and budgeting functions, and resource mobilization.


  • Completion of first district implementation plans and budgets.
  • Development of computer software to assist districts in planning and budgeting.
  • Formation of working groups at pilot hospitals to lead operational reform efforts in specific areas.
  • Organization of hospital reform subcommittee of Joint Implementation Planning (JIP) committee, and clarification of roles of JIP committee, hospital administration, and hospital reform working groups.
  • Development of combined management and reform work plans for hospital administration.

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