Quality of Care in Malawi
In Malawi, a National Quality Management Policy for the period 2017- 2022 is setting the policy framework to improve quality of health services across the health system. The priorities outlined in the policy will contribute towards achieving the country’s national MNCH development goals of:
- Reducing MMR from 439/100,000 per live births to 140/100,000 per live births by 2030
- Reducing NMR from 27/1000 per live births to 12/1000 per live births by 2030
- Reducing under-five mortality from 63/1000 to 25/1000 by 2030
A total of 24 health facilities - districts hospitals, community hospital and health centres - are learning sites in the Quality of Care Network, in six districts with high maternal mortality levels, high catchment populations, and where there is existing funding in support of maternal, newborn and child health. Each of these facilities is working to improve the quality of the services they provide and contribute to the national development goals. In the short term, they are developing solutions to improve proper and effective use of partographs, the supervision in maternal health areas, infection prevention in maternal health areas, documentation of care and data management and use.
The Ministry of Health provides guidance with a package of quality interventions to build a supportive environment, support change in facilities, monitor progress and involve communities in improving care. It has the support of development partners such as WHO, UNICEF, USAID, GIZ and UNFPA.
Photo: A woman undergoing an antenatal check up at the maternity ward in Mangochi District Hospital in Blantyre, Malawi, in June 2009. ©UNICEF/ Pirozzi