Health Reform Policy Issues in Malawi: A Rapid Assessment. Technical Report No. 21

摘要

Malawi's health sector reform options include decentralization, targeted efforts such as central hospital autonomy, and the convergence of these efforts. A number of policy implications have emerged from these reform efforts. As a result, the Malawi Ministry of Health and Population (MOHP) requested the participation of the United States Agency for International Development in a rapid assessment of health reform policy. This assessment report serves both as a stand-alone document and as the basis for the development of a proposed workplan for the Partnerships for Health Reform (PHR) Project. Major policy issues and options for the near future include: managing change, training for reform, planning and implementation, consensus-building workshops, performance monitoring, and sector-wide approaches. Conclusions emphasize evolving roles for the MOHP in health reform advocacy, policy development, and communicating goals to districts, non-health government institutions, the public, and other constituencies.