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Evaluation of UNICEF funded Maternal, Newborn and Child Survival Programme in high Intervention Districts in Malawi
Overview
Introduction: The Malawi health sector operates under a decentralised system guided by the Local Government Act (1998). The Act delegates authority and funding from central government ministries to district assemblies, who guide health sector planning, budgeting, procurement, and service delivery at district and community levels. At central level, the Ministry of Health (MoH) sets strategic direction and formulates sector-wide governing policies. A total of 29 district health offices oversee services provided in and outside of the district hospital. Five Zonal Health Support Offices (ZHSOs) provide technical support to districts in planning, delivery, supervision, and monitoring of health services. In total, the percent of government expenditure going toward public health averaged 10.4% from 2012-13 to 2014-15, well below the Abuja target of 15%. Therefore, donors have contributed to the majority of resources for the health sector in recent years.
Evaluation object: The Government of Malawi’s Ministry of Health with support from the Korea International Cooperation Agency (KOICA) through UNICEF implemented a quality improvement of maternal and newborn health services in 5 high priority districts. In 2015 the 5 target districts had an estimated total population of 4.2million people with about 51.6% being women, while children below the age of 5 years, adolescents between the age 10 to 19 years and women of child-bearing age (15 to 49 years) account for about 0.7, 0.9 and 1 million of the population, respectively. The estimated annual number of births in 2015 was 210,000. The project considered gender as a key cross-cutting issue and thus planned to develop forums where communities’ voices could be raised in a constructive way, and promote engagement and leadership from women and youth, including supporting activities and accountability mechanisms featuring discussions on gender issues.
Report Details
| Year Published | |
| Type | |
| Joint | No |
| Partner/s | N/A |
| Consultant name | |
| Agency Focal Point | Mussarrat Youssuf |
| Focal Point Email | myoussuf@unicef.org |
| Managed by Independent Evaluation Office | No |
| Geographic Scope | Country |
| Country/ies |
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Evaluation of UNICEF funded Maternal, Newborn and Child Survival Programme in high Intervention Districts in Malawi
