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REPRODUCTIVE HEALTH POLICIES IN NATIONAL POLICY PAPERS IN MALAWI

REPRODUCTIVE HEALTH POLICIES IN NATIONAL POLICY PAPERS IN MALAWI. PRESENTATION OUTLINE. Introduction/basic facts about Malawi SRH situation in Malawi The Reproductive Health Unit in Ministry of Health Malawi Growth and Developments Strategy Health Sector wide Approach

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REPRODUCTIVE HEALTH POLICIES IN NATIONAL POLICY PAPERS IN MALAWI

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  1. REPRODUCTIVE HEALTH POLICIES IN NATIONAL POLICY PAPERS IN MALAWI

  2. PRESENTATION OUTLINE Introduction/basic facts about Malawi SRH situation in Malawi The Reproductive Health Unit in Ministry of Health Malawi Growth and Developments Strategy Health Sector wide Approach Country Coordinating Mechanism

  3. BASIC FACTS ABOUT MALAWI • Country in south-eastern Africa, formerly British protectorate (independence in 1964) • bordered on the north by Tanzania, on the east by Lake Malawi, on the south-east and south by Mozambique, and on the west by Zambia • Population currently at 13.1 million • Currently head of the African Union

  4. SRH SITUATION ON MALAWI • High disease burden; more so among women • Mostly due to acute conditions at childbirth • Maternal conditions account for 18% of disease burden in women of reproductive age • HIV contributes a further 16% to the disease burden in women (infection after childbirth or abortion is #1 cause of deaths)

  5. SELECTED SRH PARAMETERS

  6. SRH PARAMETRES …

  7. MALAWI GROWTH ANDDEVELOPMENT STRATEGY (MGDS) – 2006 to 2011 • An overarching operational strategy for Malawi designed to attain the nation’s Vision 2020 • Developed with strong linkage to MDGs • Emphasis on six key priority areas of • Agriculture and food security • Irrigation and water development • Transport infrastructure development • Energy generation and supply • Integrated rural development • Prevention and management of nutrition disorders, and HIV/AIDS

  8. MGDS …Cont’ • Has five themes: Economic growth; Social protection; Social development; Infrastructure development; and Improved governance • Health and population is a key priority under social development – with most targets related to reproductive health • Areas of focus include the provision of the essential health package, and development of health infrastructure • Key performance indicators are: • Reduced maternal and infant mortality • Reduced population growth rate • Reduced total fertility rate • Increased contraceptive prevalence rate

  9. IMPLEMENTATION, AND MONITORING OF MGDS • All government arms submit budgets that are in line with the MGDS • National economic committee in place to ensure effective coordination to avoid duplications and overlaps of cross-cutting issues • Public-civil society partnerships in place • Line ministries prepare progress reports • Reproductive health unit in Ministry of Health coordinates implementation and reporting of SRH activities • Economic planning ministry documents all progress bi-annuly and annually • Parliament comments on progress before presentation of next budget

  10. THE HEALTH SECTORWIDE APPROACH (SWAp) • A funding mechanism for programme of work for health service delivery system • Basket funding approach is used where directorates plan their activities and draw funds from the pool • The initiative was introduced in 2004 and the current programme of work is for 6 years (2004 - 2010) • Some donors contribute funds to the SWAP

  11. SWAp PILLARS The initiative has 6 pillars: • Human resource development • Pharmaceuticals • Essential equipment and supplies • Infrastructure development • Routine operations at service delivery level • Central institutions, Policy and systems development

  12. SWAP OPERATIONAL STRUCTURE • SWAP Governance is through Technical working groups (TWG) e.g. Health Donor group, sexual and reproductive health, human resource and infrastructure • The TWGs membership include Ministry of Health Directors, Partner NGOs, and regulatory • TWGs discuss policy and implementation issues and make recommendations to the directorates • Monitoring is done continuously and there are two SWAP review meetings per year

  13. THE COUNTRY CORDINATING MECHANISM (CCM) • This is a group that oversees and advises direction of global fund projects • The team gets advice from National Technical Working Groups e.g (SRH, Gender, research and others) • CCM reports to global fund on progress in all areas including SHR

  14. SOME SRH POLICY DOCUMENTS FOR MALAWI Guidelines for Community Initiatives for Reproductive Health May 2007 Reproductive Health Policy 2002 National Reproductive Health Strategy 2006 – 2010 Roadmap for the Acceleration of the reduction of maternal and Neonatal Mortality and Morbidity Maputo Plan of Action 2007 - 2010 Implementation Plan for Sexual and Reproductive Health 2007 – 2010 Government of the Republic of Malawi Government of the Republic of Malawi Government of the Republic of Malawi Government of the Republic of Malawi Government of the Republic of Malawi Government of the Republic of Malawi 14

  15. Key interventions to reduce maternal and neonatal mortality Emergency obstetric care services Family Planning Skilled attendants during pregnancy and childbirth Essential newborn care Early PNC Community MNCH initiatives Effective referral system using E Ranger Motor Cycle 15

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