Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015

Details for Mechanism ID: 14246
Country/Region: Malawi
Year: 2013
Main Partner: Abt Associates
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $592,024

The Health Policy and Systems Strengthening (HPSS) project is designed to provide technical assistance to Malawis Ministry of Health (MOH) in support of improved health policies, management, leadership, and fiscal responsibility to strengthen Malawis health care system. Working in close collaboration with the Support for Service Delivery (SSD) project to coordinate and strengthen service delivery, HPSS will enable Malawi to more effectively and efficiently meet PEPFAR goals related to prevention, care and treatment, while strengthening broader health system. The goals of HPSS directly address two of the three health systems priorities identified in the Malawi Global Health Initiative strategy: human resources for health; and leadership, governance, management and accountability.

HPSS will provide intensive support to the MOH at the central and zonal levels, as well as focused support in 12 priority districts centered on improving supervision, financial management, planning, HR and decentralized management of service delivery, and health information systems. Through direct technical assistance, training, coaching and mentoring, HPSS addresses both short-term challenges and build human capacity, while institutionalizing systems and processes to build long-term system capacity. Better capacity to plan and direct human, financial, and physical resources to more efficient uses within the health system will result in stronger service delivery. A key focus of the project is to improve the use of health information for evidence-based decision-making at all levels through investments in monitoring & evaluation (M&E) and health information systems, and tying improved data and analysis to MOH planning processes. No vehicle purchases are anticipated with FY12 funds.

Funding for Health Systems Strengthening (OHSS): $292,024

Malawi faces a number of barriers to achieving greater efficiency and quality in the delivery of health services, ranging from shortages of human resources for health to ineffective deployment, monitoring, supervision, and support. At all levels, there is a lack of non-clinical staff with effective management and leadership skills, overlapping and/or outdated national health policies, and incomplete decentralization. The Ministry of Health has strong leadership at the most senior levels, but its corps of health managers lacks depth in terms of both numbers and management and leadership skills. HPSS will support the MOH to build the capacity of health managers and systems at the central, zonal, and district levels, leveraging other USG resources for malaria, FP/RH, nutrition, and MCH. A key focus is to build capacity for evidence-based planning and policy development, starting with rationalization of policies for implementing the national Health Sector Strategic Plan. HPSS will build MOH capacity for strategic leadership and management through pre-service and in-service training, and expanded use of HMIS data for planning and decision-making. HPSS will support the MOH to update the national HRH strategy and related policies, and support expansion of the staff performance appraisal system. HPSS will also strengthen zonal supervision structures for clinical and management functions. Strengthening institutional capacity of DHMTs will be a central focus, including to more efficiently and transparently develop annual District Implementation Plans. HPSS will strengthen health financing mechanisms, financial planning, and budget execution capability at the national, zonal and district levels through coaching, training and technical assistance. HPSS will support development of a national health financing strategy, institutionalize National Health Accounting, and support design and piloting of a performance-based financing scheme.

Funding for Treatment: Adult Treatment (HTXS): $300,000

The continued success Malawis adult HIV treatment program will be impossible without continued funding from Global Fund (GF). As part of the Phase II renewal decision from the GF for Malawis HIV grant, the Global Fund imposed more than 19 conditions with benchmarks that Malawi must meet to keep in compliance with the grant, many of which are related to PSM issues and general stewardship and management of GF resources. Given the postponement of GF Round 11, Malawis ability to be fully responsive to GF grant terms and conditions is especially essential for the future of the national treatment program. Furthermore, when additional opportunities arise to compete for GF funding through a future Round 11, it is imperative that Malawi develop a competitive application with buy-in and support from all essential stakeholders.

Resources requested in COP12 will expand support under the HPSS project for capacity-building, training, mentorship support, and related technical assistance to the National AIDS Commission (NAC), which is the Principal Recipient, and MOH, which is the main SR under NAC. TA will also be provided to Country Coordinating Mechanism (CCM) and its Secretariat to strengthen Malawis responsiveness to GF requirements and funding opportunities. Priorities for COP12 funds include direct support to help Malawi respond to GF grant requirements through strategy development and planning, support to strengthen the role of the CCM Secretariat as a point of coordination and support to the GOM and development partners on GF issues, and to provide support for developing high-quality proposals and reports to GF. This builds on HPSS existing role as a provider of comprehensive technical and strategic assistance to the GOM for health systems strengthening at the central, zonal and district level.

Subpartners Total: $0
Salephera Condulting Ltd: NA
To Be Determined: NA
Cross Cutting Budget Categories and Known Amounts Total: $300,000
Human Resources for Health $300,000
Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support
enumerations.Malaria (PMI)
Child Survival Activities
Safe Motherhood
Family Planning