Overview

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The Ministry of Health of Malawi is committed to supporting global efforts to increase accountability and improve data quality for decision-making. A team from the health ministry participated in the Summit on Measurement and Accountability for Results in Health in June 2015. At the Summit, over 600 global health leaders, decision-makers, thought leaders and implementers from over 60 countries representing development partners, partner country governments, and civil society endorsed the Health Measurement and Accountability Post-2015 Roadmap and 5-Point Call to Action. 

Key HIS/M&E documents developed by the country include:

Key priorities 

Develop the M&E component of the new Health Sector Strategic Plan (HSSP II)
Develop a Common Investment Framework
Strengthen institutional HIS/M&E capacities
Reconfigure and expand DHIS 2 functionalities
Increased accountability of the MoH and health development partners by expanding the access of citizens, Civil Society organisations and other actors to high-quality health data 

 Activities & milestones

June 2017- Ministry of Health Finalizing New HIS Strategy

The Ministry of Health’s Central M&E Division (CMED) held a retreat, supported by Bloomberg Philanthropies’ Data for Health initiative, in early June to finalize a new Health Information System (HIS) strategy, aligned with the new Health Sector Strategic Plan (HSSP II). A draft of the document is currently being prepared and will soon be shared with the Malawi HDC working group.  

May 2017- Harmonized Data Quality Tool Improves Efficiency of Activities in Malawi

Implementation of a harmonized Data Quality Review (DQR) toolkit is improving the efficiency of partners’ activities in Malawi. The tool, developed by WHO with support from partners, aims to harmonize multiple disease- and donor-specific data quality tools and review processes. Given The Global Fund plans to implement the tool in Malawi including immunization indicators, a standalone data quality review for the Expanded Programme on Immunization (EPI), which GAVI planned to support, is no longer needed this year. This allows GAVI to re-allocate the funds toward other activities planned for 2019.  

February 2017- Draft Mapping of HIS/M&E Investments

Ministry of Health, WHO and other partners have been mapping current HIS/M&E investments in Malawi. These results will inform the common investment framework, designed to align technical and financial assistance with country-defined priorities, reduce fragmentation and duplication of efforts and lower the burden of reporting. So far, responses have been received from 16 partners. A second round of inputs will target additional global partners to complete the mapping before validation.

The Gates Foundation and the Global Fund are now working jointly to explore how the Global Fund’s catalytic funding mechanism for data systems could be tapped to support the M&E priorities. Similarly, GAVI is now developing its new Country Engagement Framework and is referring to the costed M&E priorities to explore how GAVI can back them. 

MoH is preparing to hold a multi-stakeholder workshop in the second quarter to validate the mapping of investments and common investment framework.

December 2016- Health Partners Support MoH to Reconfigure DHIS2

GIZ, University of Oslo, WHO, UNICEF, and other U.S. partners have been supporting the health ministry to reconfigure DHIS2 to include both programme-specific dashboards and broader groupings such as primary healthcare indicators, universal health coverage indicators, and national core indicators. New programme-specific dashboards were tested in mid-December, moving toward the goal of making the revamped DHIS2 system accessible through an open-access data portal (Malawi Health Observatory) by mid-2017.

November 2016- MoH Holds Workshop to Finalize National Health Indicators

Malawi’s Central Monitoring and Evaluation Division (CMED) of the health ministry held a workshop November 2-3 to finalize the list of national core health indicators, with support and collaboration from Bloomberg Philanthropies’ Data for Health initiative, GIZ-funded EPOS, Bill & Melinda Gates Foundation, and WHO. The list of core indicators are essential to the monitoring and evaluation framework of Malawi's second health sector strategic plan (HSSP II), currently being developed. Through the workshop, feedback was gathered from 40 representatives from across the health ministry and partners to produce a new draft of the National Health Indicators handbook, to be finalized by year-end. Two consultants have also been updating the M&E priority actions to track health sector performance and mapping government and partners’ commitments toward the priority actions and financial gaps. 

October 2016- Gates Foundation, World Bank Align Investments With Malawi’s M&E Priorities

The Bill and Melinda Gates Foundation is making a USD10m investment over 4 years, focusing on strengthening routine information systems, improving use of data and governance in 10 districts. These areas align with M&E priorities identified by Malawi’s Ministry of Health. In addition, the foundation is now seeking co-investments to expand the project programmatically (beyond HIV) and geographically (beyond the 10 districts). Similarly, the World Bank will fund priority M&E activities that will be financed from its ongoing Nutrition and HIV Project.

October 2016- Renewed efforts to finalize the M&E pieces of the HSSP II

The Ministry of Health nears completion of its new Health Sector Strategic Plan (HSSP II) with a pool of consultants developing the systems components (e.g. human resources and health infrastructure). In tandem, Vital Strategies, Bill & Melinda Gates Foundation, GIZ, WHO and other partners are supporting finalization of the M&E framework, including the national core indicators, and the M&E priority actions to track health sector performance against the plan, including government and partners’ commitments toward the priority actions and financial gaps. These will form the basis of the investment framework, and it should be finalized in parallel to the completion of the HSSP II. 

Final outputs are expected by November, 2016. 

September 2016- Evaluation of GiZ Malawi Health Programme

A team of independent technical experts and development partners including BMGF visited Malawi to evaluate the Malawi German Health Programme, which comes to an end by the end of 2016 and to assess whether the objectives have been met and what results were achieved. The team reviewed reports and documents, visited district hospitals, medical colleges, and meet with government representatives and development partners including USAID, CDC, DFID, WHO and UN organisations. 

The results of the evaluation, which will be available soon,  will provide inputs and recommendations into the design of the next 3 year phase of the Malawi-German Health Programme which will be aligned with the national Health Sector Strategic Plan II (2016-2021) and the M&E priority actions. 

June and July 2016- Costing of the M&E priority actions

In June 2016, an international consultant hired by WHO supported the costing of the M&E/HIS priority actions. This exercise fed on the efforts to cost the new HSSP; and will be the basis of the M&E common investment framework. This first attempt to cost the M&E priority actions was followed by another mission supported by UNICEF to cost specific priority actions (i.e., surveillance).   

Also, in parallel CHAI is conducting a mapping of partners’ investments in the health sector, including M&E/HIS. The costing of M&E priority actions and the mapping of partners’ investments will converge in the common investment framework. MoH will continue working jointly with partners to finalize the costed M&E plan, based on an iterative process, to ensure alignment with the HSSP.

May 2016 - Progress with re-configuration of DHIS2

In May 2016, the central data repository was being migrated to the MOH server residing at Community Health Services Unit (CHSU). In performing the migration, a dedicated team of technicians have been  reconfiguring the application to ensure the new instance can benefit from all features of DHIS2. The configuration process is spearheaded by CMED and the ICT Unit of MOH; however, other actors are involved in gearing the process including GIZ through EPOS, BMGF through Kunika Project, CDC through Baobab Health Trust, Health Information Systems Programme (HISP) in collaboration with Oslo University with support from Global Fund. The team has been migrating data programme by programme. 

April 2016- Technical assistance provided to MoH to identify M&E priority actions and national core health indicators

MOH requested specific technical assistance to WHO to update the M&E roadmap of the M&E task-force; to identify the M&E priority actions and map the current M&E/HIS interventions of MoH and health development partners; and to initiate the discussions on the national core indicators. The technical assistance mission produced sound drafts of the M&E priority actions; and the M&E core indicators of the HSSP II. These documents will be the basis of the common investment framework. Next steps identified during the TA mission included to conduct a deeper assessment of the RHIS ; and to cost the identified priority actions.

March 2016- Assessment of barriers and opportunities for investment on a unified system for M&E

To leverage current momentum and interest at country level to strengthen the national M&E platform, Global Fund commissioned a report to assess the current gaps and barriers that impede realization of a unified platform and requested recommendations for strategic investments. The report will be a useful input to the work ongoing at CMED to develop a costed M&E plan for the next HSSP.

February 2016- Work continues to develop the new Health Sector Strategic Plan

The MoH and the HSSP II development team continued to develop the conceptual framework for the new HSSP II. Principles and pillars are drafted. Also, the Ministry of Health formally appoints members to the M&E task force, which includes members from health development partners (GiZ, CDC, USAID, PMI, CDC, WHO and UNICEF, among others).

January 2016- Situation analysis of the new Health Sector Strategic Plan finalized

One of the key priorities identified by MoH for 2016 was to develop the new Health Sector Strategic Plan (HSSP II), which is going to guide the implementation of helath interventions at country level; and guide the investments in health.  

The MoH presented the situation analysis of  the HSSP II in January 2016, and activated the working groups to finalize the plan, which will include a M&E framework. 

December 2015- MoH Malawi M&E taskforce created

As follow-up of the Multi-partner mission the previous month, the MoH Malawi created the M&E task force. The general objective of the M&E Taskforce is to fully align investment, i.e. the national and development partner investments in health with a single country platform for information and accountability, by coordinating the implementation of the short- and medium term priority tasks outlined during the WHO and Partners mission to Malawi in November 2015

November 2015- Multi-partner mission to support to Malawi in strengthening the MOH M&E platform

Partners from seven agencies conducted a joint multi-partner mission to Malawi to raise the profile of post-2015 agenda, including SDGs and the global effort in strengthening country-led platforms for information and accountability; and to provide inputs to and strategic guidance for the development of the national M&E plan. 

As a result of the mission, a roadmap of priority actions was drafted, to guide the next steps to strengthen the M&E platform, and to finalize the M&E framework of the upcoming HSSP II (Helath Sector Strategic Plan) 

Country Stories

Country Documents

Malawi HDC logframe  (210 kB)

Malawi HDC logframe (210 kB)

September 2017 210 kB

Malawi Monitoring and Evaluation Task Force Priorities 2017-2021  (46 kB)
Malawi National Health Indicators (draft)  (2.0 MB)

Malawi National Health Indicators (draft) (2.0 MB)

September 2016 2.0 MB

September 2015: Malawi National Health Information System Policy  (0.9 MB)

Health Partners

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Vital Strategies

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