NATIONAL COMMUNITY HEALTH STRATEGY 2017 - 2022

Government of the Republic of Malawi

Ministry of Health

NATIONAL COMMUNITY HEALTH STRATEGY 2017 - 2022

Integrating health services and engaging communities for the next generation

July 2017

Government of the Republic of Malawi

Ministry of Health

National Community Health Strategy 2017 - 2022

Integrating health services and engaging communities for the next generation

July 2017

National Community Health Strategy 2017-22

Printed by Design Printers Ltd ii

National Community Health Strategy 2017-22

Table of Contents

FOREWORD........................................................................................................................ III

ACKNOWLEDGEMENT ........................................................................................................ IV

ACRONYMS........................................................................................................................ VI

EXECUTIVE SUMMARY ..................................................................................................... VIII

CHAPTER 1: INTRODUCTION.................................................................................................1 1.1 BACKGROUND .......................................................................................................................1 1.2 COMMUNITY HEALTH IN MALAWI.............................................................................................2 1.3 RATIONALEFOR THE NCHS ......................................................................................................4

CHAPTER 2: CONSULTATION PROCESS AND FINDINGS..........................................................5 2.1 PROCESS TO DEVELOP THE NCHS .............................................................................................5 2.2 KEY FINDINGS FROM CONSULTATIONS........................................................................................5

CHAPTER 3: THE NATIONAL COMMUNITY HEALTH STRATEGY ............................................10 3.1 COMMUNITY HEALTHIN MALAWI: KEY DEFINITIONS...................................................................10 3.2 NCHS VISION AND MISSION FOR A NEW COMMUNITY HEALTH SYSTEM..........................................10 3.3 GUIDING PRINCIPLES AND STRATEGIC OBJECTIVES OF THE NCHS ..................................................11 3.4 THEMATIC AREA 1: HEALTH SERVICE DELIVERY..........................................................................13 3.5 THEMATIC AREA 2: HUMAN RESOURCES..................................................................................14 3.6 THEMATIC AREA 3: INFORMATION, COMMUNICATIONS, AND TECHNOLOGY ...................................16 3.7 THEMATIC AREA 4: SUPPLY CHAIN AND INFRASTRUCTURE...........................................................17 3.8 THEMATIC AREA 5: COMMUNITY ENGAGEMENT........................................................................18 3.9 THEMATIC AREA 6: LEADERSHIP AND COORDINATION ................................................................19

CHAPTER 4: THE NEW COMMUNITY HEALTH SYSTEM.........................................................21 4.1 COMMUNITIES.....................................................................................................................23 4.2 CHWS ...............................................................................................................................23 4.3 LOCAL GOVERNMENT AND COMMUNITY STRUCTURES ................................................................24 4.4 ZONAL AND NATIONAL LEVEL .................................................................................................26 4.5 COORDINATION MECHANISMS (NOT DEPICTED IN FIGURE 5)........................................................30

CHAPTER 5:IMPLEMENTATION PLAN..................................................................................31 5.1 FIVE-YEAR ACTION PLAN ........................................................................................................31 5.2 RESOURCE PLANNING ...........................................................................................................32

CHAPTER 6: PROGRAMME MANAGEMENT.........................................................................36

CHAPTER 7: MONITORING AND EVALUATION ....................................................................39 7.1 MONITORING AND EVALUATION SYSTEM AND PROCESS ..............................................................39 7.2 RESULTS FRAMEWORK ..........................................................................................................40

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