In late 2011, the International Development Select Committee announced it was launching an inquiry into the development situation in Malawi. Women and Children First (UK), having experience of previous inquiries (including the continuation of the DFID programme in India) and having worked in Malawi since 2005, felt it was well placed to submit evidence responding to the specific question of ‘how the UK can help in meeting the Millennium Development Goal targets in Malawi’.
Evidence was compiled by Women and Children First (UK) and submitted on behalf of Women and Children First (UK), The Health Foundation, The Institute of Child Health, MaiKhanda and the Perinatal Care Project relating specifically to MDGs four and five (4: reduce, by two-thirds, the under-five mortality rate; 5: reduce, by three-quarters, the maternal mortality ratio).
The hearing is expected to take place in June 2012 and Women and Children First (UK) or partners may be invited to submit oral evidence at this time.
Key recommendations of the submission include:
DFID should support the Malawi Ministry of Health and other providers to:
- Meet their obligations to provide quality healthcare.
- Address both demand and supply-side barriers to maternal and newborn health.
- Scale up best practice by championing an approach which combines community mobilisation and quality improvement in healthcare facilities.
- Support communities in establishing participatory women’s groups.
- Target the poorest and most vulnerable.
- Ensure equitable access to quality services.
- Focus resources on improving quality of care, especially in emergency obstetric care and neonatal healthcare.
- Support improvement in quality of care at all health facilities through the training and mentoring of managers to provide a systems-based approach to improving performance of health services.
- Expand the supply of quality family planning to meet unmet demand, encourage birth spacing and avoid recourse to unsafe abortion.
- Endorse civil society organisations which provide post-abortion care as well as those advocating for reform.
- Recruit and train new staff, maintain staff competencies, enhance clinical skills, retain staff and ensure adequate supervision of staff.
- Map and upgrade health centre facilities.
- Improve supply chain management, focusing on the availability of essential drugs, including auditing drugs and forecasting commodities.
- Improve the Health Management Information System and build capacity for data analysis.
- Monitor and evaluate project support at all levels.
- Work with and value the contribution of civil society and parliamentarians in enhancing accountability and transparency.







