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Challenges to effective governance in a low-income healthcare system: a qualitative study of stakeholder perceptions in Malawi

Posted on 16 December 2020

A new research article published

Masefield, S.C., Msosa, A. & Grugel, J. 

Challenges to effective governance in a low-income healthcare system: a qualitative study of stakeholder perceptions in Malawi. 

BMC Health Serv Res 20, 1142 (2020). 

Abstract:

ll countries face challenging decisions about healthcare coverage. Malawi has committed to achieving Universal Health Coverage (UHC) by 2030, the timeframe set out by the Sustainable Development Goals (SDGs). As in other low income countries, scarce resources stand in the way of more equitable health access and quality in Malawi. Its health sector is highly dependent on donor contributions, and recent poor governance of government-funded healthcare saw donors withdraw funding, limiting services and resources. The 2017 National Health Plan II and accompanying Health Strategic Plan II identify the importance of improved governance and strategies to achieve more effective cooperation with stakeholders. This study explores health sector stakeholders’ perceptions of the challenges to improving governance in Malawi’s national health system within the post-2017 context of government attempts to articulate a way forward.