The Ministry of Health and Population (MoHP) was the major health care provider contributing approximately 60% to the health sector. Various churches under the Christian Health Association of Malawi (CHAM) provided approximately 30% of services and local authorities provided about 3 %. The remaining 7% of services is provided by several agencies which included parastatal organisations, private practitioners, the armed forces and agricultural estates. There was also a large and active traditional health sector which included about 18,000 traditional healers and about 5,000 traditional birth attendants. The MoHP services were provided at four levels: National, Regional, District, and Peripheral level. As regards facility-based care, there were 3 Central Hospitals (with a fourth to be built in Mzuzu, Northern Region), 21 District Hospitals, and 430 Health Centres and Dispensaries, and more than 1,000 Health Posts. The funding of the MoHP came predominantly from two sources: the revenue budget, an annual allocation from the Treasury to meet recurrent expenses such as salaries, drug procurement, building and vehicle maintenance, and the development budget, which came largely from various donors with contributions from the Government of Malawi.
Development of a comprehensive policy plan including an implementation proposal for the maintenance of physical assets within the health sector. - A sector analysis of specifically the organisational and managerial framework conditions, analysed at each level of the health system including an analysis why previous efforts in setting up adequate maintenance failed. - An analysis of technical conditions, especially in the districts of Chitipa and Machinga, and compiling a detailed inventory. - An analysis of training structures including the general training policy of the Ministry. - Proposing a facility management and maintenance system compatible to the existing health management system. - Structuring an implementation proposal. - Designing a project proposal (goal oriented project planning, ZOPP Seminar)