Doctors Worldwide

HEALTH SYSTEM STRENGTHENING

Malawi only has 20 doctors for every 1 million people compared to the EU which has 3,400 doctors per 1 million people

Setting up a direct debit of £25 a month can contribute towards the cost of nurses and medical officers

Outline

DWW has been operating in Malawi for four years since 2016, and in 2018, we launched a Strengthening Healthcare Systems project to support essential health services in Mangochi, one of the poorest regions in Malawi and to support high risk patients in the city of Blantyre. Working with a local NGO committed to delivering good quality healthcare, free of charge in the most hard to reach areas, DWW is now benefiting over 10,000 patients a month.

Background

Malawi is a small landlocked country in southern Africa with over 75% of its 17 million population living on less £1 a day. In 2018, the International Monetary Fund (IMF) ranked it as the 3rd poorest country in the world. Malawi’s health system struggles due to the high burden of diseases, low level of health workers and overall lack of funding to provide health services to the population. The top causes of death are HIV/AIDS, respiratory infections and diarrhoeal diseases, malaria, complications at birth and malnutrition.

The biggest challenge facing the healthcare system in Malawi is the shortage of human resources for health. Malawi has 2 doctors for every 100,000 population as opposed to the EU average of 340 doctors per 100,000 population. Most people in Malawi will never see a doctor in their lives and will only be treated by a Clinical Officer or Medical Assistant. Patients in Mangochi often walk 2-3+ hours to the clinic and wait a further 3-4 hours to be seen by a Clinical Officer. Women travel for hours in labour to access maternity facilities.

Donations In Action

With your support, Doctors Worldwide is providing:

  • Extra clinical officers in each of the 3 clinics that we are currently supporting. This doubles the amount of clinical staff and allows for better quality consults.
  • A cohort of nursing staff which enabled the opening of the new Somba maternity unit in Mangochi – the very first maternity unit in the region. The unit currently delivers between 29-37 babies a month and provides over 150 antenatal and postnatal checks per month.
  • The implementation of a system of primary healthcare in some of the Mangochi clinics.
  • Trained staff to work towards good standards of patient consultations, including early detection of hypertension, greater HIV/AIDS service coverage, identification and treatment of malnutrition and patient follow ups.
    Additional needs that arise such as PPE, infection prevention material, etc

 

As a result of this collaborative work, we have already seen a significant rise in the detection and treatment of hypertension, as well as much greater access to HIV Testing and Counselling which will reduce further HIV infection risks and increase the life expectancy of those affected. Furthermore, DWW has identified major bottlenecks and barriers to the delivery of good quality healthcare and we are working with our local partners to develop training and technical support to enable local staff to provide better care to more patients.

0
Patients getting access to healthcare per month
0
Antenatal and postnatal checks each month
0
Babies safely delivered each month

Case Study

Zainabu, a 23 year old mother, had to walk and wait 18 hours for a total of 6 minutes of clinical consultation with a medical officer. She has had aches and pains in her body for days and her baby has had open sores on her thigh for two months. This is her third visit to the health facility. Zainabu received painkillers but the ointment prescribed for her baby was out of stock. She doesn’t have the money to buy it anyway – it costs £1.50 and she doesn’t even have the 40p it costs to take a minibus to the clinic. Even then, Zainabu doesn’t complain. She is happy there is a free clinic service and that she managed to see a clinical officer and get some advice. For many others like her, this is not an uncommon situation. Your support can create a new reality for Zainabu, and allow others like her to receive better quality consultations, medical care support and transport.

“We are striving to reach the needy in the most rural parts of Malawi where the locals have little or no access to basic healthcare facilities. Our aim is to give every Malawian his/her basic right to access healthcare services and we pride ourself on the provision of quality healthcare services with minimal or in other cases no charge at all”.

Local Partner - Program Coordinator

Support from DWW has eased the burden... and enabled us to concentrate on improving our service delivery.

Local Partner - Program Coordinator

Share This Project

Share on facebook
Share on linkedin
Share on twitter
Share on email

Subscribe To Our Newsletter

Get updates about this project