MEASURE Evaluation worked in Malawi to strengthen particular components of the health information system and to improve the quality and use of data.

Malawi is among the world’s least-developed countries and one of the most densely populated in Africa, home to 17 million people. The population is largely rural, the economy based chiefly in agriculture, with a high burden of poverty, a poorly developed infrastructure. As a result, the government depends heavily on outside donors to provide even basic government services, including health. HIV infection is generalized in the population and malaria is endemic throughout the country, placing a heavy health burden on a government already strapped for resources.

Malawi has a severe shortage of adequately trained health personnel across all professional cadres, and it is difficult to train, retain, and manage existing workers. There are critical gaps in such areas as health information systems and specific data available for decision making.

MEASURE Evaluation worked in Malawi to strengthen particular components of the health information system and to improve the quality and use of data. Such evidence for decision making helps the government invest scarce resources strategically for greatest impact. In Malawi, MEASURE Evaluation focused on:

  • Building M&E capacity for systematic improvement in data collection and data use to inform health policy making at the national level.
  • Conducting research on gender-related barriers to retention on Option B+ (lifelong adherence to anti-retroviral treatment [ART] to prevent mother-to-child transmission of HIV) and providing support to evaluation of interventions for people living with HIV and AIDS
  • Strengthening the government of Malawi’s capacity to implement a sample-based vital registration system with using the verbal autopsy (SAVVY) method to determine causes of death and trends in mortality
  • Conducting an impact evaluation of the Organized Network of Services for Everyone’s Health (ONSE) project, which will work in 16 districts to reduce maternal, under-five, infant, and neonatal mortality rates, and to increase the use of modern contraceptives among couples with unmet need
  • Conducting an evaluation of a communication strategy on depo-medroxy progesterone acetate (DMPA) use and HIV acquisition risk
  • Analyzing stories collected using the most significant change (MSC) method as part of USAID’s evaluation of Feed the Future/Malawi 

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Filed under: HIV/AIDS , Africa , Malaria , HIV , Malawi , Child Health
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