Malawi: health sector support programme

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Tunis, 24 November 2005 – The Board of Directors of the African Development Fund (ADF), the concessional window of the African Development Bank Group approved today  in Tunis a grant of 15 million Units of Account (US$ 21.85 million) to help finance a health sector support programme in Malawi.

The objective of the programme is to establish, through a Sector Wide Approach (SWAp) arrangement, an effective and efficient health care delivery system that is responsive to the needs of the people, especially vulnerable groups such as the poor, women and children.

The ADF Support will finance strategies to accelerate reduction of maternal and infant mortality through the following programmes:

Programme Information Sheet

-Executing Agency: Ministry of Health and Population P.O. Box 30377, Lilongwe, Malawi - Fax: +265 783109 / 780513 - Telephone: +265 783044/ 822486


-Starting Date: March 2006

- Duration: 42 months


- Funding:

-Total Cost of Programme: USD 735.00 million

- Government: USD 210.00 million

- ADF: USD 21.85 million (15 UA mill.)

- IDA: USD 15.00 million

- DFID: USD 182.00 million (£100 mill)

- NORAD: USD 60.00 million

- OPEC Fund: USD 8.00 million

- UNFPA: USD 0.10 million

Other development partners: USD 238.05 million


- Procurement of Goods and Works:

International Competitive Bidding (ICB)

Works >= USD 1,000,000; goods >= USD 250,000

National Competitive Bidding (NCB)

Works >=USD 50,000 - < USD 1,000,000; Goods >= USD 30,000 - <USD 250,000


Technical assistance and training institutions.

- Consultancy Services

Short-term consultants for the implementation of strategies to accelerate reduction of maternal and infant mortality.

-  Human Resources

-  Pharmaceutical and Medical Supplies

-  Essential Basic Equipment

-  Facilities Development

-  Routine Operations at Service Delivery Level

-  Central Operations, Policy and Systems

The programme is complementary to the Malawi Growth and Development Strategy, which gives utmost attention to the needs of the poor. The training of staff and procurement of medical equipment and supplies under the programme will strengthen skills, improve diagnostic procedures and treatment. This will also strengthen Information, Education and Communication (IEC) activities with respect to cost-effective interventions that will have major impact on the reduction of disability and absenteeism due to the major diseases in rural areas. Reduction of the high mortality rates due to easily preventable diseases will result in higher productivity. The programme will have a positive impact on the economic well-being of families living in rural areas by lowering costs of treatment and demands on family members to provide support to the sick.

The total cost of financing the Programme of Work (2004 – 2010) for the SWAp is USD 735.00 million.

The Government and Development Partners will jointly finance all activities of the POW for the SWAp. ADF funds will be utilized to finance services, goods, works, and miscellaneous expenditure under the Road Map for accelerating reduction of maternal and neonatal mortality.

The Bank Group operations in Malawi started in 1969. To date, the Group has committed in the country approximately US$ 792 million in 82 operations.

UA 1 = US$ 1.44580 as at 01/11/05


Felix Njoku Phone: +216 71 10 26 12