While progress has been made in reducing child mortality in sub-Saharan Africa, maternal mortality continues to pose a persistent challenge. And to achieve the Millennium Development Goals by 2015, the public health community must continue to focus on ways to reduce these deaths—the vast majority of which are avoidable.
This Malawi Case Study illustrates how health system strengthening efforts have positively affected maternal health interventions and outcomes in the country. Drawing on an extensive review of both published and unpublished literature, data from large household surveys, and information obtained from interviews with key informants, it describes the health systems challenges faced by the Malawian government in the year 2000 and how the system evolved over the subsequent decade.
The lessons learned are important to future efforts to improve maternal health in Malawi and throughout sub-Saharan Africa.
(Available on the website of the Maternal and Child Health Integrated Program <http://www.mchip.net/sites/default/files/Malawi_CaseStudy_final.pdf> )