Financing Universal Health Care in Malawi Benn Hogan Malaka Parker Sofia Gatti

Highest population growth rate Malawi overview 1 2 3 4 5 Malawi is the country in the world 8th poorest still live under poverty line (below $1 per day) 50.7% of the population Majority of the labour force is in the informal economy Small tax base (3% per year). Estimated population of 20.4 million people by 2022 Highest population growth rate Malawi has one of the highest disease burdens in Africa

Challenges in the delivery Operational and structural $ Financial Government budget of $9.84 per capita Cashgate scandal Health expenditure of 24% household income Bypass fees Out-of-pocket payments in private and religious facilities Weak budget management system Poor operational, security, management protocols Insufficient number, under resourced facilities Human resources burden Geographical exclusion

Recommendations 01 Hybrid Progressive Universalism Model 02 Establish a Health Fund 03 Utilise Donor Funds for Capital projects 04 Prevention First 05 Invest in Human Resources and focus on Primary Care 06 Efficiency savings, cost containment 07 Family planning 08 Addressing social determinants of health