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

2. 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

3. 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

4. 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