Issue
Despite government efforts, healthcare access in Kasungu District, Malawi remains far below the national average. Marginalised groups, including people with HIV/AIDS, sex workers, and people with disabilities, face structural barriers and discrimination in seeking care.
Project partners

How we are helping
This project aims to build a more equitable healthcare system in Kasungu District by addressing the social determinants of health, promoting community involvement in monitoring healthcare access and quality, and strengthening accountability within existing health structures.
About the project
The Government of Malawi has demonstrated its commitment to achieving Universal Health Coverage (UHC) through the recent announcement of plans to construct 900 health posts nationwide by 2030—which would ensure that every Malawian has access to a health facility within a five-kilometre radius. Despite these national efforts, access to healthcare in Kasungu District remains significantly below the national average: only 38% of the population, compared to the national average of 65%. For some, the nearest health centres are located 34 kilometres away. Marginalised groups, including people living with HIV/AIDS, sex workers, and people with disabilities, continue to face structural barriers and discrimination when seeking healthcare services. These vulnerable communities are also frequently excluded from health-related decision-making processes, resulting in policies and services that do not fully reflect their specific needs.
Project partner, National Association for People Living with HIV/AIDS in Malawi, will raise awareness of health rights and empower marginalised groups to advocate for inclusive and responsive health policies that address their needs.
This will be achieved by:
- establishing scorecard committees with representatives from marginalised groups
- training committee members to conduct scorecard assessments
- conducting assessments in three healthcare facilities and producing reports summarising key findings and recommendations
- convening meetings with health providers and district health authorities to review findings and recommendations
- facilitating community awareness meetings to promote understanding of health rights and entitlements.
As a result of this project, it is hoped that a more equitable healthcare system is developed in Kasungu District that is responsive to the needs of vulnerable communities.
Project Partners
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