ArticleMalawi medical journal : the journal of Medical Association of Malawi2022
The Integration of vertical and horizontal programmes for health systems strengthening in Malawi: a case study.
Article in Malawi medical journal : the journal of Medical Association of Malawi, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Confusion Arising from too many Messages in Health Awareness Campaigns in Rural Communities in Malawi.Journal of community health · 2026Article
- Using unmanned aerial vehicles (drones) to improve access to blood in low- and middle-income countries: Current challenges and opportunities.Vox sanguinis · 2026Review
- The complexity of inequity: rethinking global health through lived experience, power, and structural vulnerability.International journal for equity in health · 2026Article
- Trends in government and donor funding for vertical and horizontal community health worker programmes in sub-Saharan Africa.BMJ global health · 2026Article
- Beyond aspiration: An expenditure-based evaluation of progress towards the Abuja Declaration target and implications for domestic health financing in Africa.PLOS global public health · 2026Article
- Impact of The Challenge Initiative on Public-Sector Family Planning Service Provision in Pakistan: Evidence from a Difference-in-Differences Analysis.Open access journal of contraception · 2026Article
- The perceived impacts of United States foreign development assistance reductions on health system building blocks at healthcare facilities in Zambia: A mixed-methods study.PLOS global public health · 2026Article
- Reassessing the Alma-Ata Declaration: A Scoping Review of Its Impact on Global Surgery.Plastic and reconstructive surgery. Global open · 2025Article
- The potential impact of declining development assistance for health on population health in Malawi: A modelling study.PLoS medicine · 2025Article
- Examining priorities and investments made through the Global Financing Facility for maternal and newborn health: a sub-analysis on quality.Global health action · 2024Article
- Lessons learnt from COVID-19 to reduce mortality and morbidity in the Global South: addressing global vaccine equity for future pandemics.BMJ global health · 2024Review
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Authors and funding
6 authors.
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Abstract
A challenge for the health system in Malawi is that funding allocation is heavily influenced by donor priorities. As a result, mandated routine elements of service delivery may not be fully offered owing to lack of resources or programmatic priority. Integration of currently active 'vertical' programmes (those focused on a specific priority disease entity) into existing 'horizontal' services (meaning provision across the range of clinical and public health need) has potential to improve access and quality of service delivery for Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) in Malawi. We identified and tabulated the main vertical funding streams currently available in Malawi and identified where these could intersect with existing horizontal health sector programmes in order to strengthen RMNCAH. We have indicated how each of the main vertical programmatic components can be adapted and integrated to support broader system strengthening within RMNCAH focusing especially on drug and commodity procurement, supply chain logistics, health facility and equipment maintenance/upgrading, health service activity data systems, human resources for 'front line' RMNCAH provision, as well as community engagement and mobilization. By circumventing the various limitations of vertical programmes in the delivery of health services in the country, they would complement existing funding streams rather than operating in a vacuum as independent activities. We therefore recommend the integration of horizontal and existing vertical programmes in order to improve RMNCAH in Malawi.
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