ReviewHealth policy and planning2024
Donor coordination to support universal health coverage in Malawi.
Review in Health policy and planning, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The role of policy on fortification in food processing and value addition in Malawi and Mozambique-a systematic review.Frontiers in nutrition · 2026Pooled it
- Confusion Arising from too many Messages in Health Awareness Campaigns in Rural Communities in Malawi.Journal of community health · 2026Article
- Climate-related health threats in Tanzania: a multilevel analysis of key policies, strategies, and community response.Health policy and planning · 2026Article
- Estimating System-Wide Healthcare Costs Using a Health System Model: Application to the Thanzi La Onse Model of Malawi.Applied health economics and health policy · 2026Article
- Beyond the Demographic and Health Survey: on the past and future of population health surveillance.BMJ global health · 2026Article
- Can Malawi afford to lose? The definitive cost of 'brain drain' and 'brain waste' in its essential medical laboratory workforce.African journal of laboratory medicine · 2026Article
- Article
- Understanding the political economy of reforming global health initiatives - insights from global and country levels.Globalization and health · 2025Article
- The Unmet Critical Care Burden at a Central Hospital in a Resource-Limited Setting: A Point Prevalence Study.World journal of surgery · 2025Article
- An exploratory study of context and factors shaping policies for integrated management of multimorbidity in Malawi.Health research policy and systems · 2025Article
- Reducing fragmentation of primary healthcare financing for more equitable, people-centred primary healthcare.BMJ global health · 2025Article
- Barriers to accessing care for cardiometabolic disorders in Malawi: partners as a source of resilience for people living with HIV.International journal for equity in health · 2024Article
- Still rethinking external assistance for health.Health policy and planning · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
Abstract
Development assistance is a major source of financing for health in least developed countries. However, persistent aid fragmentation has led to inefficiencies and health inequities and constrained progress towards Universal Health Coverage (UHC). Malawi is a case study for this global challenge, with 55% of total health expenditure funded by donors and fragmentation across 166 financing sources and 265 implementing partners. This often leads to poor coordination and misalignment between government priorities and donor projects. To address these challenges, the Malawi Ministry of Health (MoH) has developed and implemented an architecture of aid coordination tools and processes. Using a case study approach, we documented the iterative development, implementation and institutionalization of these tools, which was led by the MoH with technical assistance from the Clinton Health Access Initiative. We reviewed the grey literature, including relevant policy documents, planning tools and databases of government/partner funding commitments, and drew upon the authors' experiences in designing, implementing and scaling up these tools. Overall, the iterative use and revision of these tools by the Government of Malawi across the national and subnational levels, including integration with the government's public financial management system, was critical to successful uptake. The tools are used to inform government and partner resource allocation decisions, assess financing and gaps for national and district plans and inform donor grant applications. As Malawi has launched the Health Sector Strategic Plan 2023-2030, these tools are being adapted for the 'One Plan, One Budget and One Report' approach. However, while the tools are an incremental mechanism to strengthen aid alignment, success has been constrained by the larger context of power imbalances and misaligned incentives between the donor community and the Government of Malawi. Reform of the aid architecture is therefore critical to ensure that these tools achieve maximum impact in Malawi's journey towards UHC.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.