PMI Impact Malaria




PMI Impact Malaria in Malawi

PMI Impact Malaria (IM) is the flagship global service delivery project of the U.S. President’s Malaria Initiative (PMI). To fight malaria and save lives, IM is supporting Malawi’s national malaria control program (NMCP) in its efforts to strengthen malaria service delivery.

In 2020, IM began working with Malawi’s NMCP to improve the quality of and access to malaria case management and malaria in pregnancy services.

To advance malaria service delivery in Malawi, IM focuses mainly on bolstering diagnostic capacity, strengthening health provider competence, and enhancing the country’s ability to collect and use data for decision-making.


  • Malaria Service Delivery Photos PMI Impact Malaria Photo Album

Malaria Country Context

Malawi’s entire population of about 18.6 million people is at risk of malaria. Transmission is perennial in most areas and peaks during the rainy season from November to April. Higher malaria transmission occurs along Lake Malawi and the lowland areas of the lower Shire Valley, which are warmer, wetter, and more humid. The malaria parasite species Plasmodium falciparum causes most infections. 

Malaria continues to be a major public health issue in Malawi. With an estimated 6.2 million cases each year, malaria is a major cause of morbidity and mortality across all age groups and accounts for 30% of all outpatient visits. 


This is PMI Impact Malaria’s geographic coverage in Malawi:


PMI Impact Malaria has supported Malawi's NMCP in achieving these key accomplishments:

  • Identified existing malaria case management and MIP challenges through meetings with district health officials and a review of data from six previous rounds of Outreach, Training, and Supportive Supervision (OTSS). OTSS is a quality improvement approach involving competency-based supervision to identify areas that require improvement and on-the-job training to improve health provider skills. IM enhanced this approach to launch OTSS+, which features expanded checklists, digital software, and more. 

  • Introduced updated OTSS+ modules and the Health Network Quality Improvement System (HNQIS), a digital software platform that allows for instant data processing and the prioritization of health facility visits based on need and patient volume. 

  • Reviewed and updated all relevant diagnostics and case management policies, guidelines, standard operating procedures, and in-service training materials.


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Photo Credit: Samy Rakotoniaina, the Organized Network of Services for Everyone’s (ONSE) Health Activity, funded by USAID

Sources: PMI’s Malawi Country BriefPMI’s Malawi Malaria Operational Plan FY 20202019 World Malaria Report Malawi Country Profile, PMI Impact Malaria Malawi, and Malawi’s NMCP