Health Systems Strengthening

Photo of children smiling and holding ITNs

The President’s Malaria Initiative (PMI) works to reduce the burden of malaria while at the same time strengthening host country health systems and workforces. In highly endemic countries, malaria typically accounts for 30 to 40 percent of outpatient visits and hospital admissions. By reducing malaria cases, PMI enables overstretched health workers to concentrate on managing other important childhood illnesses, such as pneumonia and diarrhea. Strong health systems, in turn, contribute to successful and sustainable malaria control. In addition to providing support to malaria-specific activities, PMI helps build national capacity in a variety of cross-cutting areas that strengthen key elements of the health system and benefit malaria and other health programs.

PMI-supported health systems strengthening activities are tailored to the needs of each PMI focus country at the national, state, provincial, district and community levels. PMI contributes to the strengthening of key health system building blocks, including:

Delivery of services
  • Increasing delivery of services by integrating malaria prevention and treatment activities with other disease control and maternal and child health programs at all levels, including in communities
  • Building the capacity of communities and ministries of health and environment to provide indoor residual spraying through technical assistance and training
Health workforce
  • Building host country managerial and leadership capacity for effective malaria control
  • Supporting integrated training and supportive supervision for health care workers in care of the sick child and antenatal care
  • Improving and monitoring the quality of laboratory diagnostic services
Health information systems
  • Strengthening disease surveillance systems to improve decision-making, planning, forecasting and program management
  • Expanding reporting and program monitoring and evaluation within ministries of health
Access to essential medicines and commodities
  • Improving forecasting, procurement, quality control, storage and distribution of malaria commodities, such as insecticide-treated nets, artemisinin-based combination therapies and rapid diagnostic tests
Capacity for operational research
  • Providing facilities, equipment, training and financial support for in-country malaria operational research

Read further information on PMI’s activities in health systems strengthening [PDF, 179KB].


Photo source: Diana Mrazikova/NetWorks