Health Systems Strengthening

Photo of children smiling and holding ITNs

The President’s Malaria Initiative (PMI) works to reduce the burden of malaria while strengthening host country health systems to sustain malaria control. In countries where malaria typically accounts for 30 to 40 percent of outpatient visits and hospital admissions, a reduction in malaria cases allows overstretched health workers to concentrate on managing other important childhood illnesses, such as pneumonia and diarrhea.

In addition to providing support to malaria-specific activities, PMI helps build national capacity in a variety of cross-cutting areas to ensure that country programs possess appropriately-skilled human resources and infrastructure to plan, implement, and monitor progress of their malaria control activities. PMI’s experience shows that malaria control activities are most successful when countries take ownership and lead these efforts.  

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

Service delivery
  • Improving service delivery by integrating malaria-prevention and treatment activities with other disease control and maternal and child health programs at all levels, including community.
  • 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 malaria control.
  • Supporting integrated training and supportive supervision for health care workers in 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.
  • Supporting countries to implement innovative performance-based financing models at the community- and facility-levels.
  • Supporting public financial management reform to improve  governments’ ability to budget, allocate, expend, track and report on funding for key health programs, including malaria.
  • Improving the monitoring and evaluation skills of national malaria control program staff.
  • Mentoring and coaching to strengthen management and oversight of malaria program implementation.
  • Strengthening host countries’ capacity to design and conduct operational research by providing facilities, equipment, training and financial support.

Read more about PMI’s activities in health systems strengthening [PDF, 179KB].


Photo source: Diana Mrazikova/NetWorks