Mapping Health Sector Resources in Malawi: Sharing the Collection and Use of Budget Data for Evidence-Based Decision Making

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Glob Health Sci Pract. December 21, 2021; 9 (4): 793-803. doi: 10.9745 / GHSP-D-21-00232. Print December 31, 2021.

ABSTRACT

BACKGROUND: In 2011, the Malawi Ministry of Health developed and institutionalized a resource tracking process, known as resource mapping (RM), to collect information on expected funding flows in the health sector. health to support resource allocation and mobilization decisions. We analyze the risk management process and tools and describe key uses of data for health financing decision making to achieve universal health coverage (UHC).

METHODS: We applied a case study approach, written as a collaboration between policy makers who led the risk management process in Malawi and the implementation team who developed tools, collected data and communicated the results during the period. It draws on our experiences in conducting risk management in Malawi to document the risk management process and data, key uses of the data, implementation challenges and lessons learned. We performed a gray literature review to understand the MR cycles in which we did not participate. Finally, we carried out a search in the published literature to locate our work in the international literature on the monitoring of health resources.

RESULTS: The RM exercise in Malawi is iteratively designed around the needs of end users and government policy priorities, which in turn results in the institutionalization of the exercise. We describe 4 ways in which MR data has been used, including national and district planning and budgeting; prioritization and coordination of existing funds by estimating the availability of resources; the mobilization of new resources by carrying out an analysis of financial gaps compared to costed national strategic plans; and generating evidence to support the national response to the 2019 coronavirus disease pandemic.

DISCUSSION: To achieve UHC goals in Malawi, RM provided government and development partners with essential data used for resource mobilization and coordination decisions. Lessons learned from natural resource management in Malawi may be applicable to other countries starting or refining their own health resource monitoring exercise.

PMID:34933976 | DO I:10.9745 / GHSP-D-21-00232

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