{"id":987515174,"date":"2021-07-22T15:21:32","date_gmt":"2021-07-22T14:21:32","guid":{"rendered":"https:\/\/p4h.world\/documents\/the-right-choice-achieving-universal-health-coverage-in-malawi\/"},"modified":"2021-07-22T15:21:32","modified_gmt":"2021-07-22T14:21:32","slug":"the-right-choice-achieving-universal-health-coverage-in-malawi","status":"publish","type":"documents","link":"https:\/\/p4h.world\/en\/documents\/the-right-choice-achieving-universal-health-coverage-in-malawi\/","title":{"rendered":"The right choice: Achieving universal health coverage in Malawi"},"content":{"rendered":"<p>In Malawi primary healthcare services are provided for free at point of use in all government facilities and selected Christian Association of Malawi facilities through service level agreements). In practice, however, around 70% of the services provided at tertiary level \u00a0are either primary or secondary services due to lack of a gate-keeping system (Ministry of Health, 2011). To limit the use of high level facilities for primary or secondary services, \u00a0the government of Malawi introduced bypass fees in both district and tertiary level facilities. However, it was argued that bypass fees for hospitals cause major hardship by excluding poor people from accessing the healthcare they need and hence impede the government\u2019s efforts to achieve UHC. <\/p>\n<p>For so many ordinary Malawians, these bypass fees represent an effective ban on accessing hospital care. With primary healthcare facilities overwhelmed and barely functioning, this is a clear violation of Malawians\u2019 right to health.<\/p>\n<p>\u00a0<br \/>\nSafari Mbewe, Executive Director, MANET<br \/>\n\u00a0<br \/>\nThis briefing note presents the results of interviews and suggests that Malawi\u2019s experiment with hospital user fees was highly regressive which pushed the burden of financing the health sector onto the country\u2019s poorest and vulnerable people.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In Malawi primary healthcare services are provided for free at point of use in all government facilities and selected Christian Association of Malawi facilities through service level agreements). In practice, however, around 70% of the services provided at tertiary level \u00a0are either primary or secondary services due to lack of a gate-keeping system (Ministry of&#8230;<\/p>\n","protected":false},"author":1293,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[],"tags":[118,126,133],"document_type":[2332],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987515174"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/documents"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/1293"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987515174"}],"version-history":[{"count":0,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987515174\/revisions"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987515174"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987515174"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987515174"},{"taxonomy":"document_type","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/document_type?post=987515174"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}