International Journal of Clinical & Medical Surgery
ISSN: 3069-2067 | DOI: 10.64030/3069-2067
Catherine Haulesi Chiwaula and Berlington Munkhondiya
The study aimed at assessing the status of palliative care delivery in relation to the WHO public health model for palliative care. Methods: routine data on palliative care indicators in District Health Information Software 2 was analyzed using built in analysis and visualization tools. Pivot tables, charts, and graphs were created to examine data dimensions, arrange data along rows and columns, and apply filters. Dashboards consolidated various visualizations into a single, shareable view, providing a holistic overview of key indicators. These tools enabled summarization, visualization, and tracking of data trends over time. Annual report was produced to present structured data following the WHO public health model. Results: On policy & leadership, Malawi has an updated palliative care policy and guidelines; palliative care conditions are included in the Essential Health Benefit Package; palliative care is integrated into the health system and financed through health plans; all central and district facilities have palliative care coordinators, with strong collaboration among policymakers, Associations, Regulators, and Non-governmental organizations. On education & training, there are structured training programs ranging from one day sensitization to bachelor’s degree. On drug availability, morphine and other essential drugs are available. On service delivery, there are 112 sites providing palliative care, with 55,163 patients accessing services. In conclusion, Malawi has made significant progress in palliative care delivery. However, there is a need to strengthen monitoring of policy adherence, expand access, ensure regular capacity building, improve linkages across the continuum of care, and continue advocacy to align partner support with palliative care service needs.