the coordinating function of the CHS Section at the national level; recruiting a
Community Health Officer for each district; strengthening community-level
coordination through CHAGs and CHTs; and hosting regular coordination
meetings between stakeholders at all levels. The target for 2022 is that community
health actors will have completed 80% of all agreed-upon coordination activities
and milestones.
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The five-year implementation plan provides in-depth information on all recommended
activities. In addition, six cross-cutting guiding principles – integration, community
leadership, equity, gender quality, learning, and transparency and accountability – will
underpin the success of the NCHS. The first two principles help ensure that existing
programmes and initiatives related to community health leverage partnerships and
integrate seamlessly across sectors, and that community members have ownership and
remain accountable for the health of their populations. The principles of equity and
equality demand that all Malawians receive high quality care from a community health
system that promotes gender equality. The NCHS promotes continuous learning and
course correction based on strengthened monitoring and evaluation efforts. While
transparency and accountability are vital to maintaining the trust and commitment of all
stakeholders. These principles are relevant across the full community health system and
all NCHS strategic objectives.
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Over the next five years, implementation of the NCHS will require coordinated efforts
from all actors working in the community health system. Implementation will take place
across two phases that recognise the necessity of strengthening the foundational elements
of the community health system before launching and scaling activities.
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Phase 1 will focus on setting the community health system up for success by clarifying
guidelines and reinforcing structures. In parallel, implementation of high-impact
activities, including procuring transport for CHWs, rolling out CHTs, recruiting CHWs,
and setting up coordination mechanisms at all levels, will commence.
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Phase 2 will focus on scaling activities from Phase 1 and implementing additional
activities, including: training CHWs on integrated service delivery, ensuring full rollout
of the EHP and access to supplies, and constructing CHW housing units, among others.
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