The Malawi healthcare system consists of two main providers: the Ministry of Health and Population (MOH&P) and the not-for profit private-sector Christian Health Association of Malawi (CHAM), which provide 60%, and 37% of the health services, respectively.
Health services are provided at four levels:
1. Community level through health surveillance assistants. The focus is on preventive interventions;
2. MoH-governed primary services in rural health centers, health posts, and outreach clinics;
3. Secondary level healthcare through district and CHAM hospitals, both of which are referral sites for
obstetric emergencies;
4. Tertiary level care, located mostly in urban centers, provide specialist services.