Malawi Health Emergency Preparedness, Response and Resilience Project Using the Multiphase Programmatic Approach

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This project is proposed under the Health Emergency Preparedness, Response and Resilience (HEPRR) Program using the Multiphase Programmatic Approach (MPA) approved by the World Bank’s Executive Directors on September 29, 2023 (P180127, Report No: PAD5376). Phase I of the HEPRR Program provided financing for Kenya, Ethiopia, Sao Tome and Principe, the East, Central and Southern Africa Health Community and the Intergovernmental Authority on Development.Aligned with the Program Development Objective of the HEPRR Program, the Project Development Objective (PDO) for Malawi is to strengthen health system resilience and multisectoral preparedness and response to health emergencies in Malawi.Four components are proposed for the Malawi operation, aligned with those of the HEPRR Program including: (i) Strengthening the Preparedness and Resilience of the Health System to manage Health Emergencies (HEs) (ii) Improving Early Detection and Response to HEs Through a Multisectoral Approach; (iii) Project Management; (iv) Contingent Emergency Response Component (CERC).Component 1: Strengthening the Preparedness and Resilience of the Health System to manage HEs. This component supports a comprehensive approach to enhancing the preparedness and resilience of Malawi’s health system to effectively manage HEs, while complementing overall health system strengthening. Four sub-components address key aspects of readiness and response.• Subcomponent 1.1: Enhancing Multisectoral Planning, Financing, and Governance for Improved Resilience to Health Emergencies• Subcomponent 1.2: Strengthening Health Workforce Development• Subcomponent 1.3: Improving Access to Quality Health Commodities and Scoping Local Pharmaceutical Production • Subcomponent 1.4: Enhancing Information Systems for HEs and Digital in Health transformationComponent 2: Improving Early Detection and Response to HEs Through a Multisectoral Approach. This consists of three sub-components addressing key aspects of preparedness and response.• Subcomponent 2.1: Collaborative Multisectoral Surveillance and Laboratory Diagnostics• Subcomponent 2.2: Emergency Management, Coordination, and Essential Service Continuity• Subcomponent 2.3: Risk Communication and Community Engagement (RCCE), Empowerment, and Social Protection During HEs.Component 3: Project Management. This component will ensure efficient and effective management and implementation of the project by the Program Coordination Unit (PCU). • Subcomponent 3.1: Enhancing Project Monitoring and Evaluation (M&E)• Subcomponent 3.2: Delivering Tailored Technical Assistance and Facilitating a Learning Agenda• Subcomponent 3.3: Strengthening Project Management through Support of the Implementing Institutions and Multisectoral Collaboration.Component 4: Contingent Emergency Response Component (CERC). This component will facilitate access to rapid financing by allowing for the reallocation of uncommitted project funds in the event of a natural disaster in Malawi, either by a formal declaration of a national emergency or upon a formal request from the government.The proposed Project is consistent with both the adaptation and mitigation goals of the Paris Agreement. It is expected to have a considerable contribution to improving climate adaptation and resilience in line with the Paris Agreement and is not anticipated to contribute to Greenhouse Gases (GHG) emissions, which is aligned with Malawi’s commitment to reduction of GHG.