Despite a heavy burden of disease, Malawi has made significant gains in critical health indicators in recent years. For example, maternal mortality declined from 807/100,000 live births in 2006 to 460/100,000 in 2012 and under-five child mortality has fallen from 133/1,000 live births to 83/1,000. In addition, Malawi is on track to achieve five of its eight Millennium Development Goals, including those related to sexual and reproductive health.
Evidence shows that increasing contraception use and reducing unmet need leads to reductions in maternal and under-five child mortality. In 2011, PSI/Malawi developed and implemented a new reproductive health and strategic plan that focuses on youth as well as long acting reversible contraception (LARCs). Analysis of the total market and growth of the private sector led PSI/Malawi to identify private sector franchising as a way to add significant value to the overall health system. This brief outlines PSI/Malawi’s approach to social franchising and its success.