Table 3 Gap analysis showing the proportion of health needs met by the Essential Health Package - Malawi 2008
From: Assessing the use of an essential health package in a sector wide approach in Malawi
Interventions of the existing Essential Health Package | National Incidence Levels derived from Burden of Disease estimates | Total burden to be met by the EHP as cases per 1000 of the population | Provision in 2007/8 as cases per 1000 of the population | The gap between need and delivery (ratio of provision to need) |
|---|---|---|---|---|
| Â | Â | a | b | b/a |
Full immunization | Â | 58.5 | 41.9 | 0.72 |
Measles | Â | 45.1 | 39.4 | 0.87 |
ARI in under-5s | 1,829,077 | 140 | 68.1 | 0.49 |
Malaria - bednets | 1,200,000 | 91.8 | 91.8 | 1.00 |
Malaria - under 5 | 2,238,248 | 171.3 | 195.7 | 1.14 |
Malaria - 5 and over | 1,932,413 | 147.9 | 208.2 | 1.41 |
Antenatal Care | 797,313 | 61 | 45.7 | 0.75 |
Normal Delivery | 637,850 | 43.9 | 22.7 | 0.52 |
Delivery complications | 115,786 | 10.4 | 3.2 | 0.31 |
Newborn Complications | 127,570 | 9.8 | 0.8 | 0.08 |
Abortion Complications | 55,481 | 4.2 | 1.4 | 0.33 |
Treatment of Syphilis in Pregnancy | 31,095 | 2.4 | 2.2 | 0.92 |
Postpartum Care | 637,850 | 48.8 | 13 | 0.27 |
Condoms | 12,301 | 6.5 | 5 | 0.77 |
Oral Contraceptive Pill | 10,854 | 7.8 | 6 | 0.77 |
Depo-provera injection | 100,582 | 9.4 | 7.2 | 0.77 |
Norplant | 2,894 | 0.1 | 0.1 | 1.00 |
IUCD | 724 | 0.1 | 0.1 | 1.00 |
Bilateral Tubular Ligation | Â | 2.9 | 2.1 | 0.72 |
Vasectomy | Â | 0.1 | 0.1 | 1.00 |
Passive Case Detection | Â | 6.2 | 4.4 | 0.71 |
Treatment -smear negative and extra-pulmonary TB | Â | 3.6 | 2.6 | 0.72 |
Treatment -smear positive TB | Â | 0.9 | 0.6 | 0.67 |
Treatment - relapsed cases | Â | 0.2 | 0.2 | 1.00 |
Treatment of Dehydration in U5s | 3,815,318 | 292 | 25.5 | 0.09 |
Case management in Cholera | Â | 0.1 | 0.1 | 1.00 |
Case management of Dysentery | Â | 14.2 | 8.5 | 0.60 |
HIV Testing & Counselling (HTC) | 1,191,648 | 91.2 | 54.7 | 0.60 |
Management of OIs | 261,325 | 20 | 12 | 0.60 |
Screening/treatment of syphilis | 148,956 | 11.4 | 6.8 | 0.60 |
Prevention of MTC transmission | 78,137 | 12.2 | 0.6 | 0.05 |
Testing and Treatment of Other STIs | 436,676 | 33.4 | 12.8 | 0.38 |
CBHBC | 37,892 | 2.9 | 0.8 | 0.28 |
ARV (adult) | 79,200 | 5.6 | 3.4 | 0.61 |
ARV (child) | 10,800 | 0.8 | 0.5 | 0.63 |
ARV Supplementary Feeding (adult) | 79,200 | 1 | 0.6 | 0.60 |
ARV Supplementary Feeding (child) | 10,800 | 0.9 | 0.5 | 0.56 |
Diagnosis and Case Management | 4,401,521 | 11.5 | 6.9 | 0.60 |
Mass Treatment | 352,647 | 27 | 16.2 | 0.60 |
Growth Monitoring of U5 Children | 2,383,085 | 182.4 | 183.2 | 1.00 |
Micronutrient supplementation | 2,383,085 | 182.4 | 109.4 | 0.60 |
Severe Acute Malnutrition (Inpatient) | 44,162 | 3.4 | 1.4 | 0.41 |
Moderate Acute Malnutrition (Outpatient) | 40,375 | 3.1 | 2.5 | 0.81 |
Supplementary Feeding | 244,732 | 18.7 | 7.7 | 0.41 |
Treatment of conjunctivitis | Â | 45.6 | 27.3 | 0.60 |
Acute otitis media in under 5s | 1,089,317 | 7.3 | 4.4 | 0.60 |
Scabies | - | 62.6 | 37.6 | 0.60 |
Treatment of Fractures and Dislocations | 164,244 | 12.6 | 10.1 | 0.80 |
Treatment of Wounds | 213,765 | 16.4 | 15.3 | 0.93 |
Total interventions | Â | 1931.6 | 1311.3 | 0.68 |