Malawi is an LIC in SSA with an estimated MMR of 439 deaths per 100 000 live births in 2015.11 Obstetric care services are provided through the country’s essential health package offered free of charge at public and contracted not-for-profit health facilities.12 In 2015, 91% of births occurred in health facilities, with 90% of births attended by a skilled provider.11 In 2014, unmet need for emergency obstetric care (EmOC) among women with obstetric complications was estimated at 75%, given the majority of health facilities failed to fully meet the applicable EmOC standards.13 Shortages in human resources and stock-outs of essential drugs and supplies further challenge the health system’s ability to reliably provide EmOC.
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