Table 3.

Summary of activities provided by key stakeholders involved in the policy updating process for intermittent preventative treatment during pregnancy with sulfadoxine-pyrimethamine (IPTp-SP) for malaria in Malawi

Stakeholder	Main responsibility	Role in policy change
NMCP	Development of malaria policies, and implementation of malaria programs	Drafting of guidelines, leading the process, and finalization of guidelines
RHD	Implementation of reproductive health services in the MOH	Drafting of the guidelines, and policy implementation
SSDI-services	Effective integration and delivery of quality services under the Malawi Essential Health Package (EHP), and to strengthen the national health system in line with the National Health Sector Strategic Plan for 2011–2016	Coordination of activities, drafting of guidelines, finalizing, printing, dissemination of guidelines, and training of health workers
WHO	Provision of technical advice and recommendation	Overseeing of the whole process in accordance to WHO recommendations
PMI/USAID	Provision of technical and financial support for the NMCP	Provided financial support for all activities and provided technical advice
NMAC	Provide expert opinion to the NMCP in policy and programme development	Vetting and final approval of the guidelines
Malaria Care	Provision of malaria diagnostic and treatment services	Training of health workers
CHAI	Strengthening of integrated health systems	Revision of case management guidelines, training of health workers
Malaria researchers	Conducting malaria research to provide evidence and guide policy formulation	Provided technical review of evidence and guidelines

NMCP National Malaria Control Programme, RHD Reproductive Health Directorate, SSDI support for service delivery integration, PMI President’s Malaria Initiative, USAID United States Agency for International Development, NMAC National Malaria Advisory Committee, CHAI Clinton Health Access Initiative, MOH Ministry of Health, WHO World Health Organization