PACHAs Clinical and Advocacy Network (CAN)


We believe every child has the right to minimum core rights, including water, sanitation, primary education, basic healthcare and shelter.

We work with our colleagues in DHMT and development partners to move towards this aim for all children in Malawi by 2030.

Our methods include research to see where and what rights children are not able to access and to see what are the reasons for this, including local, national and international.

We believe health professionals have a role to play to advocate for children's right to health, see  a Framework for health professionals to advocate for children's rights

Our research and advocacy and interventions are bottom up i.e. it is driven by members of our association. 

If you would like to help us please email This email address is being protected from spambots. You need JavaScript enabled to view it. 

Table 1 Access to the determinants of health for Malawian children 

Determinant of health


Definition of NOT having access to this SDH

% without access SDH

The number of Malawian children who do not have access to these  SDH


Not using improved water


1,228, 500

Live in households where it takes >30 minutes to collect water



Sanitation (3)

Not using improved sanitation facilities, or sharing facilities



Education (4)

Not completing primary school



Healthcare (3)

Not completing basic vaccination
(Basic = BCG, DTP, Hep B, Hib, polio & measles)



PACHA is supporting our colleagues, district by district to be agents for change and to help them address the underlying determinants of health in their district. We do this by supporting the collection of data on the determinants of health and with the provision of training on how to work with local partners to improve these.




Decisions made at international level impact children at local level.

PACHAs advocacy committee focuses on the impact of international policies on the three important determinants of children’s health which are also core human rights; water, sanitation and primary school education. The objective is to strengthen the link between our research and policy making both in Malawi and internationally. This includes highlighting the spill over effect of policies which are unrelated to aid but which may have a major impact on child health in Malawi including tax avoidance, tax incentives  and tax treaties. PACHA’s work on the impact of tax avoidance on child health this has been used the United Nations High Level Panel on Illicit Financial Flows

Decisions made at national level impact children at local level.

PACHAs advocacy committee focuses on national decisions which may impact resources available for the determinants of health for children. At national level, the aim is to optimise budgetary transparency and resource allocation which prioritises all children having access to the determinants of health. For example, Malawi has very low coverage of antiretroviral treatment (ART) for children and adolescents living with HIV, compared to adults. PACHA, in partnership with the African Network for the Care of Children Affected by HIV/AIDS (ANECCA), has carried out a desk review of policies, strategies and guidelines at national level. Gaps identified are the focus of our advocacy in order to ensure improved ART coverage of children and adolescents living with HIV.


Local level - PACHA facilitates the District Health Management Team to hold quarterly stakeholder meetings in each of the following districts; Lilongwe, Mzimba North, Mzimba South, Kasungu, Zomba, Mangochi, Thyolo and Dedza. These meetings are attended by a wide range of stakeholders, where inter-sectoral issues such as WASH and education are discussed with a view to addressing these where possible at district level.

PACHA provides data about access to the determinants of health at district level on our website. This helps our colleagues in the districts to advocate at the level of the district with local government and development partners. PACHA also gathers feedback from our members regarding barriers to children accessing the determinants of health which allows PACHA to advocate for children at national level.

PACHA supports colleagues to collect data on the social determinants of health in their facility.


UNICEF. UNICEF Monitoring and Statistics [Internet]. [cited 2017 Feb 8]. Available from:

Bishai DM, Cohen R, Alfonso YN, Adam T, Kuruvilla S, Schweitzer J. Factors Contributing to Maternal and Child Mortality Reductions in 146 Low- and Middle-Income Countries between 1990 and 2010. PLoS One [Internet]. 2016;11(1):e0144908. Available from:

National Statistical Office of Malawi, Government of Malawi, UNICEF, USAID, Irish Aid, UNFPA, et al. Malawi DHS. 2016;

World Databank [Internet]. 2014 [cited 2013 Feb 22]. Available from:

O’Hare B, Curtis M. Health spending, illicit financial flows and tax incentives in Malawi. Malawian Med J. 2014;26(September):45–9.

O’Hare B, Makuta I. An analysis of the potential for achieving the fourth-millennium development goal in SSA with domestic resources. Global Health [Internet]. 2015;11:8. Available from:

Contact us

Pediatric and Child Health Association

Private Bag 360



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