Pervasive, chronic poverty has devastated every sector of Malawi for decades—contributing to a faltering economy and applying enormous pressure on an overextended and underresourced government. Severe food shortages and a lack of access to health services rest firmly and often fatally on undereducated individuals and starving children. A fragile health care infrastructure is aggravated by the poverty problem and has increased the prevalence of HIV & AIDS, tuberculosis, malaria, malnutrition, and other epidemics. Malawi has some of the worst health indicators in the world and one of the highest maternal mortality rates in Africa. Since 2003, MSH programs in Malawi have sought to strengthen health care systems, increase disease prevention education, and reduce both maternal and childhood mortality rates through reproductive health and family planning initiatives. Health education and increased access to fundamental health care in communities remains the focus of MSH’s work in Malawi. MSH looks forward to collaborating with regional and national institutions, both public and private, to further support health programs and train effective health care leaders. Collectively, MSH and its partners are striving to facilitate efficient, decentralized management of resources and delivery of fundamental health care services to increase the health of the people of Malawi.