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Malawi has about 10,000 Health Surveillance Assistants (HSAs). These health workers are the vital link between villages and the health system, and have contributed to a significant drop in the country's under-5 mortality rates, from 222 per 1,000 live births to 63 per 1,000 live births (1990-2016).

AMP Health began working in Malawi in 2016 to continue the momentum of this program, such as ensuring an adequate supply of Health Surveillance Assistants and developing a plan for future scale-up. Since 2016, AMP Health has supported the birth of Malawi's National Community Health Strategy and Policy, the integration of community health in its Health Sector Strategic Plan, and increased performance of and investment in its community health system.

our impact

  • Developed community health monitoring indicators, setting the stage for transition to an integrated digital platform

  • Developed guidelines and began training community groups that will strengthen community engagement and social accountability

  • Doubled the annual budget and staff of the Ministry of Health’s Community Health Services Section

  • Disseminated the national community health strategy into the majority of Malawi's 29 districts

malawi Team


Doreen Ali - Deputy Director, Community Based Primary Health Care Program, Ministry of Health, Malawi

Doreen Namagetsi Ali is the Deputy Director for the Community Based Primary Health Care Program of the Ministry of Health in Malawi. Her responsibilities include program management and strategic planning, policy and guidelines development, policy direction and decision making regarding all community health issues, monitoring and evaluation, operation research, resource mobilisation, capacity building, leadership and coordination. Previously, Doreen worked in the National Malaria Control Program for 19 years and served as the Director of the Malaria Program for 7 years. She is a clinical epidemiologist and biostatistician with a Diploma in Nursing and Certificate in Midwifery from Kamuzu College of Nursing in Malawi as well as a BSc.NEAD in Nursing Education, Administration and Community Health nursing from the Medical University of Southern Africa in South Africa and a MSc.CEB in Clinical Epidemiology and Biostatistics from Makere University in Uganda.

To learn more, contact Doreen Ali at

Precious Phiri - National Primary Healthcare Coordinator, Ministry of Health, Malawi

Precious is responsible for the national Health Surveillance Assistants (HSA) program – Malawi’s cadre of government-employed community health workers. Prior to his role as National Primary Healthcare Coordinator, Precious worked in the Lilongwe District Health Office as the District Coordinator for Health Centre Committees and worked as the programme coordinator for: Water & Environmental Sanitation; Food Hygiene and Safety; Maternal & Child Health; Malaria; and, Vector & Vermin Control.  Precious has a degree in Environmental Health from the University of Malawi - Polytechnic, and a Master of Primary Healthcare Management from the ASEAN Institute for Health Development in Thailand.

Matthew Ramirez - Management Partner, Malawi Community Health

Matt has supported health-related issues in Malawi since 2011 when he worked with Grassroots Soccer on HIV/AIDS education, sensitization, and testing programs. In 2012 he co-founded Teen Support Line, a program supporting adolescents living with HIV through a free phone hotline service that is now available to thousands of teens throughout Malawi. In May 2016 Matt graduated from Georgetown’s School of Foreign Service with a Master’s degree in Global Human Development and was the recipient of the Lancaster Award for Student Leadership. Matt’s other international work includes a Kiva Fellowship where he worked with microfinance institutions in Uganda, and developing social impact evaluation for SME-focused investments in Peru with Grassroots Business Fund. Prior to this, Matt spent 5 years at PepsiCo in roles in finance, strategy, and marketing. Matt has professional proficiency in Spanish and is conversational in Chichewa (Malawi). His interests include soccer, romcoms (romantic comedies), and corny “dad” jokes.