An Analysis of the Structure and Problems facing Zambia’s Healthcare System

The country of Zambia is currently facing a crisis in its healthcare system. The country desires to provide affordable and accessible health services to its population, but as a result of concentration of power within the elites and Ministry of Health, as well as the inability to manage funds appropriately, many Zambians are not receiving adequate healthcare services. The country is trying to achieve the health goals outlined in the 2000 United Nation’s Millennium Development Goals (MDGs), as well as the country’s National Health Priorities 2011-2015. Additional efforts are being made to form relationships with foreign organizations and foreign hospitals to improve employee education and hospital management/infrastructure.

This website investigates and analyzes information from a variety of sources on the current structure and problems facing Zambia’s healthcare system. The objective themes to be analyzed include:

  • Current structure of Zambia’s healthcare system
  • Current domestic and foreign healthcare funding programs in Zambia
  • Problems within the structure, management and funding of the healthcare system
  • Non-Governmental Organizations and other organizations assistance in the Zambian healthcare system
The Millennium Development Goals created by the United Nations include (“Millennium Development Goals: Report 2010” 1):

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Zambia’s National Health Priorities for 2011-2015 include (“National Health Strategic Plan 2011-2015” 47):

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Currently Zambia is still working towards meeting the MDGs, but has significantly improved reaching the health goals since the MDG program began in 2000, as shown in Table i (“National Health Strategic Plan,” 38). The National Health Priorities above were formed for the 2011-2015 National Health Strategic Plan and are currently undergoing changes and implementation. By making new reforms and policies for the health sector, Zambia will be able to meet the MDGs and it’s National Health Priorities.

Table i. “Selected Impact/MDG Indicators” 2007

Screen shot 2013-05-08 at 10.54.31 AM(table from “National Health Strategic Plan” 38)

Mwandi Mission Hospital, Zambia, Africa



Photo courtesy of Dr. Verna Case.

Mwandi Mission Hospital is a church-affiliated health center in Zambia, Africa. Every summer a group of students from Davidson College spend a month with Dr. Verna Case working in the health center to assist the community and gain hands-on medical experience. The hospital is currently expanding as a health center, and is under consideration to become a level 1 hospital.

Mwandi Mission Hospital is located in the Western Province of Zambia and was established in 1885 by the Paris Mission, Zambezi tribe and Lesotho tribe. The hospital was lead under the guidance of Francois Colliard until he was arrested. After Colliard’s arrest, the hospital was taken under the guidance of the Lozi tribe. In 1964 Mwandi Mission Hospital was listed under the Evangelical Church of Barotseland and gained independence. In 1965, the United Church of Zambia became the church organization affiliated with the mission hospital (Mwandi Christian Hospital 1).

Mwandi Mission Hospital has a board of American Partners to raise funds for the center. The hospital has 80 beds, and wards for women, men, children, TB patients, and patients with infectious diseases. The mission hospital also has an “outpatient clinic, a Mother-Child Health clinic, and an Anti-retroviral Clinic.” Other non-medical facilities in Mwandi Mission Hospital include a church, the Orphan and Vulnerable Children Center, primary and secondary schools, farm, homeless shelter, and a preschool (Mwandi Christian Hospital 1).