Institutional Review of the Malawi National AIDS Commission

Agulhas reviewed the institutional arrangements of the National AIDS Commission in Malawi in the light of its core role of co-ordinating the national response to HIV/AIDS.

The assignment analysed the institutional context for NAC, its governance, internal management systems performance and constraints.  The NAC’s task of co-ordinating the national response to HIV/AIDS is great.  It requires the ability to both develop and guide policy and implementation across a range of governmental and non-governmental actors.  The NAC is the multisectoral co-ordinator and its partners in the public, private and non-governmental arenas are the programme implementers.  This applies in particular to the Ministry of Health as the “first among equals” having the role of leading the health response to HIV/AIDS.  International learning indicates the importance of having sufficient central capacity in a NAC to liaise with, monitor and support partners’ implementation, across all sectors.

Donors are seeking to support the National HIV/AIDS policy through a common funding framework and have adopted key elements of a Sector Wide Approach (SWAP).  NAC has achieved a great deal, arguably more than most comparable organisations would do in the timeframe.

Areas of Expertise:

Aid policy

  • Aid effectiveness


  • Institutional change and Capacity building